Bacterial Risk Control Strategies for Blood Collection Establishments and Transfusion Services To Enhance the Safety and Availability of Platelets for Transfusion; Draft Guidance for Industry; Availability, 13798-13801 [2016-05718]
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13798
Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices
Application No.
Drug Name
Active
Ingredient(s)
Strength(s)
Dosage Form/
Route
Applicant
NDA 011602 .........
KENALOG ............
0.025%; 0.1% .....................................
Lotion; Topical .....
Delcor Asset Corp.
NDA 016059 .........
INDOCIN ..............
Triamcinolone
Acetonide.
Indomethacin .......
25 milligrams (mg); 50 mg .................
Capsule; Oral .......
NDA 017560 .........
Sulfamethoxazole;
Trimethoprim.
200 mg/5 milliliters (mL); 40 mg/5 mL
Suspension; Oral
Sulfamethoxazole;
Trimethoprim.
200 mg/5 mL; 40 mg/5 mL .................
Suspension; Oral
NDA 018185 .........
BACTRIM and
BACTRIM PEDIATRIC.
SEPTRA and
SEPTRA
GRAPE.
INDOCIN SR ........
Iroko Pharmaceuticals, LLC.
Mutual Pharmaceutical Company, Inc.
Monarch Pharmaceuticals, Inc.
Indomethacin .......
75 mg .................................................
NDA 018450 .........
NITROPRESS ......
50 mg/vial ...........................................
Iroko Pharmaceuticals, LLC.
AbbVie Inc.
NDA 019834 .........
PLENDIL ..............
Sodium
Nitroprusside.
Felodipine ............
NDA 021475 .........
METHYLIN ...........
NDA 050320 .........
UNIPEN ................
Methylphenidate
Hydrochloride.
Nafcillin Sodium ...
Extended-Release
Capsule; Oral.
Injectable; Injection.
Extended-Release
Tablet; Oral.
Chewable Tablet;
Oral.
Injectable; Injection.
NDA 050406 .........
KEFLEX ...............
Cephalexin ...........
Shionogi Inc.
ANDA 060576 ......
MYCOLOG–II .......
Delcor Asset Corp.
ANDA 062117 ......
CEPHALEXIN ......
Nystatin;
Triamcinolone
Acetonide.
Cephalexin ...........
For Suspension;
Oral.
Cream; Topical .....
ANDA 062606 ......
MYCOLOG–II .......
EQ 125 mg base/5 mL; EQ 250 mg
base/5 mL; EQ 100 mg base/mL.
100,000 units/g; 0.1% ........................
For suspension;
Oral.
Cream; Topical .....
Facta Farmaceutici
S.p.A.
Delcor Asset Corp.
ANDA 062717 ......
UNIPEN ...............
EQ 500 mg base/vial; EQ 1 g base/
vial; EQ 2 g base/vial.
Injectable; Injection.
Wyeth Ayerst
Pharmaceuticals.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
NDA 017598 .........
Nystatin;
Triamcinolone
Acetonide.
Nafcillin Sodium ...
FDA has reviewed its records and,
under § 314.161, has determined that
the drug products listed in this
document were not withdrawn from
sale for reasons of safety or
effectiveness. Accordingly, the Agency
will continue to list the drug products
listed in this document in the
‘‘Discontinued Drug Product List’’
section of the Orange Book. The
‘‘Discontinued Drug Product List’’
identifies, among other items, drug
products that have been discontinued
from marketing for reasons other than
safety or effectiveness.
Approved ANDAs that refer to the
NDAs and ANDAs listed in this
document are unaffected by the
discontinued marketing of the products
subject to those NDAs and ANDAs.
Additional ANDAs that refer to these
products may also be approved by the
Agency if they comply with relevant
legal and regulatory requirements. If
FDA determines that labeling for these
drug products should be revised to meet
current standards, the Agency will
advise ANDA applicants to submit such
labeling.
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17:40 Mar 14, 2016
Jkt 238001
2.5 mg; 5 mg; 10 mg ..........................
2.5 mg; 5 mg; 10 mg ..........................
Equal to (EQ) 500 mg base/vial; EQ
1 g (gram) base/vial; EQ 2 g base/
vial; EQ 4 g base/vial; EQ 10 g
base/vial; EQ 20 g base/vial.
EQ 125 mg base/5 mL; EQ 250 mg
base/5 mL; EQ 100 mg base/mL.
100,000 units/g; 0.1% ........................
Dated: March 9, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016–05717 Filed 3–14–16; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2014–D–1814]
Bacterial Risk Control Strategies for
Blood Collection Establishments and
Transfusion Services To Enhance the
Safety and Availability of Platelets for
Transfusion; Draft Guidance for
Industry; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of availability.
The Food and Drug
Administration (FDA or Agency) is
announcing the availability of a draft
document entitled ‘‘Bacterial Risk
Control Strategies for Blood Collection
Establishments and Transfusion
Services to Enhance the Safety and
Availability of Platelets for Transfusion;
SUMMARY:
PO 00000
Frm 00028
Fmt 4703
Sfmt 4703
AstraZeneca.
Mallinckrodt Pharmaceuticals.
Wyeth Ayerst
Pharmaceuticals.
Draft Guidance for Industry.’’ The draft
guidance document provides blood
collection establishments and
transfusion services with
recommendations to control the risk of
bacterial contamination of room
temperature stored platelets intended
for transfusion through the
implementation of pathogen reduction
technology (PRT) or bacterial testing.
The draft guidance also provides
recommendations for the use of
secondary testing of platelets as the
basis to extend the dating period of
platelets, when appropriately labeled
bacterial detection devices and storage
containers are used. The draft guidance
replaces the draft guidance entitled
‘‘Bacterial Detection Testing by Blood
Collection Establishments and
Transfusion Services to Enhance the
Safety and Availability of Platelets for
Transfusion,’’ dated December 2014.
The draft guidance, when finalized, is
intended to supersede the
recommendation in section VII.A.2, in
regard to bacterial contamination testing
in the document entitled ‘‘Guidance for
Industry and FDA Review Staff:
Collection of Platelets by Automated
Methods’’ dated December 2007.
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Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices
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 June 13, 2016.
Submit either electronic or written
comments on the collection of
information by May 16, 2016.
ADDRESSES: You may submit comments
as follows:
DATES:
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Electronic Submissions
Submit electronic comments in the
following way:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
Comments submitted electronically,
including attachments, to https://
www.regulations.gov will be posted to
the docket unchanged. Because your
comment will be made public, you are
solely responsible for ensuring that your
comment does not include any
confidential information that you or a
third party may not wish to be posted,
such as medical information, your or
anyone else’s Social Security number, or
confidential business information, such
as a manufacturing process. Please note
that if you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be
posted on https://www.regulations.gov.
• If you want to submit a comment
with confidential information that you
do not wish to be made available to the
public submit the comment as a written/
paper submission and in the manner
detailed (see ‘‘Written/Paper
Submissions’’ and ‘‘Instructions’’).
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand delivery/Courier (for
written/paper submissions): Division of
Dockets Management (HFA–305), Food
and Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to the Division of Dockets
Management, FDA will post your
comment, as well as any attachments,
except for information submitted,
marked and identified, as confidential,
if submitted as detailed in
‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2014–D–1814 for ‘‘Bacterial Risk
Control Strategies for Blood Collection
Establishments and Transfusion
Services to Enhance the Safety and
Availability of Platelets for Transfusion;
VerDate Sep<11>2014
17:40 Mar 14, 2016
Jkt 238001
Draft Guidance for Industry.’’ Received
comments will be placed in the docket
and, except for those submitted as
‘‘Confidential Submissions,’’ publicly
viewable at https://www.regulations.gov
or at the Division of Dockets
Management between 9 a.m. and 4 p.m.,
Monday through Friday.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
made publicly available submit your
comments only as a written/paper
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to the Division of Dockets
Management. If you do not wish your
name and contact information to be
made publicly available, you can
provide this information on the cover
sheet and not in the body of your
comments and you must identify this
information as ‘‘confidential.’’ Any
information marked as ‘‘confidential’’
will not be disclosed except in
accordance with 21 CFR 10.20 and other
applicable disclosure law. For more
information about FDA’s posting of
comments to public dockets, see 80 FR
56469, September 18, 2015, or access
the information at: https://www.fda.gov/
regulatoryinformation/dockets/
default.htm.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Division of Dockets
Management, 5630 Fishers Lane, Rm.
1061, Rockville, MD 20852.
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 240–402–8010. See
PO 00000
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Fmt 4703
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13799
SUPPLEMENTARY INFORMATION section for
electronic access to the draft guidance
document.
FOR FURTHER INFORMATION CONTACT:
Information Collection Requirements:
FDA PRA Staff, Office of Operations,
Food and Drug Administration, 8455
Colesville Rd., COLE–14526, Silver
Spring, MD 20993–0002, PRAStaff@
fda.hhs.gov.
Guidance Document: Jonathan
McKnight, 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 ‘‘Bacterial
Risk Control Strategies for Blood
Collection Establishments and
Transfusion Services to Enhance the
Safety and Availability of Platelets for
Transfusion; Draft Guidance for
Industry.’’ Platelets are associated with
a higher risk of sepsis and are related to
more fatalities than any other
transfusable blood component. The risk
of bacterial contamination of platelets is
a leading risk of infection from blood
transfusion. This risk has persisted
despite numerous interventions
including the introduction, in the last
decade, of analytically sensitive culturebased bacterial detection methods,
which are widely used to test platelets
prior to their release from blood
collection establishments to transfusion
services.
The draft guidance provides blood
collection establishments and
transfusion services with
recommendations to control the risk of
bacterial contamination of room
temperature stored platelets intended
for transfusion through the
implementation of PRT or bacterial
testing. PRT is performed shortly after
platelet collection by blood collection
establishments. Bacterial testing
encompasses primary testing of platelets
by blood collection establishments and
subsequent secondary testing prior to
transfusion primarily by transfusion
services. The draft guidance also
provides recommendations for the use
of secondary testing of platelets as the
basis to extend the dating period of
platelets, when appropriately labeled
bacterial detection devices and storage
containers are used. Additionally, the
draft guidance provides
recommendations to licensed blood
establishments for submitting biologics
license application supplements to
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Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices
include bacterial testing of platelet
components. The guidance informs
transfusion services that are currently
exempt from registration and blood
product listing that if they choose to
perform secondary testing of platelets to
extend the dating period, they must
register with FDA and list the blood
products they manufacture.
The draft guidance applies to all
platelet products, including platelets
manufactured from Whole Blood
(Whole Blood Derived (WBD) platelets),
platelets collected by automated
methods from a single donor (apheresis
platelets), pooled platelets, and platelets
stored in additive solutions.
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 bacterial risk control strategies for
blood collection establishments and
transfusion services to enhance the
safety and availability of platelets for
transfusion. It does not establish any
rights for any person and is not binding
on FDA or the public. You can use an
alternative if it satisfies the
requirements of the applicable statutes
and regulations.
II. Paperwork Reduction Act of 1995
Under the PRA (44 U.S.C. 3501–
3520), Federal Agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes Agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
Agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, FDA is publishing notice
of the proposed collection of
information set forth in this document.
With respect to the following
collection of information, FDA invites
comments on these topics: (1) Whether
the proposed collection of information
is necessary for the proper performance
of FDA’s functions, including whether
the information will have practical
utility; (2) the accuracy of FDA’s
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
assumptions used; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques,
when appropriate, and other forms of
information technology.
Title: Bacterial Risk Control Strategies
for Blood Collection Establishments and
Transfusion Services to Enhance the
Safety and Availability of Platelets for
Transfusion.
Description: We have identified the
following recommendations in the draft
guidance document as collections of
information. In section VI, the draft
guidance recommends that blood
collection establishments have in place
measures to promptly alert the
transfusion services in the event that a
distributed platelet product is
subsequently identified as positive for
bacterial contamination. In section
X.A.2, the draft guidance recommends
that following secondary testing,
labeling on the container label or a tietag, should relay the following
information: (1) Type of bacterial
detection test performed (rapid or
culture) and (2) the date and time the
bacterial detection test was performed.
Description of Respondents: The
third-party disclosure recommendations
described in the draft guidance affect
blood collection establishments and
transfusion services that collect and
manufacture platelet products for
transfusion, including WBD platelets,
apheresis platelets, pooled platelets, and
platelets stored in additive solutions.
Burden Estimate: The Agency believes
the information collection provision for
blood collection establishments in
section VI does not create a new burden
for respondents and is part of usual and
customary business practice. Blood
collection establishments currently have
in place standard operating procedures
for notifying consignees (transfusion
services) if a distributed platelet product
has subsequently tested positive for
bacterial contamination.
In section X.A.2, the draft guidance
recommends that following secondary
testing, establishments should maintain
a labeling process that relays certain
information and is integral to the
container (e.g., on the container label or
an attached tie-tag) and label
accordingly. FDA estimates the burden
of this collection of information as
follows:
TABLE 1—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
Activity
Number of
respondents
Number of
disclosures
per
respondent
Total annual
disclosures
Average burden
per disclosure
Total hours
Section X.A.2: Following secondary testing, maintain a
labeling process that relays certain information and
is integral to the container (e.g., on the container
label or an attached tie-tag) and label accordingly.
2480
403
1,000,000
.05 (3 minutes) ....
50,000
asabaliauskas on DSK3SPTVN1PROD with NOTICES
1 There
are no capital costs or operating and maintenance costs associated with this collection of information.
Table 1 provides an estimate of the
annual third-party disclosure burden for
the information to be submitted in
accordance with the draft guidance.
Based on FDA data and information
submitted by industry, FDA believes
that there are approximately 2 million
platelet transfusions per year. The
recommendation for labeling following
secondary testing applies to
approximately 4,960 transfusion
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17:40 Mar 14, 2016
Jkt 238001
services in the Unites States. We
estimate that about 50 percent of all
platelets will be pathogen-reduced and
50 percent will be cultured. Therefore,
to estimate the annual third-party
disclosure burden in table 1, we assume
that approximately one-half of the
transfusion services will label one-half
of the total platelets intended for
transfusion in the United States
following secondary testing. The
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Sfmt 4703
average burden disclosure for
transfusion services to implement the
recommendation in table 1 is based on
FDA’s experience and industry
information.
This draft guidance also refers to
previously approved collections of
information found in FDA regulations.
The collections of information in 21
CFR 601.12 and 610.60 have been
approved under OMB control number
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Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices
0910–0338; the collections of
information in 21 CFR 606.65, 606.100,
606.120, 606.121, 606.122, and have
been approved under OMB control
number 0910–0116; and the collections
of information in 21 CFR part 607 have
been approved under OMB control
number 0910–0052.
To ensure that comments on
information collection are received,
OMB recommends that written
comments be faxed to the Office of
Information and Regulatory Affairs,
OMB (see ADDRESSES). All comments
should be identified with the title of the
information collection.
In compliance with the PRA (44
U.S.C. 3407(d)), the Agency has
submitted the information collection
provisions of this document to OMB for
review. These requirements will not be
effective until FDA obtains OMB
approval. FDA will publish a notice
concerning OMB approval of these
requirements in the Federal Register.
III. 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.
Dated: March 9, 2016.
Leslie Kux,
Associate Commissioner for Policy.
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–3815]
Agency Information Collection
Activities; Submission for Office of
Management and Budget Review;
Comment Request; Electronic
Submission of Medical Device
Registration and Listing
Food and Drug Administration,
HHS.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
ACTION:
To ensure that comments on
the information collection are received,
OMB recommends that written
comments be faxed to the Office of
Information and Regulatory Affairs,
OMB, Attn: FDA Desk Officer, FAX:
202–395–7285, or emailed to oira_
submission@omb.eop.gov. All
comments should be identified with the
OMB control number 0910–0625. Also
include the FDA docket number found
in brackets in the heading of this
document.
ADDRESSES:
FDA
PRA Staff, Office of Operations, Food
and Drug Administration, 8455
Colesville Rd., COLE–14526, Silver
Spring, MD 20993–0002, PRAStaff@
fda.hhs.gov.
FOR FURTHER INFORMATION CONTACT:
In
compliance with 44 U.S.C. 3507, FDA
has submitted the following proposed
collection of information to OMB for
review and clearance.
SUPPLEMENTARY INFORMATION:
Electronic Submission of Medical
Device Registration and Listing—21
CFR Part 807, Subparts A Through D;
OMB Control Number 0910–0625—
Extension
[FR Doc. 2016–05718 Filed 3–14–16; 8:45 am]
AGENCY:
The Food and Drug
Administration (FDA) is announcing
that a proposed collection of
information has been submitted to the
Office of Management and Budget
(OMB) for review and clearance under
the Paperwork Reduction Act of 1995.
DATES: Fax written comments on the
collection of information by April 14,
2016.
SUMMARY:
Notice.
Under section 510 of the Federal
Food, Drug, and Cosmetic Act (the
FD&C Act) (21 U.S.C. 360) and part 807,
subparts A through D (21 CFR part 807,
subparts A through D), medical device
establishment owners and operators are
required to electronically submit
establishment registration and device
listing information.
Complete and accurate registration
and listing information is necessary to
accomplish a number of statutory and
regulatory objectives, such as: (1)
Identification of establishments
producing marketed medical devices,
(2) identification of establishments
producing a specific device when that
13801
device is in short supply or is needed
for national emergency, (3) facilitation
of recalls for devices marketed by
owners and operators of device
establishments, (4) identification and
cataloguing of marketed devices, (5)
administering postmarketing
surveillance programs for devices, (6)
identification of devices marketed in
violation of the law, (7) identification
and control of devices imported into the
country from foreign establishments, (8)
and scheduling and planning
inspections of registered establishments
under section 704 of the FD&C Act (21
U.S.C. 374).
Respondents to this information
collection are owners or operators of
establishments that engage in the
manufacturing, preparation,
propagation, compounding, or
processing of a device or devices, who
must register their establishments and
submit listing information for each of
their devices in commercial
distribution. Notwithstanding certain
exceptions, foreign device
establishments that manufacture,
prepare, propagate, compound, or
process a device that is imported or
offered for import into the United States
must also comply with the registration
and listing requirements. The number of
respondents is based on data from the
FDA Unified Registration and Listing
System.
Burden estimates are based on recent
experience with the existing medical
device registration and listing program,
electronic system operating experience,
and the economic analysis for the final
rule entitled ‘‘Implementation of Device
Registration and Listing Requirements
Enacted in the Public Health Security
and Bioterrorism Preparedness and
Response Act of 2002, the Medical
Device User Fee and Modernization Act
of 2002, and Title II of the Food and
Drug Administration Amendments Act
of 2007.’’
In the Federal Register of October 27,
2015 (80 FR 65779), FDA published a
60-day notice requesting public
comment on the proposed collection of
information. No comments were
received.
FDA estimates the burden of this
collection of information as follows:
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
21 CFR Section
FDA Form No.
807.20(a)(5) 2—Submittal of manufacturer information by initial importers.
807.20(a)(5) 3—Submittal of manufacturer information by initial importers.
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17:40 Mar 14, 2016
Jkt 238001
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
Total annual
responses
Total hours
3673
1
8,594
1.75 ................
15,040
3673
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8,594
8,594
3
25,782
.1 ....................
(6 minutes) .....
2,578
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Agencies
[Federal Register Volume 81, Number 50 (Tuesday, March 15, 2016)]
[Notices]
[Pages 13798-13801]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05718]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2014-D-1814]
Bacterial Risk Control Strategies for Blood Collection
Establishments and Transfusion Services To Enhance the Safety and
Availability of Platelets for Transfusion; Draft Guidance for Industry;
Availability
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice of availability.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing
the availability of a draft document entitled ``Bacterial Risk Control
Strategies for Blood Collection Establishments and Transfusion Services
to Enhance the Safety and Availability of Platelets for Transfusion;
Draft Guidance for Industry.'' The draft guidance document provides
blood collection establishments and transfusion services with
recommendations to control the risk of bacterial contamination of room
temperature stored platelets intended for transfusion through the
implementation of pathogen reduction technology (PRT) or bacterial
testing. The draft guidance also provides recommendations for the use
of secondary testing of platelets as the basis to extend the dating
period of platelets, when appropriately labeled bacterial detection
devices and storage containers are used. The draft guidance replaces
the draft guidance entitled ``Bacterial Detection Testing by Blood
Collection Establishments and Transfusion Services to Enhance the
Safety and Availability of Platelets for Transfusion,'' dated December
2014. The draft guidance, when finalized, is intended to supersede the
recommendation in section VII.A.2, in regard to bacterial contamination
testing in the document entitled ``Guidance for Industry and FDA Review
Staff: Collection of Platelets by Automated Methods'' dated December
2007.
[[Page 13799]]
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 June 13, 2016. Submit either electronic or written comments
on the collection of information by May 16, 2016.
ADDRESSES: You may submit comments as follows:
Electronic Submissions
Submit electronic comments in the following way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to https://www.regulations.gov
will be posted to the docket unchanged. Because your comment will be
made public, you are solely responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as medical information, your or anyone
else's Social Security number, or confidential business information,
such as a manufacturing process. Please note that if you include your
name, contact information, or other information that identifies you in
the body of your comments, that information will be posted on https://www.regulations.gov.
If you want to submit a comment with confidential
information that you do not wish to be made available to the public
submit the comment as a written/paper submission and in the manner
detailed (see ``Written/Paper Submissions'' and ``Instructions'').
Written/Paper Submissions
Submit written/paper submissions as follows:
Mail/Hand delivery/Courier (for written/paper
submissions): Division of Dockets Management (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
For written/paper comments submitted to the Division of
Dockets Management, FDA will post your comment, as well as any
attachments, except for information submitted, marked and identified,
as confidential, if submitted as detailed in ``Instructions.''
Instructions: All submissions received must include the Docket No.
FDA-2014-D-1814 for ``Bacterial Risk Control Strategies for Blood
Collection Establishments and Transfusion Services to Enhance the
Safety and Availability of Platelets for Transfusion; Draft Guidance
for Industry.'' Received comments will be placed in the docket and,
except for those submitted as ``Confidential Submissions,'' publicly
viewable at https://www.regulations.gov or at the Division of Dockets
Management between 9 a.m. and 4 p.m., Monday through Friday.
Confidential Submissions--To submit a comment with
confidential information that you do not wish to be made publicly
available submit your comments only as a written/paper submission. You
should submit two copies total. One copy will include the information
you claim to be confidential with a heading or cover note that states
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will
review this copy, including the claimed confidential information, in
its consideration of comments. The second copy, which will have the
claimed confidential information redacted/blacked out, will be
available for public viewing and posted on https://www.regulations.gov.
Submit both copies to the Division of Dockets Management. If you do not
wish your name and contact information to be made publicly available,
you can provide this information on the cover sheet and not in the body
of your comments and you must identify this information as
``confidential.'' Any information marked as ``confidential'' will not
be disclosed except in accordance with 21 CFR 10.20 and other
applicable disclosure law. For more information about FDA's posting of
comments to public dockets, see 80 FR 56469, September 18, 2015, or
access the information at: https://www.fda.gov/regulatoryinformation/dockets/default.htm.
Docket: For access to the docket to read background documents or
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in
the heading of this document, into the ``Search'' box and follow the
prompts and/or go to the Division of Dockets Management, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
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 240-402-8010. See
SUPPLEMENTARY INFORMATION section for electronic access to the draft
guidance document.
FOR FURTHER INFORMATION CONTACT: Information Collection Requirements:
FDA PRA Staff, Office of Operations, Food and Drug Administration, 8455
Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002,
PRAStaff@fda.hhs.gov.
Guidance Document: Jonathan McKnight, 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
``Bacterial Risk Control Strategies for Blood Collection Establishments
and Transfusion Services to Enhance the Safety and Availability of
Platelets for Transfusion; Draft Guidance for Industry.'' Platelets are
associated with a higher risk of sepsis and are related to more
fatalities than any other transfusable blood component. The risk of
bacterial contamination of platelets is a leading risk of infection
from blood transfusion. This risk has persisted despite numerous
interventions including the introduction, in the last decade, of
analytically sensitive culture-based bacterial detection methods, which
are widely used to test platelets prior to their release from blood
collection establishments to transfusion services.
The draft guidance provides blood collection establishments and
transfusion services with recommendations to control the risk of
bacterial contamination of room temperature stored platelets intended
for transfusion through the implementation of PRT or bacterial testing.
PRT is performed shortly after platelet collection by blood collection
establishments. Bacterial testing encompasses primary testing of
platelets by blood collection establishments and subsequent secondary
testing prior to transfusion primarily by transfusion services. The
draft guidance also provides recommendations for the use of secondary
testing of platelets as the basis to extend the dating period of
platelets, when appropriately labeled bacterial detection devices and
storage containers are used. Additionally, the draft guidance provides
recommendations to licensed blood establishments for submitting
biologics license application supplements to
[[Page 13800]]
include bacterial testing of platelet components. The guidance informs
transfusion services that are currently exempt from registration and
blood product listing that if they choose to perform secondary testing
of platelets to extend the dating period, they must register with FDA
and list the blood products they manufacture.
The draft guidance applies to all platelet products, including
platelets manufactured from Whole Blood (Whole Blood Derived (WBD)
platelets), platelets collected by automated methods from a single
donor (apheresis platelets), pooled platelets, and platelets stored in
additive solutions.
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 bacterial risk
control strategies for blood collection establishments and transfusion
services to enhance the safety and availability of platelets for
transfusion. It does not establish any rights for any person and is not
binding on FDA or the public. You can use an alternative if it
satisfies the requirements of the applicable statutes and regulations.
II. Paperwork Reduction Act of 1995
Under the PRA (44 U.S.C. 3501-3520), Federal Agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. ``Collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes Agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
Federal Agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, before submitting
the collection to OMB for approval. To comply with this requirement,
FDA is publishing notice of the proposed collection of information set
forth in this document.
With respect to the following collection of information, FDA
invites comments on these topics: (1) Whether the proposed collection
of information is necessary for the proper performance of FDA's
functions, including whether the information will have practical
utility; (2) the accuracy of FDA's estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used; (3) ways to enhance the quality,
utility, and clarity of the information to be collected; and (4) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques, when
appropriate, and other forms of information technology.
Title: Bacterial Risk Control Strategies for Blood Collection
Establishments and Transfusion Services to Enhance the Safety and
Availability of Platelets for Transfusion.
Description: We have identified the following recommendations in
the draft guidance document as collections of information. In section
VI, the draft guidance recommends that blood collection establishments
have in place measures to promptly alert the transfusion services in
the event that a distributed platelet product is subsequently
identified as positive for bacterial contamination. In section X.A.2,
the draft guidance recommends that following secondary testing,
labeling on the container label or a tie-tag, should relay the
following information: (1) Type of bacterial detection test performed
(rapid or culture) and (2) the date and time the bacterial detection
test was performed.
Description of Respondents: The third-party disclosure
recommendations described in the draft guidance affect blood collection
establishments and transfusion services that collect and manufacture
platelet products for transfusion, including WBD platelets, apheresis
platelets, pooled platelets, and platelets stored in additive
solutions.
Burden Estimate: The Agency believes the information collection
provision for blood collection establishments in section VI does not
create a new burden for respondents and is part of usual and customary
business practice. Blood collection establishments currently have in
place standard operating procedures for notifying consignees
(transfusion services) if a distributed platelet product has
subsequently tested positive for bacterial contamination.
In section X.A.2, the draft guidance recommends that following
secondary testing, establishments should maintain a labeling process
that relays certain information and is integral to the container (e.g.,
on the container label or an attached tie-tag) and label accordingly.
FDA estimates the burden of this collection of information as follows:
Table 1--Estimated Annual Third-Party Disclosure Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of
Activity Number of disclosures per Total annual Average burden per disclosure Total hours
respondents respondent disclosures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Section X.A.2: Following secondary testing, 2480 403 1,000,000 .05 (3 minutes)................... 50,000
maintain a labeling process that relays certain
information and is integral to the container
(e.g., on the container label or an attached
tie-tag) and label accordingly.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
Table 1 provides an estimate of the annual third-party disclosure
burden for the information to be submitted in accordance with the draft
guidance. Based on FDA data and information submitted by industry, FDA
believes that there are approximately 2 million platelet transfusions
per year. The recommendation for labeling following secondary testing
applies to approximately 4,960 transfusion services in the Unites
States. We estimate that about 50 percent of all platelets will be
pathogen-reduced and 50 percent will be cultured. Therefore, to
estimate the annual third-party disclosure burden in table 1, we assume
that approximately one-half of the transfusion services will label one-
half of the total platelets intended for transfusion in the United
States following secondary testing. The average burden disclosure for
transfusion services to implement the recommendation in table 1 is
based on FDA's experience and industry information.
This draft guidance also refers to previously approved collections
of information found in FDA regulations. The collections of information
in 21 CFR 601.12 and 610.60 have been approved under OMB control number
[[Page 13801]]
0910-0338; the collections of information in 21 CFR 606.65, 606.100,
606.120, 606.121, 606.122, and have been approved under OMB control
number 0910-0116; and the collections of information in 21 CFR part 607
have been approved under OMB control number 0910-0052.
To ensure that comments on information collection are received, OMB
recommends that written comments be faxed to the Office of Information
and Regulatory Affairs, OMB (see ADDRESSES). All comments should be
identified with the title of the information collection.
In compliance with the PRA (44 U.S.C. 3407(d)), the Agency has
submitted the information collection provisions of this document to OMB
for review. These requirements will not be effective until FDA obtains
OMB approval. FDA will publish a notice concerning OMB approval of
these requirements in the Federal Register.
III. 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: March 9, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-05718 Filed 3-14-16; 8:45 am]
BILLING CODE 4164-01-P