Food and Drug Administration Review and Action on Over-the-Counter Time and Extent Applications, 19069-19086 [2016-07612]
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Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Proposed Rules
VII. Federalism
We have analyzed this proposed rule
in accordance with the principles set
forth in Executive Order 13132. We
have determined that the rule does not
contain policies that have substantial
direct effects on the States, on the
relationship between the National
Government and the States, or on the
distribution of power and
responsibilities among the various
levels of government. Accordingly, we
conclude that the rule does not contain
policies that have federalism
implications as defined in the Executive
Order and, consequently, a federalism
summary impact statement is not
required.
List of Subjects in 21 CFR Part 56
Human research subjects, Reporting
and recordkeeping requirements, Safety.
Therefore, under the Federal Food,
Drug, and Cosmetic Act and under
authority delegated to the Commissioner
of Food and Drugs, it is proposed that
21 CFR part 56 is amended as follows:
PART 56—INSTITUTIONAL REVIEW
BOARDS
1. The authority citation for 21 CFR
part 56 is revised to read as follows:
Authority: 21 U.S.C. 321, 343, 346, 346a,
348, 350a, 350b, 351, 352, 353, 355, 360,
360c–360f, 360h, 360i, 360j, 360hh–360ss,
371, 379e, 381; 42 U.S.C. 216, 241, 262.
2. In § 56.120, redesignate paragraphs
(b)(4) and (c) as paragraphs (c) and (d),
respectively, and revise paragraph (b)
and newly designated paragraph (c) to
read as follows:
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Lesser administrative actions.
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(b) On the basis of the IRB’s or the
institution’s response, FDA may
schedule a reinspection to confirm the
adequacy of corrective actions. In
addition, until the IRB or the parent
institution takes appropriate corrective
action, the Agency may require the IRB
to:
(1) Withhold approval of new studies
subject to the requirements of this part
that are conducted at the institution or
reviewed by the IRB;
(2) Direct that no new subjects be
added to ongoing studies subject to this
part; or
(3) Terminate ongoing studies subject
to this part when doing so would not
endanger the subjects.
(c) When the apparent noncompliance
creates a significant threat to the rights
and welfare of human subjects, FDA
may notify relevant State and Federal
regulatory agencies and other parties
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Dated: March 29, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016–07524 Filed 4–1–16; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
21 CFR Part 330
[Docket No. FDA–2016–N–0543]
RIN 0910–AH30
Food and Drug Administration Review
and Action on Over-the-Counter Time
and Extent Applications
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Proposed rule.
The Food and Drug
Administration (FDA or Agency) is
proposing to amend its nonprescription
(over-the-counter or OTC) drug
regulations. The proposed rule, if
finalized as proposed, would
supplement the time and extent
application (TEA) process for OTC
drugs by establishing timelines and
performance metrics for FDA’s review of
non-sunscreen TEAs, as required by the
Sunscreen Innovation Act (SIA). We are
also proposing other changes to make
the TEA process more efficient.
DATES: Submit either electronic or
written comments on the proposed rule
by June 3, 2016. Submit comments on
information collection issues under the
Paperwork Reduction Act of 1995 by
June 3, 2016, (see the ‘‘Paperwork
Reduction Act of 1995’’ section of this
document).
ADDRESSES: You may submit comments
as follows:
SUMMARY:
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§ 56.120
with a direct interest in the Agency’s
action of the deficiencies in the
operation of the IRB.
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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
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19069
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–
2016–N–0543 for ‘‘Food and Drug
Administration Review and Action on
Over-the-Counter Time and Extent
Applications.’’ 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
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Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Proposed Rules
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 comments on information
collection issues to the Office of
Management and Budget in the
following ways:
• Fax to the Office of Information and
Regulatory Affairs, OMB, Attn: FDA
Desk Officer, FAX: 202–395–7285, or
email to oira_submission@omb.eop.gov.
All comments should be identified with
the title, Food and Drug Administration
Review and Action on Over-the-Counter
Time and Extent Applications.
FOR FURTHER INFORMATION CONTACT:
With regard to the proposed rule: Kristin
Hardin, Center for Drug Evaluation and
Research (CDER), Food and Drug
Administration, 10903 New Hampshire
Ave., Silver Spring, MD 20993, 240–
402–4246, Kristen.Hardin@fda.hhs.gov.
With regard to the information
collection: Ila Mizrachi, Office of
Operations, Food and Drug
Administration, 8455 Colesville Rd.,
Rm. 14526, Silver Spring, MD 20993–
0002, PRAStaff@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
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Table of Contents
I. Executive Summary
A. Purpose and Scope of the Proposed Rule
B. Summary of the Major Provisions of the
Proposed Rule
C. Legal Authority
D. Costs and Benefits
II. Table of Abbreviations and Acronyms
Commonly Used in This Document
III. Background
A. FDA Regulation of Over-The-Counter
(OTC) Drugs
B. The Sunscreen Innovation Act (SIA)
IV. Legal Authority
V. Description of the Proposed Rule
A. Timelines for FDA Review and Action
on Time and Extent Applications and
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Safety and Effectiveness Data
Submissions (Proposed New § 330.15)
B. Amendments to § 330.14 ‘‘Additional
criteria and procedures for classifying
OTC drugs as generally recognized as
safe and effective and not misbranded’’
VI. Proposed Effective Date
VII. Economic Analysis of Impacts
A. Introduction
B. Summary
VIII. Analysis of Environmental Impact
IX. Paperwork Reduction Act of 1995
X. Federalism
XI. References
I. Executive Summary
A. Purpose and Scope of the Proposed
Rule
This proposed rule is intended to
implement part of the Sunscreen
Innovation Act (SIA) (21 U.S.C. Ch. 9
sub. 5 part I, enacted November 26,
2014). Among other provisions, the SIA
amended the Federal Food, Drug, and
Cosmetic Act (FD&C Act) by adding
section 586F to the FD&C Act. Section
586F(b) directs FDA to issue regulations
establishing timelines and related
performance metrics for the review of
certain submissions under FDA’s
regulation governing TEAs, which is
codified at 21 CFR 330.14. The TEA
regulation sets forth criteria and
procedures by which OTC drugs
initially marketed in the United States
after the OTC Drug Review began in
1972 and OTC drugs without any U.S.
marketing experience can be considered
in the OTC drug monograph system. If
a drug meets each of the conditions
contained in any applicable OTC drug
monograph, and other applicable
regulations, it is considered generally
recognized as safe and effective
(GRASE) and not misbranded, and is not
required by FDA to be approved in a
new drug application (NDA) under
section 505 of the FD&C Act. Drugs
determined to be not GRASE (or nonmonograph) must be approved under
section 505 of the FD&C Act before
being marketed in the United States (see
section II.A. for more detail on the OTC
Drug Review and the TEA process).
Section 586F(b) of the FD&C Act
specifically requires FDA to issue
regulations providing for the timely and
efficient review of submissions under
the TEA regulation, including
establishing (1) reasonable timelines for
reviewing and acting on such
submissions for non-sunscreen OTC
active ingredients and other conditions
(non-sunscreen TEA conditions) and (2)
measurable metrics for tracking the
extent to which such timelines are met.
FDA is also proposing to amend the
TEA regulation to make the TEA process
more efficient and predictable for both
product sponsors and FDA by adding
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filing determination requirements and
criteria and by addressing the
withdrawal of consideration of TEA and
safety and effectiveness data
submissions.
The timelines and metrics in this
proposed rule would apply to nonsunscreen TEA conditions (see section
V.A for more detail). FDA is addressing
timelines for review of sunscreen active
ingredients and other related topics
regarding sunscreens separately, under
other provisions of the SIA (see section
II.B for more detail).
B. Summary of the Major Provisions of
the Proposed Rule
The proposed rule implements the
SIA requirements for non-sunscreen
TEAs by adding proposed new § 330.15
to FDA’s OTC drug monograph
regulations (21 CFR part 330). The
proposed new section has two major
provisions regarding actions to be taken
by FDA, consistent with requirements in
the SIA. In particular, proposed
§ 330.15(c) establishes timelines for
FDA to review and take action on nonsunscreen TEA conditions, and
proposed § 330.15(b) describes
measurable metrics that FDA will use
for tracking the extent to which the
timelines set forth in the regulations are
met. Proposed § 330.15(a) generally
limits the applicability of these
timelines to non-sunscreen TEAs
submitted after the enactment of the
SIA, with one exception.
We are proposing to amend § 330.14
to:
• Add provisions concerning filing
determinations regarding safety and
effectiveness data submissions for
eligible TEA conditions (i.e.,
determinations as to whether such
submissions are sufficiently complete to
permit a substantive review by FDA)
(§ 330.14(j)),
• add provisions regarding the
withdrawal of consideration of TEAs
and safety and effectiveness data
submissions (§ 330.14(k)),
• add certain definitions (§ 330.14(a)),
and
• make minor conforming and
clarifying changes.
C. Legal Authority
This rule is proposed under FDA’s
authority to regulate OTC drug products
under the FD&C Act (see sections 201,
501, 502, 503, 505, 510, 586F, and
701(a) of the FD&C Act (21 U.S.C. 321,
351, 352, 353, 355, 360, 360fff–6, and
371(a))). As stated in the Federal
Register of January 22, 2002 (67 FR
3069), in which the final rule
establishing the TEA process was
published, submission of an NDA has
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been required before marketing a new
drug since passage of the FD&C Act in
1938 (21 U.S.C. 355). To market a new
drug, it must first be approved under
section 505 of the FD&C Act. Section
701(a) of the FD&C Act authorizes FDA
to issue regulations for the efficient
enforcement of the FD&C Act. FDA’s
regulations in 21 CFR part 330 describe
the conditions for a drug to be
considered GRASE and not misbranded.
If a drug meets each of the conditions
contained in part 330, as well as each
of the conditions contained in any
applicable OTC drug monograph, and
other applicable regulations, it is
considered GRASE and not misbranded,
and is not required by FDA to obtain
approval under section 505 of the FD&C
Act.
In addition, section 586F of the FD&C
Act requires FDA to issue regulations
providing for the timely and efficient
review of certain submissions under the
TEA regulation at 21 CFR 330.14.
Section 586F of the FD&C Act
specifically requires these regulations to
include timelines and metrics
associated with the review of those
submissions under the TEA regulation.
Proposed § 330.15 would add timeline
and metrics provisions that are intended
to implement section 586F of the FD&C
Act.
D. Costs and Benefits
We expect that the proposed rule
would make the TEA process more
efficient and predictable, and improve
communication between FDA and
sponsors. Sponsors may benefit from
knowing if additional data is needed
and what optimal steps to take to
receive a GRASE determination, and we
would be able to bring resolution to
TEA conditions. However, we do not
know the monetary value of added
predictability to sponsors.
We expect the rule would create a
minimal burden on sponsors, primarily
when they send a letter to request a
meeting with us. Thus, we anticipate no
increase in annual recurring costs for
either small or large sponsors. We
expect the six current sponsors of nonsunscreen TEAs covering conditions
that have been found eligible to be
considered for inclusion in the OTC
drug monograph system would incur
one-time costs to read and understand
the proposed rule. We also estimate
sponsors will submit two additional
TEAs annually, and each of these
sponsors would also spend time reading
and understanding the proposed rule.
The present value of the total costs over
10 years ranges from about $17,000 to
$35,000 with a 7 percent discount rate
and from about $19,000 to $38,000 with
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a 3 percent discount rate. With a
discount rate of 7 percent and 3 percent,
we estimate that on average affected
sponsors would incur less than $150 of
annualized costs per year.
II. Table of Abbreviations and
Acronyms Commonly Used in This
Document
ANDA Abbreviated New Drug
Application
FDA Food and Drug Administration
FD&C Act Federal Food, Drug, and
Cosmetic Act
GRASE Generally Recognized as Safe
and Effective
HHS U.S. Department of Health and
Human Services
NDA New Drug Application
NOE Notice of Eligibility
NPRM Notice of Proposed Rulemaking
OMB Office of Management and
Budget
OTC Over-the-Counter
PRA Paperwork Reduction Act
SIA Sunscreen Innovation Act of 2014
TEA Time and Extent Application
III. Background
A. FDA Regulation of Over-the-Counter
(OTC) Drugs
The OTC drug monograph system was
established to evaluate the safety and
effectiveness of all OTC drug products
marketed in the United States before
May 11, 1972, that were not covered by
new drug applications (NDAs) and all
OTC drug products covered by ‘‘safety’’
NDAs that were marketed in the United
States before enactment of the 1962 drug
amendments to the FD&C Act. In 1972,
FDA began its OTC Drug Review to
evaluate OTC drugs by categories or
classes (e.g., sunscreens, antacids),
rather than on a product-by-product
basis, and to develop ‘‘conditions’’
under which classes of OTC drugs are
GRASE and not misbranded.
FDA publishes these conditions in the
Federal Register in the form of OTC
drug monographs, which consist
primarily of active ingredients, labeling,
and other general requirements. Final
monographs for OTC drugs that are
GRASE and not misbranded are codified
in 21 CFR part 330. Manufacturers of
drugs that meet each of the conditions
contained in part 330, including each of
the conditions contained in any
applicable OTC drug monograph, and
other applicable regulations, need not
seek FDA clearance before marketing.
Initially, OTC drug conditions not
marketed in the U.S. prior to the
inception of the OTC Drug Review were
not eligible for review under the OTC
drug monograph process. The TEA
process, established by regulations
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finalized in 2002 (21 CFR 330.14),
expanded the scope of the OTC Drug
Review. A ‘‘condition,’’ for purposes of
the TEA regulation, is an active
ingredient or botanical drug substance
(or a combination of active ingredients
or botanical drug substances), dosage
form, dosage strength, or route of
administration marketed for a specific
OTC use. The TEA process provides a
potential pathway for OTC conditions,
including newer active ingredients that
previously had no U.S. marketing
history or that were marketed in the
United States after the OTC Drug
Review began, to be marketed under an
OTC drug monograph.
Active ingredients and other
conditions that satisfy the TEA
eligibility requirements are subject to
the same safety, effectiveness, and
labeling standards that apply to other
conditions under the OTC monograph
process (see 21 CFR 330.14(g)). The TEA
regulation requires multi-step, noticeand-comment rulemaking procedures
before an active ingredient or other
condition is added to an OTC drug
monograph.
The TEA process begins with the
submission of a TEA containing data
documenting the OTC marketing history
of the active ingredient, combination of
active ingredients, or other condition(s)
(e.g., a new dosage strength for an active
ingredient already included in an OTC
drug monograph). FDA reviews the
application and determines whether the
sponsor’s marketing data establish that
the condition or conditions have been
marketed to a material extent and for a
material time, as set forth in the TEA
regulation’s eligibility requirements. If
the condition is not found eligible, FDA
will send a letter to the sponsor
explaining why the condition was not
found acceptable. If the marketing data
satisfy the TEA regulation’s eligibility
criteria, FDA publishes a notice of
eligibility (NOE) in the Federal Register
announcing that the active ingredient or
other condition is being considered for
inclusion in an OTC drug monograph
and calling for submissions of safety
and efficacy data for the proposed OTC
use.
We note that although a TEA is the
application regarding the time and
extent of marketing, which leads to an
eligibility determination (resulting in
publication of an NOE or a letter of
ineligibility), references to TEAs or
applications under section 330.14
(including in the SIA) sometimes
encompass FDA’s review of the
condition’s eligibility and the GRASE
determination for the condition. Thus,
these references may be used to mean
the TEA itself, the safety and
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effectiveness data submission, FDA’s
GRASE determination, associated order
or rulemaking actions, or all of these. In
this proposed rule and preamble, the
terms ‘‘TEA’’ and ‘‘safety and
effectiveness data submission’’ are used,
where appropriate, to describe the two
distinct submissions under the TEA
regulation. However, the term ‘‘TEA
process’’ may be used when referring to
one or more actions under the TEA
regulation.
If, after FDA reviews the safety and
effectiveness data, the Agency initially
determines that the active ingredient or
other condition is GRASE, it will
publish a proposed rule to include the
condition in an appropriate OTC drug
monograph.
If the condition is initially determined
not to be GRASE, FDA will inform the
sponsor and other interested parties that
submitted data of its decision by letter,
and will include the letter in the
relevant public docket (§ 330.14(g)(4)).
The Agency will also publish a notice
of proposed rulemaking to include the
condition in § 310.502. The sponsor and
other interested parties will have an
opportunity to submit comments and
new data on FDA’s initial determination
and proposed rule (§ 330.14(g)(5)). After
evaluation of any additional data
submitted, FDA will either issue a final
rule or a new proposed rule, if
necessary, in the Federal Register.
B. The Sunscreen Innovation Act (SIA)
In November 2014, Congress passed
the SIA to supplement the TEA process
with regard to both sunscreen and nonsunscreen OTC drug products. Proposed
§ 330.15 addresses section 586F of the
FD&C Act, which was added by the SIA
and only applies to TEAs for drugs other
than nonprescription sunscreen active
ingredients or combinations of
nonprescription sunscreen active
ingredients (see sections 586 and 586F
of the FD&C Act, as amended by the
SIA). For FDA review of non-sunscreen
TEA conditions, section 586F includes
two main requirements, one regarding
timelines for review of eligible TEA
conditions pending before the date of
enactment of the SIA, and the other
regarding timelines and performance
metrics for the TEA process going
forward.
The first general requirement (see
FD&C Act section 586F(a)) is that FDA
provide the option of selecting one of
four frameworks for review to each nonsunscreen TEA sponsor who (1) had
submitted a TEA for a condition that
had been deemed eligible to be
considered for inclusion in the OTC
monograph system before the date of
enactment of the SIA, and (2) requested
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the framework option within 180 days
after enactment. FDA was required to
provide the framework options to
requesting sponsors by no later than one
year after enactment of the SIA (by
November 26, 2015). Before the date of
SIA enactment, there were six nonsunscreen TEAs for conditions that had
been found eligible to be considered for
inclusion in the OTC drug monograph
system: (1) Piroctone olamine (for
dandruff control) (69 FR 7652, 2/18/04;
Docket 2004N–0050 (FDA–2004–N–
0037)); (2) triclosan (for oral healthcare)
(69 FR 40640, 7/6/04; Docket 1981N–
0033P (FDA–1981–N–0015)); (3)
triclosan (for acne treatment) (70 FR
72447, 12/5/05; Docket 2005N–0445
(FDA–2005–N–0454)); (4) climbazole
(for dandruff control) (70 FR 72448, 12/
5/05; Docket 2005N–0444 (FDA–2005–
N–0021)); (5) sodium picosulfate (for
laxative use) (71 FR 35917, 6/22/06;
Docket 2006O–0232 (FDA–2006–O–
0057)); and (6) sodium shale oil
sulfonate (for dandruff control) (74 FR
15741, 4/7/09; Docket FDA–2009–N–
0146).
The sponsors of three of those TEAs
requested that FDA provide a review
framework by the deadline established
in section 586F(a) of the FD&C Act. The
three TEAs are for: (1) Piroctone
olamine (for dandruff control) (69 FR
7652, 2/18/04; Docket 2004N–0050
(FDA–2004–N–0037)); (2) sodium
picosulfate (for laxative use) (71 FR
35917, 6/22/06; Docket 2006O–0232
(FDA–2006–O–0057)); and (3) sodium
shale oil sulfonate (for dandruff control)
(74 FR 15741, 4/7/09; Docket FDA–
2009–N–0146). FDA provided the
review framework options to the
requesting sponsors on November 24,
2015. With regard to the three sponsors
who did not request or elect a
framework in accordance with section
586F(a) of the FD&C Act, the eligible
conditions addressed by their TEAs will
be reviewed under the timelines set
forth in proposed § 330.15 (if finalized
as proposed).
The second general requirement (see
FD&C Act section 586F(b)) is that FDA
issue a regulation that includes (1)
timelines for review of non-sunscreen
TEA conditions and (2) measurable
metrics for tracking the extent to which
the timelines are met. This proposed
rule includes both timelines and
metrics, as required by the SIA.
FDA has determined that with regard
to non-sunscreen TEAs, the best way to
both address the statutory requirements
of the SIA and to make certain FDAinitiated modifications to the TEA
process set forth in § 330.14 is to (1)
establish a new section (proposed
§ 330.15) that is specific to non-
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sunscreen TEA conditions, and (2)
amend § 330.14 with regard to process
improvements for TEAs for all OTC
drugs (such as providing format and
content criteria for a filing
determination and addressing
withdrawal of consideration).
In addition to developing new
§ 330.15, which implements SIA
requirements with regard to the TEA
process for non-sunscreens, FDA
proposes to make certain changes to the
process set forth in § 330.14 that we
believe will make the TEA process more
clear and efficient for both sponsors and
FDA. These proposed changes to
§ 330.14 are discussed in more detail in
this document, but notably include
provisions that address filing
determination requirements with regard
to safety and effectiveness data
submissions (to allow FDA to
determine, and sponsors to know, early
on whether a submission is sufficiently
complete to permit a substantive
review) and provisions regarding
withdrawal of consideration of a TEA or
safety and effectiveness data
submission.
IV. Legal Authority
This rule is being proposed under
FDA’s authority to regulate OTC drug
products under the FD&C Act (see
sections 201, 501, 502, 503, 505, 586F,
and 701(a) of the FD&C Act (21 U.S.C.
321, 351, 352, 353, 355, 360fff-6, and
371(a))). As stated in the Federal
Register of January 22, 2002 (67 FR
3069), in which the final rule
establishing the TEA process was
published, submission of an NDA has
been required before marketing a new
drug since passage of the FD&C Act in
1938 (21 U.S.C. 355). To market a new
drug, it must first be approved under
section 505 of the FD&C Act. Section
701(a) of the FD&C Act authorizes FDA
to issue regulations for the efficient
enforcement of the FD&C Act. FDA’s
regulations in 21 CFR part 330 describe
the conditions for a drug to be
considered GRASE and not misbranded.
If a drug meets each of the conditions
contained in part 330, as well as each
of the conditions contained in any
applicable OTC drug monograph, and
other applicable regulations, it is
considered GRASE and not misbranded,
and is not required by FDA to obtain
approval under section 505 of the FD&C
Act.
In addition, section 586F of the FD&C
Act requires FDA to issue regulations
providing for the timely and efficient
review of certain submissions under the
TEA regulation at 21 CFR 330.14.
Section 586F of the FD&C Act
specifically requires these regulations to
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include timelines and metrics
associated with the review of certain
submissions under the TEA regulation.
Proposed § 330.15 would add timeline
and metrics provisions that are intended
to implement section 586F of the FD&C
Act.
V. Description of the Proposed Rule
In this rule, we are proposing to
establish new § 330.15 and to amend
current § 330.14. In particular, we are
proposing to: (1) Establish timelines and
metrics for review of non-sunscreen
TEA conditions, (2) add provisions
concerning filing determination
requirements with regard to the content
and format of safety and effectiveness
data submissions under § 330.14(f), (3)
address withdrawal of consideration of
TEAs and safety and effectiveness data
submissions, (4v) add related
definitions, and (5) make clarifying and
conforming changes to the TEA
regulation. These proposed changes are
discussed in detail in this section.
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A. Timelines for FDA Review and
Action on Time and Extent Applications
and Safety and Effectiveness Data
Submissions (Proposed § 330.15)
The SIA mandates that FDA issue
regulations to establish timelines and
metrics regarding the review of nonsunscreen TEA conditions, and provides
that the proposed timelines may vary
based on the content, complexity, and
format of the submission, and that they
must (1) reflect FDA’s public health
priorities, including the potential public
health benefits posed by the inclusion of
additional drugs in the OTC drug
monograph system, (2) take into
consideration the availability of FDA
resources for carrying out such priorities
and the relevant review processes and
procedures, and (3) be reasonable,
taking into account the required
consideration of priorities and resources
(FD&C Act section 586F(b)(2)). Proposed
§ 330.15 is intended to implement these
requirements.
1. Applicability (See Proposed
§ 330.15(a))
As a general matter, the timeline
provisions in proposed § 330.15 apply
to FDA and are triggered by specific
actions by sponsors, such as submission
of a TEA or submission of a safety and
effectiveness data submission (as
defined in proposed § 330.14(a)) and, in
some cases, FDA (e.g., the date of filing).
The metrics provisions also apply to
FDA.
Proposed § 330.15(a) describes which
TEA conditions are subject to the
timelines for FDA review and action in
this section and which are not. We
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invite comment on the proposed
applicability of this section. In
particular, FDA is proposing that the
review of an active ingredient or other
condition in a TEA submitted under
§ 330.14 for consideration in the OTC
drug monograph system would be
subject to the proposed timelines, with
two exceptions.
First, in § 330.15(a)(1), FDA proposes
that § 330.15 does not apply to a
sunscreen active ingredient or a
combination of sunscreen active
ingredients or other conditions for such
ingredients. Section 586F(b) of the
FD&C Act directs the Agency to issue
regulations establishing timelines for
drugs other than nonprescription
sunscreen active ingredients or
combinations of nonprescription
sunscreen active ingredients. The SIA
recognizes that active ingredients can
only be GRASE under specified
conditions. For example, section 586A
of the FD&C Act, which was added by
the SIA to provide an alternative route
for inclusion in the sunscreen
monograph, states that a person may
submit a request to FDA for a
determination of whether a
nonprescription sunscreen active
ingredient or combination of
ingredients, for use under specified
conditions, to be prescribed,
recommended, or suggested in the
labeling thereof (including dosage form,
dosage strength, and route of
administration) is GRASE. Because the
TEA regulation addresses active
ingredients and other conditions,
including dosage forms, and an active
ingredient can only be GRASE under
specified conditions, we understand the
reference to TEAs for drugs other than
sunscreen active ingredients in section
586F(b) of the FD&C Act to be
distinguishing sunscreen active
ingredients and related conditions from
non-sunscreen active ingredients and
related conditions. Furthermore,
‘‘pending requests’’ for sunscreen active
ingredients under the SIA are subject to
the provisions of section 586C(b) of the
FD&C Act, as amended by the SIA (21
U.S.C. 360fff–3(b)), which include
timeframes for FDA review and action.
Therefore, under proposed § 330.15(a),
§ 330.15 would not apply to sunscreen
active ingredients and related
conditions.
Second, in § 330.15(a)(2), FDA
proposes that § 330.15 generally does
not apply to non-sunscreen active
ingredients or other conditions
submitted in TEAs under § 330.14 on or
before the date of enactment of the SIA.
Section 586F(b)(1) of the FD&C Act
directs the Agency to issue regulations
establishing timelines for the review of
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TEA conditions submitted after the date
of enactment of the SIA. However, as
provided in the SIA, any non-sunscreen
TEA conditions determined to be
eligible to be considered for inclusion in
the OTC drug monograph system before
the date of enactment of the SIA, for
which the sponsor did not request a
framework for review under section
586F(a)(1), will also be reviewed under
the timelines set forth in § 330.15(c) of
this proposed rule (see FD&C Act
section 586F(a)(1)(C)) (if finalized as
proposed). Accordingly, the scope of the
exclusion in proposed § 330.15(a)(2)
references section 586F(a)(1)(C) of the
FD&C Act to account for such TEA
conditions.
For sponsors of TEAs covering
conditions that had been found eligible
to be considered for inclusion in the
OTC drug monograph system before the
date of enactment of the SIA who
elected to choose a framework for
review, FDA was required to provide
four optional frameworks that set forth
timelines for FDA review (FD&C Act
section 586F(a)((2)). The frameworks
included timelines for review if the
sponsors choose an order process with
or without a filing determination, or a
rulemaking process with or without a
filing determination. A notification of
optional frameworks was provided to
each requesting sponsor on November
24, 2015. Before the date of enactment
of the SIA, there were six non-sunscreen
TEA conditions that were found by FDA
to be eligible to be considered for
inclusion in the OTC drug monograph
system (listed in section II.B). Of these,
three sponsors elected a framework for
review, and three did not (listed in
section II.B).
2. Timelines for FDA Review and
Action (Proposed New § 330.15(c)).
As discussed in the introduction to
section V.A, section 586F(b) of the
FD&C Act, as amended by the SIA,
directs FDA to establish timelines for
the review of certain TEA conditions.
As also discussed in section V.A.1, in
addition to applying to new nonsunscreen TEAs, these timelines would
apply to certain non-sunscreen TEA
conditions that were found to be eligible
before November 26, 2014. Section
586F(b) of the FD&C Act also requires
timelines for internal procedures related
to the review of safety and effectiveness
data submissions.
FDA is proposing to establish the
timelines described in this section of the
document for FDA review and action, as
described in proposed new § 330.15(c).
Note that terms for certain actions that
begin review timelines for FDA are
defined in proposed amendments to
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§ 330.14 (e.g., ‘‘date of filing’’). In
addition to clarifying that its definitions
apply to proposed § 330.15, proposed
§ 330.14(a) would clarify the
applicability of the definitions in
section 201 of the FD&C Act by
expressly stating that any relevant
definitions in that section, such as the
definition of ‘‘person’’ at section 201(e),
would apply to §§ 330.14 and 330.15.
a. Proposed Timelines
The proposed timelines are:
• FDA will issue a notice of eligibility
or post to the docket a letter of
ineligibility, in accordance with
§ 330.14(d) and (e), within 180 days of
submission of a TEA under § 330.14(c).
• FDA will issue a filing
determination in accordance with
§ 330.14(j) within 90 days of receipt by
FDA of a safety and effectiveness data
submission from the sponsor under
§ 330.14(f). Under proposed
§ 330.14(a)(5), a safety and effectiveness
data submission is defined as a data
package submitted by a sponsor that
includes safety and effectiveness data
and information under § 330.14(f) and
that is represented by the sponsor as
being a complete submission. Therefore,
FDA will not start the 90-day filing
determination period until the sponsor
has confirmed that it considers the
submission to contain all data and
information required under § 330.14(f)
by providing a statement that the
submission is a complete safety and
effectiveness data submission. If the
sponsor submitted such a safety and
effectiveness data submission at the
same time as the sponsor submitted the
TEA, and the condition addressed in the
TEA is deemed eligible for
consideration, FDA will issue a filing
determination within 90 days after
issuing the notice of eligibility.
• If the active ingredient or other
condition is initially determined not to
be GRASE, FDA will inform the sponsor
and other interested parties who have
submitted data of its determination by
feedback letter in accordance with
§ 330.14(g)(4), within 730 days
(generally 24 months) from the date of
filing. FDA is considering whether to
add a codified provision to address
sponsor requests for additional time in
response to a feedback letter and how
that would affect the timeline for
review. We welcome comments on this
issue.
• FDA will issue a notice of proposed
rulemaking within 1,095 days (generally
36 months) from the date of filing to
either:
Æ Include the active ingredient or
other condition in an appropriate OTC
monograph(s), either by amending an
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existing monograph(s) or establishing a
new monograph(s), if necessary; or
Æ Include the active ingredient or
other condition in § 310.502 (which
would require the sponsor to seek
approval under section 505 of the FD&C
Act before marketing).
• FDA will issue a final rule within
912 days (generally 30 months) of the
closing of the docket of the proposed
rulemaking under § 330.15(c)(4). If the
docket is reopened, the final rule will be
issued within 912 days of the closing of
the re-opened docket.
For non-sunscreen TEA conditions
that were found to be eligible before
enactment of the SIA and that would be
subject to the timelines in proposed
§ 330.15, FDA intends to treat the date
of publication of the final rule for
§ 330.15 to be the date of filing for
purposes of §§ 330.14 and 330.15.
Therefore, upon the publication of the
final rule, the timelines in proposed
§ 330.15(c)(3), if applicable, and
§ 330.15(c)(4) would begin for these
eligible TEA conditions.
b. Development of Timelines
As required by the SIA (section
586F(b)(2) of the FD&C Act), FDA
considered specific factors in
developing the timelines in proposed
new § 330.15(c). In particular, the SIA
provides that the timelines for the
review of non-sunscreen TEA
conditions may vary based on the
content, complexity, and format of the
submission, and shall (1) reflect FDA
public health priorities (including
potential public health benefits of
including additional drugs in the OTC
drug monograph system), (2) take into
consideration the resources available for
carrying out such public health
priorities and the relevant review
processes and procedures, and (3) be
reasonable, taking into account the
required consideration of priorities and
resources just described (section
586F(b)(2)(A) and (B) of the FD&C Act).
FDA is allowed (for the ‘‘may’’
factors) or required (for the ‘‘shall’’
factors) to take these factors into
account in the timelines for review of
non-sunscreen TEAs and related
submissions. These SIA provisions
recognized factors that could possibly
affect how long it may take FDA to
complete review of a particular TEA and
related submissions. The timelines
proposed in § 330.15 factored in the
considerations that are required under
the SIA; they reflect the projected time
necessary for FDA to complete its
review of marketing, filing, and
scientific data and other information, as
well as to make tentative and final
determinations about the adequacy of
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the submissions to ultimately support a
finding that the active ingredient or
other condition is or is not GRASE and
not misbranded for nonprescription use,
based on the Agency’s public health
priorities and the resources available to
carry them out. The timelines also
include the projected time necessary to
draft and finalize the letters or rules
(proposed and final), and when
applicable, prepare the document for
publication in the Federal Register. In
addition, the timelines take into account
other activities that may occur during
the review, such as convening an
advisory committee meeting, meeting
with sponsors, or both. FDA believes
that the proposed timelines are
reasonable, taking into consideration
FDA’s priorities and resources. More
detail on how FDA took these factors
into account is provided in this section.
i. FDA Public Health Priorities
Under section 586F(b)(2)(B)(i) of the
FD&C Act, the timelines must reflect
FDA’s public health priorities,
including the potential public health
benefits posed by the inclusion of
additional drugs in the OTC drug
monograph system. FDA has a very
broad mandate and multiple public
health priorities, with limited resources
to address these priorities.
FDA’s Center for Drug Evaluation and
Research (CDER) is responsible for
regulating the safety and efficacy of both
prescription and nonprescription
human drugs. Like FDA as a whole,
CDER must continually balance
multiple important public health
priorities, of which the OTC Drug
Review is one. CDER does, and will
continue to, consider the OTC Drug
Review among its priorities as it
endeavors to appropriately allocate staff
and resources within the context of all
CDER responsibilities.
Examples of how FDA public health
priorities may affect the time required
for the review of non-sunscreen TEA
conditions under the proposed
timelines include situations such as a
public health emergency or competing
high priority work that requires
diversion of the staff assigned to a TEA
or safety and effectiveness data
submission.
ii. Resources Available for Carrying Out
Such Priorities
Under section 586F(b)(2)(B)(ii), the
timelines must take into consideration
Agency resources available for carrying
out its public health priorities and the
processes and procedures related to the
review of TEA conditions. Examples of
resource constraints that may affect the
time required for review include, but are
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not limited to: multiple TEAs arriving at
or near the same time; general expected
staff and budget constraints; unexpected
staff and budget constraints; personnel
turnover and lag times in hiring new
staff; etc. For example, FDA has only a
certain number of trained staff available
to assign to TEA review work, and these
staff generally have other assigned work
in addition to TEA reviews.
iii. Reasonableness, Taking Into
Consideration Agency Priorities and
Resources
In developing the timelines set forth
in proposed new § 330.15(c), FDA has
attempted to set reasonable timelines
that will be achievable in most
circumstances, given our experience to
date with TEAs and related safety and
effectiveness data submissions. While
FDA expects that the filing
determination requirements we propose
adding to § 330.14(j) will help to avoid
major content and format deficiencies in
incoming safety and effectiveness data
submissions, there is likely still to be
some variation in the formatting of
incoming TEAs and safety and
effectiveness data submissions, and a
related variation in the ease and
efficiency of review.
In determining reasonable timelines,
FDA also considered the potential effect
on stakeholders, including TEA
sponsors and the public. In addition to
considering the benefits that the
proposed timelines and related metrics
would provide to sponsors (e.g., more
transparency regarding the TEA review
process, increased predictability
regarding how long each major process
step is expected to take, and metrics on
how long each step actually takes), FDA
also considered other potential impacts
of the proposed timelines on sponsors,
including concerns regarding the time
required to complete the review and
rulemaking process. For each step in the
TEA process, FDA attempted to
determine a timeline that is achievable,
consistent with timelines for similar
FDA activities in other contexts to the
extent possible (e.g., NDA process
timelines, general rulemaking
experience), consistent with the
Agency’s priorities and resources, and
that reasonably takes into consideration
the interests of the public (in safe and
effective OTC drug products) and
sponsors (in a timely and efficient
review process). For some steps, this
resulted in FDA setting a shorter
timeline than it had previously
estimated for the step. For example, the
proposed timeline for the eligibility
determination step (proposed new
§ 330.15(c)(1)) is 180 days from receipt
of a TEA, which is roughly half the time
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estimated by FDA for this step in a 2011
guidance to industry (Ref. 1).
Eligibility Determination
With respect to the eligibility
determination (§ 330.15(c)(1)), FDA is
proposing to review and issue a notice
of eligibility or post to the docket a
letter of ineligibility within 180 days of
receipt of a TEA, which FDA considers
to be a reasonable timeline, taking into
consideration Agency priorities and
resources. As stated previously, in a
2011 final guidance to industry, FDA
previously estimated a 1-year timeframe
for taking this action (Ref. 1).
Filing Determination
FDA is proposing to issue a filing
determination within 90 days of
submission by the sponsor of a safety
and effectiveness data submission,
which is defined in proposed
§ 330.14(a), in part, as a submission that
the sponsor has confirmed it considers
to be complete (i.e., contains all data
and information required under
§ 330.14(f)). While this timeline is 30
days longer than the filing provisions in
21 CFR 314.101 for NDAs and ANDAs,
we anticipate that the filing review of a
safety and effectiveness data submission
for a nonprescription active ingredient
or other condition may require more
time than an NDA or ANDA review
because the submission may consist of
data and information from a wider
variety of sources, with possibly a
greater reliance on certain sources (e.g.,
published literature).
Rulemaking and Feedback Letter
Notice and comment rulemaking is
generally a lengthy and multistep
process (Ref. 2). The timelines in this
proposed rule are consistent with the
length of time typically required for
other rulemaking, and reflect the
amount of time FDA anticipates will be
required for the reviews of safety and
effectiveness data submissions and
related rulemaking.
Major steps for FDA rulemaking
generally include determination that a
rule is needed and what the rule should
say; drafting, reviewing, and finalizing
the proposed rule; publishing the
proposed rule; a public comment period
and review of the comments; revising
the proposed rule as appropriate;
reviewing the draft final rule and
finalizing it, and publishing the final
rule in the Federal Register.
As noted previously, rulemaking is
often a lengthy process, and the OTC
Drug Review process (of which the TEA
process is a part) offers additional
rulemaking challenges, such as were
discussed in a public meeting on OTC
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19075
process reform held by FDA in 2014
(‘‘Over-The-Counter Drug Monograph
System—Past, Present and Future;
Public Hearing,’’ 79 FR 10168, February
24, 2014; Docket No. FDA–2014–N–
0202). Additional information, such as
the hearing transcript, is available at
https://www.fda.gov/Drugs/NewsEvents/
ucm380446.htm. For TEA active
ingredients and other conditions, the
timelines for rulemaking involve
conducting the scientific review,
making a GRASE determination, and
drafting and finalizing the rule for
publication in the Federal Register.
FDA estimates that initial scientific
review of a complete safety and
effectiveness data submission, including
for new molecular entities that have
never been marketed in the United
States, will take approximately 730 days
(generally 24 months). In addition to
conducting this comprehensive review,
the timeline may also include other
activities, such as convening an
advisory committee (or, under rare
circumstances, an advisory review panel
under § 330.10) and meeting with
sponsors.
If the active ingredient or other
condition is initially determined not to
be GRASE for OTC use in the United
States, FDA will also issue a feedback
letter within this 730-day (generally 24month) timeline. The feedback letter
may identify the specific gaps in the
data or information necessary to make a
GRASE determination, and it provides
the sponsor with time before the NPRM
is published that could be used to begin
collecting the data or information
required for potential inclusion in a
monograph. We note that a feedback
letter reflects the Agency’s initial
determination. If FDA does not issue a
feedback letter, it does not guarantee
that we will ultimately determine that
an ingredient is GRASE and not
misbranded.
FDA proposes to issue an NPRM
within 1,095 days (generally 36 months)
from the date of filing (as defined in
proposed § 330.15(a)(6)). For an active
ingredient or other condition that is
initially determined to be GRASE, FDA
would issue a proposed rule to include
the condition in the appropriate OTC
monograph. For an active ingredient or
other condition that is initially
determined not to be GRASE, FDA
would issue a proposed rule to include
the condition in 21 CFR 310.502 (the
regulation listing drugs that have been
accorded new drug status through
rulemaking and must be approved
under section 505 of the FD&C Act
before marketing). In general, FDA
intends to close the public comment
period for the proposed rule at 90 days,
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unless a request to defer further
rulemaking to allow the submission of
new safety or effectiveness data to the
record is granted.
FDA is proposing to issue a final rule
within 912 days (generally 30 months)
of the closing of the comment period for
the proposed rule. During this 912-day
time period, FDA will review and
consider any new data, information, and
public comments submitted to the
docket and draft and publish a final
regulation.
Timelines for FDA review and action
for sunscreen active ingredients under
sections 586B and 586C of the FD&C
Act, as amended by the SIA, are
generally shorter than those in this
proposed rule. The most notable
differences are the timelines for
proposed and final GRASE
determinations which, under the SIA
requirements for sunscreen active
ingredients, are made through an order
process rather than a rulemaking
process. The order process eliminates
some of the requirements of rulemaking
that are time-consuming and resource
intensive.
A 2009 Government Accountability
Office (GAO) report (Ref. 3) examined,
among other things, how long agencies,
including FDA, take to issue rules. For
the 16 case studies, the report found
significant variation in time to complete
rulemaking, with an average of about
four years and a range of one to nearly
14 years. Factors that influenced the
time needed to issue a rule included the
complexity of the issues, Agency
priorities, and the amount of internal
and external review required (Ref. 3 at
p. 19).
In summary, based on the type of data
typically submitted in a TEA, along
with the potential variability in the
content and formatting of that
submission, and because of the complex
scientific review required to determine
if an active ingredient or other condition
is GRASE for OTC use, the possible use
of an advisory committee, and the
requirements for the rulemaking process
itself, FDA considers the timelines put
forth in this proposed rule to be
reasonable, taking into consideration
Agency priorities and resources. As
described in further detail in the
paragraphs that follow, if a TEA and the
related safety and effectiveness data
submission are straightforward, wellorganized, and complete, FDA may be
able to take action within shorter
timeframes than proposed in this rule.
As stated previously, under section
586F(b)(2)(A) of the FD&C Act, the
timelines established in the regulations
required under that section could vary
based on the content, complexity, and
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format of the submission. FDA
considered a number of timeline
options. Ultimately, FDA determined
that instead of setting multiple proposed
timelines for submissions of varying
content, complexity, and format, it
would be more efficient and sensible to
set one general timeline for the review
of non-sunscreen TEA conditions that
accommodates anticipated variation
among submissions. There is likely to be
some variation in how quickly each
submission is reviewed, because each
will present a unique set of data and
each review will occur in the context of
multiple ongoing FDA activities and
priorities. This may result in a review
step taking less time than proposed in
§ 330.15(c) (for example, if a submission
is well-organized, complete when
submitted, and straightforward). In
unusual circumstances, a review or
rulemaking step may require a longer
time than proposed in § 330.15(c) (e.g.,
an unusually high volume of TEAs
submitted, an especially complex new
ingredient or other condition, or a
public health emergency that diverts
Agency resources). However, FDA
would endeavor to meet the proposed
timelines in § 330.15(c) for all
submissions, and any missed timelines
would be reflected in the metrics set
forth in proposed § 330.15(b). In
summary, the provisions in § 330.15(c)
provide sponsors and the public with
consistent timeframes for expected
Agency action. In the paragraphs that
follow, we discuss some practical
examples of how certain factors might
be expected to impact FDA review of a
non-sunscreen TEA condition:
Æ Content
The quantity and quality of submitted
data can generally impact FDA’s review.
If a TEA or safety and effectiveness data
submission includes all the information
that is required and all information that
the sponsor wishes to have considered
in the initial submission to FDA, it is
likely possible to complete review of the
TEA or safety and effectiveness data
submission more quickly than if it has
poor quality data, if FDA finds that
clarification or additional data is
needed, or if the sponsor submits
additional spontaneous data
supplements during the substantive
review.
Æ Complexity
Complexity, including, among other
things, the nature of the active
ingredient or other condition that is the
subject of the TEA and the status of the
monograph for the therapeutic category
(i.e., final, tentative, or new) may also
impact FDA’s review. For example,
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review of a TEA and safety and
effectiveness data submission for an
active ingredient that has not previously
been evaluated under the monograph for
any use would likely be more complex
than for an ingredient that is the subject
of a GRASE determination in another
monograph category. In addition, a
review that involves a new technology
would be more complex than one that
does not.
The OTC monograph status for the
therapeutic category (final, tentative, or
new) and the U.S. Pharmacopeia (USP)
monograph status (whether
establishment of a USP monograph is
required or not) may each affect the time
required for review and rulemaking, in
that addition of an active ingredient or
other condition to a final OTC
monograph once the GRASE
determination is made would generally
be faster than working with a tentative
or new OTC monograph. Also, because
a USP monograph for the ingredient is
required before FDA can issue a final
rule adding an active ingredient to an
OTC monograph (§ 330.14(i)), the USP
monograph status may lengthen the
review and rulemaking time.
Finally, if FDA determines that an
advisory committee or an advisory
review panel is appropriate (e.g., for a
particularly complex new issue), that
process could increase the time required
to complete the review, particularly if
the committee’s recommendations
raised additional issues to review.
Æ Format
The format including, among other
things, whether a TEA or safety and
effectiveness data submission is wellorganized or poorly-organized, whether
some or all of the information is
submitted in electronic format, etc.,
could also impact FDA’s review. We
note that FDA recently issued draft
guidance for industry regarding the
format and content of data submissions
for nonprescription sunscreen active
ingredients (Ref. 4). A well-formatted
TEA can generally be reviewed more
quickly and efficiently than a poorlyorganized TEA. In addition, review
could take longer (or result in a refusal
to file) if a safety and effectiveness data
submission is disorganized with a
structure that does not facilitate review
for completeness, if there are electronic
submissions that cannot be opened or
that cannot be readily navigated (e.g.,
hyperlinks do not operate), or if there
are data tabulations or graphic displays
that are not interpretable, inadequately
labeled, or do not indicate data sources.
These issues may arise, in particular,
with regard to safety and effectiveness
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data submissions that are filed over
protest.
3. Metrics (Proposed New § 330.15(b))
Section 586F(b) of the FD&C Act
requires FDA to establish measurable
metrics for tracking the extent to which
the timelines set forth in the regulations
are met (see proposed timelines under
§ 330.15(c)). FDA is proposing to
maintain a publicly available posting of
metrics for the review of TEAs and
safety and effectiveness data
submissions submitted under § 330.14
that are subject to the timelines under
proposed § 330.15(a), and update the
posting annually. The posting will
contain the metrics listed in this
section, as proposed in § 330.15(b), for
submissions received during the
previous calendar year.
• Number and percent of eligibility
notices or ineligibility letters issued
within 180 days of submission of a TEA
(i.e., for new TEAs submitted during the
year, the number and percentage for
which FDA issued either an eligibility
notice or an ineligibility letter within
180 days).
• Number and percent of filing
determinations issued within 90 days of
submission of a safety and effectiveness
data submission (i.e., for safety and
effectiveness data submissions received
during the year, the number and
percentage for which FDA issued a
filing determination within 90 days).
• If applicable, number and percent
of feedback letters issued within 730
days (generally 24 months) from the
date of filing (i.e., the number of
feedback letters issued during the year,
if any, and the number and percent of
these that were issued within 730 days
from the date of filing the safety and
effectiveness data submission).
• Number and percent of notices for
proposed rulemaking issued within
1,095 days (generally 36 months) from
the date of filing (i.e., the number of
notices of proposed rulemaking issued
during the year, if any, and the number
and percent of these that were issued
within 1,095 days from the date of
filing).
• Number and percent of final rules
issued within 912 days (generally 30
months) of closing of the docket of the
proposed rulemaking (i.e., the number
of final rules issued during the year, if
any, and the number and percent of
these that were issued within 912 days
of the closing of the docket of the
proposed rulemaking). We note that if
the docket is reopened, the 912 days
will be measured from the date the
reopened docket is closed.
• Total number of TEAs submitted
under § 330.14; FDA may also post a
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total number of TEAs that have been
submitted in all previous years.
For purposes of the metrics, a lack of
FDA action in response to a triggering
event in the previous calendar year will
not be factored in unless the response
was due in the previous calendar year.
In other words, if a sponsor submits a
TEA in October of the previous calendar
year, and FDA has not yet issued a
notice of eligibility or letter of
ineligibility because 180 days has not
elapsed by the end of the calendar year,
under the proposed metrics, FDA would
not consider the lack of response as
missing the timeline. Whether FDA met
the timeline or not would be reflected
in the next year’s metrics.
FDA intends to track these metrics
and post them publically on the FDA
Internet site. The Agency routinely uses
its Internet site to post information and
track progress and performance metrics
on various initiatives (Ref. 5).
The Agency anticipates that the
proposed metrics web posting will
improve transparency by providing
sponsors and the public with
information that will enable them to
quickly ascertain the number of TEAs
that have been submitted to FDA, and
the Agency’s performance in meeting
the proposed timelines. Over time, these
measurements may also assist the
Agency with resource planning and
utilization.
B. Amendments to § 330.14 ‘‘Additional
Criteria and Procedures for Classifying
OTC Drugs as Generally Recognized as
Safe and Effective and Not Misbranded’’
FDA is proposing to revise § 330.14 to
add new definitions and requirements.
The new proposed definitions are
primarily meant to clarify the beginning
or ending of the timelines for FDA
review and action as proposed in new
§ 330.15. The new proposed
requirements include filing
determination provisions under
proposed new § 330.14(j) and
‘‘withdrawal of consideration’’
provisions under proposed new
§ 330.14(k), which are intended to make
the TEA process more efficient for both
sponsors and FDA.
1. Definitions (Proposed Revised
§ 330.14(a))
FDA is proposing new definitions
that, in general, are intended to clarify
the beginning or ending of the timelines
for FDA review and action as proposed
in § 330.15. FDA is adding these
definitions to § 330.14 instead of
proposed new § 330.15 because § 330.14
describes the TEA process to which
these definitions apply. The definitions
for ‘‘condition’’ and ‘‘botanical drug
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substance,’’ proposed under
§ 330.14(a)(1) and (2) respectfully, are
unchanged from the current definitions
under § 330.14(a). FDA is proposing to
add the following new definitions of
terms that apply to § 330.14.
• FDA is proposing that the term
‘‘sponsor’’ mean the person (as defined
in section 201(e) of the FD&C Act) that
submitted a TEA under § 330.14(c).
Because the TEA process involves a
public rulemaking process, comments
from other interested parties, such as
additional safety and effectiveness data,
may be submitted to the docket for a
TEA condition. FDA is proposing this
definition to make clear that the sponsor
is the person that submitted the TEA
and related safety and effectiveness data
submission, and will be the recipient of
certain letters communicating FDA
decisions. Because this is a public
process, such letters will also be posted
publicly to the relevant docket.
• FDA is proposing that the term
‘‘time and extent application (TEA)’’
mean a submission by a sponsor under
§ 330.14(c), which will be evaluated by
the Agency to determine eligibility of a
condition for consideration in the OTC
drug monograph system. FDA is
proposing this definition to make clear
the difference between a submission to
FDA for the purposes of establishing
that the condition has been marketed for
a material time and to a material extent
versus a submission to FDA for the
purposes of establishing that the
condition is GRASE.
• FDA is proposing that the phrase
‘‘safety and effectiveness data
submission’’ mean a data package
submitted by a sponsor that includes
safety and effectiveness data and
information under § 330.14(f) and that is
represented by the sponsor as being a
complete submission. FDA is proposing
this definition to differentiate this type
of submission from the TEA. It also
clarifies that FDA will not begin its
filing determination under § 330.14(j)
unless the sponsor first asserts that the
submission is complete.
• FDA is proposing that the phrase
‘‘date of filing’’ mean the date of the
notice from FDA informing the sponsor
that FDA has made a threshold
determination that the safety and
effectiveness data submission is
sufficiently complete to permit a
substantive review. For submissions
filed over protest in accordance with
§ 330.14(j)(3), the date of filing is the
date of the notice from FDA informing
the sponsor that FDA has filed the
submission over protest. This date will
be no later than 30 days after the
sponsor’s request that FDA file the
submission over protest. FDA is
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proposing this definition to make clear
the start of the timeframe for FDA
review and action under § 330.15(c)(3)
and (4).
• FDA is proposing that the term
‘‘feedback letter’’ mean a letter issued by
the Agency in accordance with
§ 330.14(g)(4) that informs the sponsor
and other interested parties who have
submitted data under paragraph (f) of
this section that a condition is initially
determined not to be GRASE. FDA is
proposing this definition to clarify the
FDA action under § 330.14(g)(4) and the
timeframe for such action under
§ 330.15(c)(3).
2. Filing Determination (Proposed New
§ 330.14(j))
FDA is proposing new requirements
that specify certain filing determination
requirements that are intended, in part,
to help improve the content and format
of a safety and effectiveness data
submission. FDA is also proposing
timelines related to these proposed new
requirements. For example, submission
criteria include factors such as whether
the submission includes all required
information, whether the submission is
organized and formatted in a manner
that allows FDA to readily determine if
it is sufficiently complete to permit a
substantive review, and whether the
submission includes all required
certifications.
The proposed new section also sets
forth processes that apply whether the
submission is accepted for filing,
refused, or filed over protest. If the
submission is filed, the date of filing, as
defined in proposed § 330.14(a),
represents the start of FDA’s initial
review for a GRASE determination, and
triggers the start of timelines under
proposed §§ 330.15(c)(3) and (4).
FDA believes that these proposed
requirements would benefit both TEA
sponsors and FDA, as well as
potentially benefitting other interested
parties. In FDA’s experience, TEArelated submissions vary widely in their
content and format and are sometimes
difficult or extremely time-consuming
and resource-intensive to review as
submitted (e.g., missing data; copies of
articles in foreign languages without an
accompanying translation; hyperlinks
that do not work; data submitted
piecemeal; data not organized in any
discernable manner, such as a
submission with no listing of contents,
page numbers, data categories, etc.). The
proposed new requirements would
provide more clarity and certainty to
sponsors as to the content and format of
a safety and effectiveness data
submission and would provide for FDA
to let sponsors know early on in the
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process if there is missing material or a
problematic format that could delay
review. For FDA, the proposed new
requirements would be expected to
result in more complete and clear data
submissions from sponsors, to allow
FDA to more easily and quickly
determine whether the submission is
sufficiently complete to permit FDA to
go forward with a substantive review,
and to ensure that once FDA begins its
substantive review, the data and other
information necessary for a complete
review are available. If the submission
is not sufficiently complete to allow
substantive review, the new
requirements would provide a clear
pathway to communicate this issue to
sponsors via a filing determination, and
to communicate what additional
information or format changes are
required. Because safety and
effectiveness data submissions are
posted to the public docket, once filed,
a more complete submission may also
benefit other interested parties. Among
other things, it may be easier for nonsponsor interested parties to determine
whether there is information not
otherwise reflected in the docket that
they would like to submit for FDA to
consider in the GRASE determination.
We note that while the SIA did not
require FDA to issue a regulation
regarding filing determination criteria
for safety and effectiveness data
submissions under § 330.14, it did
require FDA to issue draft and final
guidance on the format and content of
information submitted by a sponsor in
support of a ‘‘request’’ under section
586A of the FD&C Act and a ‘‘pending
request,’’ which are related to
sunscreens (see FD&C Act section
586D(a)(1)(A) and (B)). A notice of
availability of the draft guidance on this
topic was published in the Federal
Register on November 23, 2015 (Ref. 4).
When final, this guidance will provide
the Agency’s current thinking about the
criteria for the content and format of the
safety and effectiveness data submitted
by the sponsor of a TEA for a
nonprescription sunscreen active
ingredient or related condition. As
noted in the draft guidance, when
finalized, parts of the general advice in
that guidance about the content and
format of sunscreen safety and
effectiveness data submissions may also
be useful to persons preparing
submissions for non-sunscreen TEA
conditions.
As stated earlier in this section,
proposed § 330.14(j) sets forth criteria
FDA would use in making a filing
determination for a safety and
effectiveness data submission, as well as
timing and processes related to the
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determination. In particular, in
§ 330.14(j)(1), FDA proposes that after
FDA receives a safety and effectiveness
data submission, the Agency will
determine whether the submission may
be filed. The determination would be
whether or not to accept the submission
for filing, after an initial review of the
submission regarding whether the
submission contains the data and
information required under § 330.14(f)
in an acceptable format, and satisfies the
other filing criteria under § 330.14(j)(4).
The filing of a submission under
proposed § 330.14(j)(2) would mean that
FDA has made a threshold
determination that the submission is
sufficiently complete to permit a
substantive review.
In § 330.14(j)(2), FDA proposes that
the date of filing will begin the FDA
timelines described in § 330.15(c)(3) and
(4).
In § 330.14(j)(3), FDA proposes to
describe the process for cases in which
FDA refuses to file the safety and
effectiveness data submission. If this
happens, the Agency would notify the
sponsor in writing and state the reason
for the refusal under proposed
§ 330.14(j)(4). Proposed § 330.14(j)(3)
provides the sponsor 30 days in which
to request an informal conference with
the Agency about whether the Agency
should file the submission and sets forth
the procedures if the sponsor wishes to
file the submission over protest
following the informal conference.
Proposed § 330.14(j)(3) further provides
that FDA will convene the informal
conference within 30 days of the request
from the sponsor. It also provides that
if, within 120 days after the informal
conference, the sponsor requests that
FDA file the submission (with or
without correcting the deficiencies), the
Agency will file the safety and
effectiveness data submission over
protest under § 330.14(j)(2), notify the
sponsor in writing, and review it as
filed. The sponsor need not resubmit a
copy of a safety and effectiveness data
submission that is filed over protest.
In proposed § 330.14(j)(4), FDA
describes the conditions under which
FDA may refuse to file a safety and
effectiveness data submission. These
include a submission that:
Æ Is incomplete because it does not
contain information required under
§ 330.14(f) (if such information is not
provided because it is not relevant, the
submission must clearly identify and
explain the omission);
Æ Is not organized or formatted in a
manner to enable the Agency to readily
determine if it is sufficiently complete
to permit a substantive review;
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Æ Does not contain a signed statement
that the submission represents a
complete safety and effectiveness data
submission and that the submission
includes all the safety and effectiveness
data and information available to the
sponsor at the time of the submission,
whether positive or negative;
Æ Does not contain an analysis and
summary of the data and other
supporting information, organized by
clinical or nonclinical area;
Æ Does not contain a supporting
document summarizing the strategy
used for literature searches, including
search terms, sources, dates accessed
and years reviewed;
Æ Does not contain a reference list
and copy of supporting information; or
Æ Includes data or information
relevant to the GRASE determination
that is marked as confidential without a
statement that the information may be
released to the public (if the relevant
data was produced and marked
confidential by a third party, the
sponsor would need to include a
statement that the sponsor is authorized
to make the information publicly
available or include an authorization
from the third party permitting the
information to be publicly disclosed).
In addition, the following four filing
determination factors relate to
requirements under other sections of the
regulations. FDA may refuse to file a
safety and effectiveness data submission
if the submission:
Æ Does not contain either a complete
environmental assessment or
information supporting a categorical
exclusion under part 25 (see 21 CFR
part 25, ‘‘Environmental impact
considerations’’);
Æ Does not contain a statement for
each nonclinical laboratory study that it
was conducted in compliance with part
58 requirements (see 21 CFR part 58,
‘‘Good laboratory practice for
nonclinical laboratory studies’’) (or a
statement of reasons for the
noncompliance);
Æ Does not contain a statement for
each clinical investigation involving
human subjects that it was conducted in
compliance with part 56 institutional
review board regulations (see 21 CFR
part 56, ‘‘Institutional Review Boards’’)
or was not subject to those regulations,
and that it was conducted in
compliance with part 50 informed
consent regulations (see 21 CFR part 50,
‘‘Protection of human subjects’’); or
Æ Does not include required part 54
financial certification and disclosure
statements (see 21 CFR part 54,
‘‘Financial disclosure by clinical
investigators’’).
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3. Withdrawal of Consideration of a
TEA or Safety and Effectiveness Data
Submission (Proposed New § 330.14(k))
The Agency is also proposing to add
withdrawal provisions to new
§ 330.14(k). These proposed provisions
acknowledge that a sponsor may request
withdrawal of consideration of a TEA or
safety and effectiveness data
submission. In addition, inaction by a
sponsor in certain circumstances may be
deemed by FDA as a request for
withdrawal of consideration (e.g.,
prolonged failure of a sponsor to submit
any safety and effectiveness data after
receipt of an NOE, failure of a sponsor
to respond to FDA communications).
These proposed requirements are
expected to help provide clarity on the
status of TEAs and safety and
effectiveness data submissions, and the
effect of a withdrawal of consideration
on the docket. They would also permit
FDA to suspend work on those TEAs or
safety and effectiveness data
submissions that are no longer being
pursued by the sponsor and for which
FDA does not believe that the GRASE
determination should go forward.
The Agency believes that the
proposed provisions on withdrawal of
consideration would allow the Agency
to better allocate resources for the
review of TEA conditions than the
current process. Based on past
experience with the OTC monograph
process, FDA has found that following
an Agency action, a sponsor may not
respond to a request for data from FDA.
For example, the Agency issued an NOE
and request for safety and effectiveness
data in 2005 for a TEA active ingredient
(70 FR 72447, December 5, 2005) and to
date, FDA has not received data or a
response from the sponsor. Without an
established deadline for submitting data
or otherwise responding to an Agency
request, a sponsor may never submit the
requested data and a TEA condition
may remain unresolved. To better
utilize FDA resources as well as to
address the withdrawal of consideration
of a TEA or a safety and effectiveness
data submission, the Agency is
proposing to amend § 330.14 to add
paragraph (k) to address such
withdrawal of consideration.
In § 330.14(k)(1), we propose that
FDA may withdraw consideration of a
TEA or safety and effectiveness data
submission if: (1) The sponsor requests
that its submission be withdrawn from
consideration, or (2) FDA deems the
submission to be withdrawn from
consideration due to the sponsor’s
failure to act on the submission or
failure to respond to communications
from FDA. For purposes of this
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provision, withdrawal of consideration
of a TEA would include the withdrawal
of consideration of a TEA condition that
had been found to be eligible, but for
which a safety and effectiveness data
submission is not received by the
Agency. If a sponsor requests
withdrawal of consideration for its TEA
or safety and effectiveness data
submission, FDA generally intends to
stop its review. However, we note that
while FDA may withdraw consideration
of a TEA or safety and effectiveness
determination, we may determine not to
do so in some cases. For example, if
FDA has already issued a proposed rule
that tentatively determines that the
active ingredient or other condition is
GRASE for OTC use, or is not GRASE
for OTC use, FDA may continue to rely
on the information submitted to the
docket and proceed to issue a final rule.
In § 330.14(k)(2), we propose that
FDA will notify the sponsor of a
submission that FDA intends to deem
withdrawn under paragraph (k)(1)(ii),
and that the sponsor will then have 30
days from the date of the notice to
request that FDA not withdraw
consideration of the TEA or safety and
effectiveness data submission and
request additional time needed to
submit relevant data and information.
For example, a sponsor may request that
FDA not withdraw consideration of a
safety and effectiveness data submission
to allow the submission of new safety or
effectiveness data to the record if the
sponsor needs additional time to
conduct a study and submit the data. If,
within 30 days of FDA’s notice, the
sponsor requests that FDA not withdraw
consideration under proposed
§ 330.14(k)(1)(ii), we will continue to
consider the submission. If we continue
to consider the submission, that does
not preclude the possibility of
withdrawing consideration under
§ 330.14(k)(1) at a later time. FDA
recommends that sponsors keep FDA
apprised of the anticipated timing for
submission of requested data to
facilitate the review process and better
utilize FDA resources.
In § 330.14(k)(3), FDA proposes to
clarify that if consideration of a TEA or
safety and effectiveness data submission
is withdrawn, information that has been
posted to the public docket for the TEA
at the time of the withdrawal (such as
an NOE or a safety and effectiveness
data submission that has been accepted
for filing and posted to the docket) will
remain on the public docket. The TEA
process is primarily a public process
and withdrawal of consideration of a
TEA or safety and effectiveness data
submission will not cause previously
public information to be removed from
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the docket. We also note that the
original sponsor or other interested
parties may wish to pursue review of
the active ingredient or other condition
at some point in the future. In that case,
a new safety and effectiveness data
submission may be submitted for the
same active ingredient or other
condition after consideration of the
original submission has been
withdrawn. If the Agency has already
issued an NOE that determined that the
active ingredient or other condition is
eligible for review under the TEA
process, another interested party may
submit safety and effectiveness data for
the eligible condition for the Agency’s
review.
In § 330.14(k)(4), FDA proposes that if
a TEA or safety and effectiveness data
submission being reviewed in
accordance with § 330.15 is withdrawn,
the timelines under § 330.15(c) and the
metrics under § 330.15(b) no longer
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4. Minor Changes to § 330.14 for Clarity
and Consistency
FDA is proposing to reorganize
paragraph (a) of § 330.14 to create an
introductory paragraph that includes the
current text under § 330.14(a), except for
the definitions of ‘‘condition’’ and
‘‘botanical drug substance,’’ which
would be moved to the proposed
definitions section in § 330.14(a). FDA
is proposing to eliminate the paragraph
heading ‘‘introduction,’’ and in its
place, propose the paragraph heading
‘‘definitions’’ and a statement that the
definitions that follow apply to this
section and § 330.15. Under this new
heading, FDA is proposing to include
the definitions and current text for the
terms ‘‘condition’’ and ‘‘botanical drug
substance.’’ FDA is also proposing to
add to the end of the introductory
paragraph of § 330.14 a sentence stating
that § 330.15 sets forth timelines for
FDA review and action.
FDA is proposing several minor
amendments to § 330.14(f) for clarity
and for consistency with the OTC
monograph regulations under § 330.10.
• FDA is proposing to revise
paragraph (f) to use terminology
consistent with the new definition in
§ 330.14(a)(5) for ‘‘safety and
effectiveness data submission’’ when
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referring to the data package submitted
by the sponsor.
• FDA is proposing to revise the first
sentence and add the second sentence to
differentiate between, in the NOE,
requesting the safety and effectiveness
data submission from the sponsor, and
requesting data and views from other
interested parties.
• FDA is proposing to add a sentence
that references the new filing
determination requirements at proposed
new § 330.14(j) and makes clear that the
safety and effectiveness data submission
must be sufficiently complete to be filed
by the Agency under proposed
paragraph (j)(2).
• FDA is proposing to add a sentence
that references the requirements for
compliance with good laboratory
practices, institutional review board,
informed consent, and financial
certification or disclosure statement
requirements, under § 330.10(c), (e), and
(f), and makes clear that those
requirements also apply to the safety
and effectiveness data and information
submitted under this paragraph. This
proposed sentence does not impose new
requirements. The sentence was added
for clarity and consistency with
§ 330.10.
FDA is proposing to add the word
‘‘feedback’’ prior to the word ‘‘letter’’ in
the first sentence of § 330.14(g)(4) to use
terminology consistent with the
proposed new definition for ‘‘feedback
letter’’ in § 330.14(a)(7).
VI. Proposed Effective Date
The SIA directs the Agency to issue
a final rule regarding the timelines and
metrics described in section 586F(b) of
the FD&C Act within 27 months after
the enactment of the SIA (by February
26, 2017). The SIA also requires that the
final rule be published not less than 30
calendar days before the effective date
of the regulation. Consequently, the
final rule implementing the timeline
and metrics provisions of section
586F(b) will become effective 30
calendar days after the date of the final
rule’s publication in the Federal
Register.
Beginning on that date, the timelines
and metrics set forth in the regulation
will apply to the review of TEAs and
safety and effectiveness data
submissions to which that regulation is
applicable, and any amended provisions
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of § 330.14 will apply to the TEA
process under that regulation.
VII. Economic Analysis of Impacts
A. Introduction
We have examined the impacts of the
proposed rule under Executive Order
12866, Executive Order 13563, the
Regulatory Flexibility Act (5 U.S.C.
601–612), and the Unfunded Mandates
Reform Act of 1995 (Pub. L. 104–4).
Executive Orders 12866 and 13563
direct us to assess all costs and benefits
of available regulatory alternatives and,
when regulation is necessary, to select
regulatory approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety, and other advantages;
distributive impacts; and equity). We
have developed a comprehensive
Economic Analysis of Impacts that
assesses the impacts of the proposed
rule. We believe that this proposed rule
is not a significant regulatory action as
defined by Executive Order 12866.
The Regulatory Flexibility Act
requires us to analyze regulatory options
that would minimize any significant
impact of a rule on small entities.
Because this proposed rule does not
impose significant new economic
burdens on any entity, we propose to
certify that the proposed rule will not
have a significant economic impact on
a substantial number of small entities.
The Unfunded Mandates Reform Act
of 1995 (section 202(a)) requires us to
prepare a written statement, which
includes an assessment of anticipated
costs and benefits, before proposing
‘‘any rule that includes any Federal
mandate that may result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100,000,000 or more
(adjusted annually for inflation) in any
one year.’’ The current threshold after
adjustment for inflation is $144 million,
using the most current (2014) Implicit
Price Deflator for the Gross Domestic
Product. This proposed rule would not
result in an expenditure in any year that
meets or exceeds this amount.
In table 1, we provide the Regulatory
Information Service Center/Office of
Information and Regulatory Affairs
Consolidated Information System
accounting information.
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19081
TABLE 1—ECONOMIC DATA: COSTS AND BENEFITS STATEMENT
Category
Primary
estimate
Low
estimate
High
estimate
Units year
dollars
Discount
rate
(%)
Period
covered
(yrs.)
Benefits:
Annualized ...........................................
Monetized ............................................
$millions/year .......................................
Annualized ...........................................
Quantified ............................................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
7 .................
3 .................
....................
7 .................
3 .................
...................
...................
...................
...................
...................
Qualitative ............................................
Costs:
Annualized ...........................................
Monetized ............................................
$millions/year .......................................
Annualized ...........................................
Quantified ............................................
Qualitative ............................................
Transfers ..............................................
Federal .................................................
Annualized Monetized .........................
$millions/year .......................................
From/To ...............................................
Other ....................................................
Annualized Monetized .........................
$millions/year .......................................
From/To ...............................................
Effects ..................................................
Notes
The proposed rule would improve the TEA review process by establishing timelines and clarifying
requirements and increase the predictability of the process.
$0.00 .........
0.00 ...........
...................
...................
...................
...................
...................
...................
...................
...................
From: ........
...................
...................
...................
From: ........
...................
$0.00 .........
0.00 ...........
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
$0.00 .........
0.00 ...........
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
2015 ..........
2015 ..........
...................
...................
...................
...................
...................
...................
...................
...................
To: .............
...................
...................
...................
To: .............
...................
7 .................
3 .................
....................
7 .................
3 .................
....................
....................
7 .................
3 .................
....................
....................
7 .................
3 .................
....................
....................
....................
10 ..............
10 ..............
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
State, Local, and/or Tribal Government: No effects
Small Business: No effects
Wages: No effect
Growth: No effect
B. Summary
mstockstill on DSK4VPTVN1PROD with PROPOSALS
1. Baseline Conditions
We regulate nonprescription drug
products under two primary pathways:
(1) The new drug application (NDA)
process, described in 21 CFR part 314;
or (2) the nonprescription (over-thecounter or OTC) drug monograph
process, described in part 330. There are
important differences between these two
pathways. Under the NDA process, the
sponsor of an application must submit
to us nonclinical and clinical data that
supports the safety and effectiveness of
its drug product, and we must review
and approve the application before the
sponsor can market such product. By
contrast, OTC drug monographs are
regulations describing conditions
(§ 330.14 defines condition as an active
ingredient or botanical drug substance
(or combination of both), dosage form,
dosage strength, or route of
administration marketed for a particular
specific OTC use) that certain OTC
drugs (such as antacids) must meet to be
considered as GRASE and not
misbranded. In contrast with the
application pathway, once a sponsor
submits safety and effectiveness data to
amend a monograph (which is posted to
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a public docket), the data are public.
Drug products that comply with an
applicable OTC drug monograph and
other applicable regulations may be
marketed without an NDA.
Initially, active ingredients and other
conditions that were not marketed in
the United States before the inception of
the OTC Drug Review in 1972 were not
eligible for review under the OTC drug
monograph process. However, the TEA
process, established by regulations
finalized in 2002 (21 CFR 330.14),
expanded the scope of this OTC drug
review. The TEA process offers a
pathway for OTC conditions to be
marketed under an OTC drug
monograph. OTC conditions can
include newer active ingredients that
previously had no U.S. marketing
history, or that were marketed in the
United States after the OTC drug review
began. Active ingredients and other
conditions that satisfy the TEA
eligibility requirements are subject to
the same safety, effectiveness, and
labeling standards that apply to other
conditions under the OTC monograph
process.
The TEA process requires multi-step,
notice-and-comment rulemaking
procedures before a new active
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Frm 00022
Fmt 4702
Sfmt 4702
ingredient or other condition is added to
an OTC drug monograph. After
determining that an active ingredient or
other condition is eligible for
consideration under the OTC
monograph process, we issue a notice in
the Federal Register announcing the
TEA determination and requesting
safety and effectiveness data for the
proposed OTC use. Next, after reviewing
data submitted to the docket, we issue
a proposed rule to either include the
condition in the appropriate OTC drug
monograph or, if the condition is
initially determined not to be GRASE
for OTC use, include it in § 310.502,
which would require the sponsor to
seek approval under the NDA pathway
to market the condition. The proposed
rule allows for public comments and for
sponsors and other interested parties to
submit additional data for safety and
effectiveness. If a monograph is
amended, by publishing a final rule, an
OTC condition that complies with the
OTC monograph and the general
requirements for OTC drugs may be
marketed in the United States without
an NDA (examples of other general
requirements include requirements to
comply with Current Good
Manufacturing Practice, to register and
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list products, to use drug facts labeling,
etc.).
Although our multi-step TEA process
allows sponsors to learn about the
progress of our review of an application
(for example when an NOE is issued,
and if a feedback letter is issued), there
are no established timelines to review
applications or for sponsors to submit
data. The lack of timelines can create
unpredictability for interested parties
because they may lack key information.
For example, they may not know: (1)
Whether the safety and effectiveness
data submitted is sufficient or in the
right format for us to conduct a
substantive review; (2) when they need
to submit new information; or (3) when
to expect our determinations regarding
eligibility or other feedback. The
unpredictability in the process could
result in sponsors not performing a
required action within reasonable time
for our review, performing unnecessary
actions (examples of unnecessary
actions may include collecting
unnecessary or inadequate data,
performing tests or studies that do not
contribute to data needed by us to make
a GRASE determination), or creating
unnecessary effort for us and for them.
For example, if a TEA remains inactive
for a significant amount of time,
scientific knowledge may evolve thus
creating the need to amend the original
TEA. Without specific timelines
sponsors may not know whether their
initial data submission was insufficient
to review, was sufficient but is under
review, or whether we require
additional information. In addition,
without specific timelines, we don’t
know if sponsors intend to submit
additional data or whether they do not
intend to pursue their application any
further.
2. Purpose of This Proposed Rule
This proposed rule complies with
certain mandates of the Sunscreen
Innovation Act (Pub. L. 113–195),
enacted in November 2014. In
particular, the proposed rule would
establish timelines and metrics for
review of TEAs for non-sunscreen OTC
drug products. Specific timelines
applicable to non-sunscreen TEA
conditions would be added in a new
section to Title 21 of the CFR, § 330.15.
The first proposed timeline is to issue
a Notice of Eligibility or a post a letter
of ineligibility to the TEA docket within
180 days of submission of a TEA. The
second proposed timeline is to issue a
filing determination within 90 days of
receipt of a complete safety and
effectiveness data submission from the
sponsor once such sponsor has
confirmed that it considers the
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submission to be complete. If we
initially determine the active ingredient
or other condition not to be GRASE, we
will inform sponsors and interested
parties within 730 days from the date of
filing as defined in proposed
§ 330.14(a). The next proposed timeline
is to issue a notice of proposed
rulemaking (NPRM) within 1,095 days
from the date of filing. Lastly, we
propose to issue a final rule within 912
days of the closing of the docket of the
proposed rulemaking.
The proposed rule would also amend
the existing § 330.14 by: (1) Setting forth
clear filing determination requirements
with regard to the content and format of
safety and effectiveness data
submissions for TEAs, and by (2)
addressing withdrawal of consideration
of a TEA or safety and effectiveness data
submission. These amendments would
apply to all TEAs, and their goal is to
provide early notification to sponsors
whether their applications meet the
filing requirements and to provide more
clarity regarding withdrawal of a TEArelated submissions. The proposed
amendments are intended to provide us
with feedback from sponsors whether
they intend to actively pursue their
applications, and specify that we may
withdraw consideration of a TEA or
safety and effectiveness data submission
in certain circumstances (such as at a
sponsor’s request or after prolonged
inaction and lack of response to FDA
communications). Finally, the proposed
rule would also add definitions and
make clarifying changes to the TEA
regulation in § 330.14.
The proposed clarifications and
establishment of timelines for the TEA
process seek to dissipate uncertainties
that may be preventing interested
parties from submitting all the necessary
data for us to grant final GRASE
determination to existing TEA
conditions that have been found to be
eligible to be considered for inclusion in
the OTC drug monograph system. Since
the TEA review process became
effective in 2002 (67 FR 3060 at 3074,
January 23, 2002), we have received six
TEAs for non-sunscreen active
ingredients, including applications for
dandruff, laxative, anti-gingivitis, and
anti-acne products. However, we have
not yet issued a proposed rule regarding
whether any of these ingredients are
GRASE under specified conditions of
use. In fact, as of December 2015, the
sponsor of one of these TEAs has not yet
submitted safety and effectiveness data
for our review.
3. Benefits
We lack data to quantify the potential
benefits of the proposed rule. With the
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Fmt 4702
Sfmt 4702
proposed rule, we expect the proposed
timelines and data submission
clarifications would make the TEA
process, including establishing a new
OTC drug monograph, more efficient
and predictable, and improve
communication between us and
sponsors. Sponsors may benefit from
knowing if additional data is needed
and what optimal steps to take to
receive a GRASE determination, and we
would be able to bring resolution to
TEA conditions. However, we do not
know the monetary value of added
predictability to sponsors. Also, because
we have not yet issued tentative GRASE
determinations for any of the nonsunscreen TEA conditions under
review, as of December 2015, and
because we do not know the increase in
the probability of granting tentative
GRASE determinations resulting from
the proposed rule, we request comment
on the potential benefits of the proposed
rule.
4. Costs
This proposed rule supplements the
TEA process. We expect the rule would
create a minimal burden on sponsors
from the possible cost associated with
sending a meeting request letter to us in
the event that we refuse to file a safety
and effectiveness data submission and
the sponsor would like to meet with us
to discuss the decision, or the possible
cost of calling or writing FDA to request
that we not withdraw consideration of
a submission in the event that we deem
a submission withdrawn under
proposed 330.14(k)(ii). Therefore, we
anticipate no increase in annual
recurring costs for either small or large
sponsors.
We expect the six current sponsors
would spend time reading and
understanding the proposed rule, and
this would take from about 6.5 hours to
13 hours. With an hourly wage rate of
$133 including 100 percent overhead,
each sponsor would incur one-time
costs ranging from about $865 to $1,730.
We also estimate that we would receive
two additional TEAs annually, and thus
during a 10-year horizon we estimate
potentially twenty additional applicants
would spend the time to read and
understand the proposed rule. The
present value of the total costs over 10
years ranges from about $17,000 to
$35,000 with a 7 percent discount rate
and from about $19,000 to $38,000 with
a 3 percent discount rate. With a
discount rate of 7 percent and 3 percent,
we estimate that on average sponsors
would incur less than $150 of
annualized costs per year.
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5. Impact on Small Entities
The Regulatory Flexibility Act
requires a Regulatory Flexibility
Analysis (RFA) unless the Agency can
certify that the proposed rule would
have no significant impact on a
substantial number of small entities.
The proposed rule would affect few
entities. Moreover, we estimate one-time
costs under $2,000 per entity, costs well
below 0.01 percent of annual revenues
for the smallest entities, and we propose
to certify that the rule would not have
a significant economic impact on a
substantial number of small entities.
We invite comments on this analysis.
VIII. Analysis of Environmental Impact
We have determined under 21 CFR
25.31(a) that this action is of a type that
does not individually or cumulatively
have a significant effect on the human
environment. Therefore, neither an
environmental assessment nor an
environmental impact statement is
required.
mstockstill on DSK4VPTVN1PROD with PROPOSALS
IX. Paperwork Reduction Act of 1995
This proposed rule contains
information collection provisions that
are subject to review by OMB under the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501–3520). The title,
description, and respondent description
of the information collection are given
under this section with an estimate of
the annual reporting burden. Included
in the estimate is the time for reviewing
instructions, searching existing data
sources, gathering and maintaining the
data needed, and completing and
reviewing the collection of information.
We invite 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.
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Title: Food and Drug Administration
Review and Action on Over-the-Counter
Time and Extent Applications
Description: The proposed rule would
amend FDA’s TEA regulations to
establish timelines and performance
metrics for FDA’s review of nonsunscreen TEAs and safety and
effectiveness data submissions, as
required by the SIA. FDA also proposes
other changes to make the TEA process
more efficient.
FDA has OMB approval (Control
Number 0910–0688) for the information
collection in 21 CFR 330.14, which
specifies additional criteria and
procedures by which OTC drugs that
were initially marketed in the United
States after the OTC Drug Review began
and OTC drugs without any U.S.
marketing experience may become
eligible for consideration in the OTC
drug monograph system.
The proposed rule would amend the
TEA regulations in § 330.14 to make the
process more efficient and to make
conforming and clarifying changes.
Proposed § 330.14(j) would clarify the
requirements on content and format
criteria for a safety and effectiveness
data submission, and would provide
procedures for FDA’s review of the
submissions and determination of
whether a submission is sufficiently
complete to permit a substantive review.
Proposed § 330.14(j)(3) would describe
the process for cases in which FDA
refuses to file the safety and
effectiveness data submission. Under
proposed § 330.14(j)(3), if FDA refuses
to file the submission, the Agency will
notify the sponsor in writing, state the
reason(s) for the refusal, and provide the
sponsor with 30 days in which to
submit a written request for an informal
conference with the Agency about
whether the Agency should file the
submission. A sponsor’s submission of
a written request for an informal
conference is not already approved
under OMB Control Number 0910–0688.
We estimate that approximately one
sponsor (‘‘number of respondents’’ in
table 2, row 1) will annually submit to
FDA approximately one request for an
informal conference (‘‘total annual
responses’’ in table 2, row 1), and that
preparing and submitting each request
will take approximately one hour for
each sponsor (‘‘average burden per
response’’ in table 2, row 1).
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Fmt 4702
Sfmt 4702
19083
Under proposed § 330.14(j)(4)(iii), the
safety and effectiveness data submission
must contain a signed statement that the
submission represents a complete safety
and effectiveness data submission and
that the submission includes all the
safety and effectiveness data and
information available to the sponsor at
the time of the submission, whether
positive or negative. A sponsor’s signed
statement is not already approved under
OMB Control Number 0910–0688. We
estimate that approximately two
sponsors (‘‘number of respondents’’ in
table 2, row 2) will annually submit to
FDA approximately two signed
statements as described previously
(‘‘total annual responses’’ in table 2, row
2), and that preparing and submitting
each signed statement will take
approximately one hour for each
sponsor (‘‘average burden per response’’
in table 2, row 2).
Under proposed § 330.14(k)(1), FDA,
in response to a written request from a
sponsor, may withdraw consideration of
a TEA submitted under § 330.14(c) or a
safety and effectiveness data submission
submitted under § 330.14(f). A sponsor’s
request that FDA withdraw
consideration of a TEA or safety and
effectiveness data submission is not
already approved under OMB Control
Number 0910–0688. We estimate that
approximately one sponsor (‘‘number of
respondents’’ in table 2, row 3) will
annually submit to FDA approximately
one request (‘‘total annual responses’’ in
table 2, row 3), and that preparing and
submitting each request will take
approximately one hour for each
sponsor (‘‘average burden per response’’
in table 2, row 3).
Under proposed § 330.14(k)(2), a
sponsor may request that FDA not
withdraw consideration of a TEA or
safety and effectiveness data
submission. A sponsor’s request for
FDA to not deem its submission
withdrawn from consideration is not
already approved under OMB Control
Number 0910–0688. We estimate that
approximately one sponsor (‘‘number of
respondents’’ in table 2, row 4) will
annually submit to FDA approximately
one request (‘‘total annual responses’’ in
table 2, row 4), and that preparing and
submitting each request will take
approximately two hours for each
sponsor (‘‘average burden per response’’
in table 2, row 4).
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FDA estimates the burden of this
information collection as follows:
TABLE 2—ESTIMATED ANNUAL REPORTING BURDEN 1
330.14(j)(3)—Sponsor request for informal conference on
FDA’s refusal to file ..........................................................
330.14(j)(4)(iii)—Sponsor’s signed statement that the submission is complete ..........................................................
330.14(k)(1)—Sponsor request for FDA to withdraw consideration of a TEA or safety and effectiveness data
submission ........................................................................
330.14(k)(2)—Sponsor request for FDA to not deem its
submission withdrawn from consideration .......................
1 There
Average
burden per
response
Total annual
responses
Total hours
1
1
1
1
1
2
1
2
1
2
1
1
1
1
1
1
1
1
2
2
are no capital costs or operating and maintenance costs associated with this collection of information.
In compliance with the PRA (44
U.S.C. 3507(d)), we have submitted the
information collection requirements of
this proposed rule to OMB for review.
Interested persons are requested to send
comments on this information
collection to the Office of Information
and Regulatory Affairs, OMB (see
ADDRESSES).
X. Federalism
We have analyzed this proposed rule
in accordance with the principles set
forth in Executive Order 13132. Section
4(a) of the Executive order requires
agencies to ‘‘construe . . . a Federal
statute to preempt State law only where
the statute contains an express
preemption provision or there is some
other clear evidence that the Congress
intended preemption of State law, or
where the exercise of State authority
conflicts with the exercise of Federal
authority under the Federal statute.’’
The sole statutory provision giving
preemptive effect to the proposed rule is
section 751 of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 379r).
We believe that the preemptive effect
of this proposed rule, if finalized, would
be consistent with Executive Order
13132. Through the publication of this
proposed rule, we are providing notice
and an opportunity for State and local
officials to comment on this rulemaking.
XI. References
mstockstill on DSK4VPTVN1PROD with PROPOSALS
Number of
responses per
respondent
Number of
respondents
21 CFR Section
The following references are on
display in the Division of Dockets
Management (see ADDRESSES) and are
available for viewing by interested
persons between 9 a.m. and 4 p.m.,
Monday through Friday; they are also
available electronically at https://
www.regulations.gov. FDA has verified
the Web site addresses, as of the date
this document publishes in the Federal
Register, but Web sites are subject to
change over time.
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1. FDA, Guidance for Industry, ‘‘Time and
Extent Applications for Nonprescription
Drug Products,’’ September 2011, available at
https://www.fda.gov/downloads/Drugs/
GuidanceComplianceRegulatoryInformation/
Guidances/UCM078902.pdf.
2. Office of the Federal Register, ‘‘A Guide
to the Rulemaking Process,’’ 2011, available
at https://www.federalregister.gov/uploads/
2011/01/the_rulemaking_process.pdf.
3. GAO, ‘‘Federal Rulemaking,
Improvements Needed to Monitoring and
Evaluation of Rules Development as Well as
to the Transparency of OMB Regulatory
Reviews,’’ April 2009 (GAO–09–205),
available at https://www.gao.gov/assets/290/
288538.pdf.
4. FDA, Draft Guidance for Industry,
‘‘Nonprescription Sunscreen Drug Products:
Content and Format of Data Submissions To
Support a GRASE Determination Under the
Sunscreen Innovation Act,’’ November 2015,
available at https://www.fda.gov/downloads/
Drugs/GuidanceComplianceRegulatory
Information/Guidances/UCM473772.pdf.
5. Examples of FDA internet pages that
include progress reports or other metrics
include: FDA’s FDA–TRACK Web page,
https://www.fda.gov/AboutFDA/
Transparency/track/ucm195010.htm; FDA’s
‘‘Sunscreen Innovation Act (SIA)’’ Web page,
https://www.fda.gov/Drugs/
GuidanceComplianceRegulatoryInformation/
ucm434782.htm, and FDA’s ‘‘Rulemaking
History for OTC Time and Extent
Applications’’ Web page, https://
www.fda.gov/Drugs/DevelopmentApproval
Process/DevelopmentResources/Over-theCounterOTCDrugs/
StatusofOTCRulemakings/ucm072455.htm.
List of Subjects in 21 CFR Part 330
Over-the-counter drugs.
Therefore, under the Federal Food,
Drug, and Cosmetic Act and under
authority delegated to the Commissioner
of Food and Drugs, we propose that 21
CFR part 330 be amended as follows:
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Sfmt 4702
PART 330—OVER-THE-COUNTER
(OTC) HUMAN DRUGS WHICH ARE
GENERALLY RECOGNIZED AS SAFE
AND EFFECTIVE AND NOT
MISBRANDED
1. The authority citation for part 330
is revised to read as follows:
■
Authority: 21 U.S.C. 321, 351, 352, 353,
355, 360, 360fff–6, 371.
2. Section 330.14 is amended as
follows:
■ a. Redesignate paragraph (a) as
introductory text, revise the newly
redesignated introductory text, and add
new paragraph (a);
■ b. Revise paragraphs (f) introductory
text and (g)(4);
■ c. Add paragraphs (j) and (k).
The revisions and additions read as
follows:
■
§ 330.14 Additional criteria and
procedures for classifying OTC drugs as
generally recognized as safe and effective
and not misbranded.
This section sets forth additional
criteria and procedures by which overthe-counter (OTC) drugs initially
marketed in the United States after the
OTC drug review began in 1972 and
OTC drugs without any U.S. marketing
experience can be considered in the
OTC drug monograph system. This
section also addresses conditions
regulated as a cosmetic or dietary
supplement in a foreign country that
would be regulated as OTC drugs in the
United States. Section 330.15 sets forth
timelines for FDA review and action.
(a) Definitions. The definitions and
interpretations contained in section 201
of the Federal Food, Drug, and Cosmetic
Act and the following definitions of
terms apply to this section and to
§ 330.15.
(1) Condition means an active
ingredient or botanical drug substance
(or a combination of active ingredients
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or botanical drug substances), dosage
form, dosage strength, or route of
administration, marketed for a specific
OTC use, except as excluded in
paragraph (b)(2) of this section.
(2) Botanical drug substance means a
drug substance derived from one or
more plants, algae, or macroscopic
fungi, but does not include a highly
purified or chemically modified
substance derived from such a source.
(3) Sponsor means the person that
submitted a time and extent application
(TEA) under paragraph (c) of this
section.
(4) Time and extent application (TEA)
means a submission by a sponsor under
paragraph (c) of this section, which will
be evaluated by the agency to determine
eligibility of a condition for
consideration in the OTC drug
monograph system.
(5) Safety and effectiveness data
submission means a data package
submitted by a sponsor that includes
safety and effectiveness data and
information under paragraph (f) of this
section and that is represented by the
sponsor as being a complete submission.
(6) Date of filing means the date of the
notice from FDA informing the sponsor
that FDA has made a threshold
determination that the safety and
effectiveness data submission is
sufficiently complete to permit a
substantive review; or, if the submission
is filed over protest in accordance with
paragraph (j)(3) of this section, the date
of filing is the date of the notice from
FDA informing the sponsor that FDA
has filed the submission over protest
(this date will be no later than 30 days
after the sponsor’s request that FDA file
the submission over protest).
(7) Feedback letter means a letter
issued by the agency in accordance with
paragraph (g)(4) of this section that
informs the sponsor and other interested
parties who have submitted data under
paragraph (f) of this section that a
condition is initially determined not to
be generally recognized as safe and
effective (GRASE).
*
*
*
*
*
(f) Safety and effectiveness data
submission. The notice of eligibility
shall request that the sponsor submit a
safety and effectiveness data submission
that includes published and
unpublished data to demonstrate the
safety and effectiveness of the condition
for its intended OTC use(s). The notice
of eligibility will also request data and
views from other interested parties.
These data shall be submitted to a
docket established in the Division of
Dockets Management and shall be
publicly available for viewing at that
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18:23 Apr 01, 2016
Jkt 238001
office, except data deemed confidential
under 18 U.S.C. 1905, 5 U.S.C. 552(b),
or 21 U.S.C. 331(j). Data considered
confidential under these provisions
must be clearly identified. Any
proposed compendial standards for the
condition shall not be considered
confidential. The safety and
effectiveness data submission must be
sufficiently complete to be filed by the
agency under paragraph (j)(2) of this
section. Safety and effectiveness data
and other information submitted under
this paragraph are subject to the
requirements in § 330.10(c), (e), and (f).
The safety and effectiveness data
submission must include the following:
*
*
*
*
*
(g) * * *
(4) If the condition is initially
determined not to be GRASE for OTC
use in the United States, the agency will
inform the sponsor and other interested
parties who have submitted data of its
determination by feedback letter, a copy
of which will be placed on public
display in the docket established in the
Division of Dockets Management. The
agency will publish a notice of proposed
rulemaking to include the condition in
§ 310.502 of this chapter.
*
*
*
*
*
(j) Filing determination. (1) After FDA
receives a safety and effectiveness data
submission, the agency will determine
whether the submission may be filed.
The filing of a submission means that
FDA has made a threshold
determination that the submission is
sufficiently complete to permit a
substantive review.
(2) If FDA finds that none of the
reasons in paragraph (j)(4) of this
section for refusing to file the safety and
effectiveness data submission apply, the
agency will file the submission and
notify the sponsor in writing. The date
of filing begins the FDA timelines
described in § 330.15(c)(3) and (4).
(3) If FDA refuses to file the safety and
effectiveness data submission, the
agency will notify the sponsor in
writing and state the reason(s) under
paragraph (j)(4) of this section for the
refusal. The sponsor may request in
writing, within 30 days of the date of
the agency’s notification, an informal
conference with the agency about
whether the agency should file the
submission, and FDA will convene the
meeting within 30 days of the request.
If, within 120 days after the informal
conference, the sponsor requests that
FDA file the submission (with or
without correcting the deficiencies), the
agency will file the safety and
effectiveness data submission over
protest under paragraph (j)(2) of this
PO 00000
Frm 00026
Fmt 4702
Sfmt 4702
19085
section, notify the sponsor in writing,
and review it as filed. The sponsor need
not resubmit a copy of a safety and
effectiveness data submission that is
filed over protest.
(4) FDA may refuse to file a safety and
effectiveness data submission if any of
the following applies:
(i) The submission is incomplete
because it does not contain information
required under paragraph (f) of this
section. If the submission does not
contain required information because
such information or data are not
relevant to the condition, the
submission must clearly identify and
provide an explanation for the omission.
(ii) The submission is not organized
or formatted in a manner to enable the
agency to readily determine if it is
sufficiently complete to permit a
substantive review.
(iii) The submission does not contain
a signed statement that the submission
represents a complete safety and
effectiveness data submission and that
the submission includes all the safety
and effectiveness data and information
available to the sponsor at the time of
the submission, whether positive or
negative.
(iv) The submission does not contain
an analysis and summary of the data
and other supporting information,
organized by clinical or nonclinical
area, such as clinical efficacy data,
clinical safety data, clinical
pharmacology, adverse event reports,
animal toxicology, chemistry data, and
compendial status.
(v) The submission does not contain
a supporting document summarizing the
strategy used for literature searches,
including search terms, sources, dates
accessed and years reviewed.
(vi) The submission does not contain
a reference list of supporting
information, such as published
literature, unpublished information,
abstracts and case reports, and a copy of
the supporting information.
(vii) The submission includes data or
information relevant for making a
GRASE determination marked as
confidential without a statement that
the information may be released to the
public.
(viii) The submission does not contain
a complete environmental assessment
under § 25.40 of this chapter or fails to
provide sufficient information to
establish that the requested action is
subject to categorical exclusion under
§ 25.30 or § 25.31 of this chapter.
(ix) The submission does not contain
a statement for each nonclinical
laboratory study that it was conducted
in compliance with the requirements set
forth in part 58 of this chapter, or, if it
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04APP1
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Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Proposed Rules
mstockstill on DSK4VPTVN1PROD with PROPOSALS
was not conducted in compliance with
part 58 of this chapter, a brief statement
of the reason for the noncompliance.
(x) The submission does not contain
a statement for each clinical
investigation involving human subjects
that it was conducted in compliance
with the institutional review board
regulations in part 56 of this chapter, or
was not subject to those regulations, and
that it was conducted in compliance
with the informed consent regulations
in part 50 of this chapter.
(xi) The submission does not include
financial certification or disclosure
statements, or both, as required by part
54 of this chapter, accompanying any
clinical data submitted.
(k) Withdrawal of consideration. (1)
FDA may withdraw consideration of a
TEA submission or a safety and
effectiveness data submission if:
(i) The sponsor requests that its
submission be withdrawn from
consideration, or
(ii) FDA deems the submission to be
withdrawn from consideration due to
the sponsor’s failure to act on the
submission or failure to respond to
communications from FDA.
(2) Before FDA deems a submission
withdrawn under paragraph (k)(1)(ii) of
this section, FDA will notify the sponsor
of the submission. If, within 30 days
from the date of the notice from FDA,
the sponsor requests that FDA not
withdraw consideration of the
submission, FDA will not deem the
submission to be withdrawn.
(3) If FDA withdraws consideration of
a submission under paragraph (k)(1) of
this section, FDA will post a notice of
withdrawal to the docket. Information
that has been posted to the public
docket for the TEA at the time of the
withdrawal (such as a notice of
eligibility or a safety and effectiveness
data submission that has been accepted
for filing and posted to the docket) will
remain on the public docket.
(4) If FDA withdraws consideration of
a submission under paragraph (k)(1) of
this section, the timelines under
§ 330.15(c) will no longer apply as of the
date of withdrawal, and the submission
will not be included in the metrics
under § 330.15(b).
■ 3. Add § 330.15 to subpart B to read
as follows:
§ 330.15 Timelines for FDA review and
action on time and extent applications and
safety and effectiveness data submissions.
(a) Applicability. This section applies
to the review of a condition in a time
and extent application (TEA) submitted
under § 330.14 for consideration in the
over-the-counter (OTC) drug monograph
system. This section does not apply to:
VerDate Sep<11>2014
18:23 Apr 01, 2016
Jkt 238001
(1) A sunscreen active ingredient or
combination of sunscreen active
ingredients, and other conditions for
such ingredients, or
(2) A non-sunscreen active ingredient
or combination of non-sunscreen active
ingredients and other conditions for
such ingredients submitted in a TEA
under § 330.14 prior to November 27,
2014, subject to section 586F(a)(1)(C) of
the Federal Food, Drug, and Cosmetic
Act.
(b) Metrics. FDA will maintain and
update annually, a publicly available
posting of metrics for the review of
TEAs and safety and effectiveness data
submissions that are subject to the
timelines in this section. The posting
will contain the following information
for tracking the extent to which the
timelines set forth in paragraph (c) of
this section were met during the
previous calendar year.
(1) Number and percent of eligibility
notices or ineligibility letters issued
within 180 days of submission of a TEA;
(2) Number and percent of filing
determinations issued within 90 days of
submission of a safety and effectiveness
data submission;
(3) If applicable, number and percent
of feedback letters issued within 730
days from the date of filing;
(4) Number and percent of notices for
proposed rulemaking issued within
1,095 days from the date of filing;
(5) Number and percent of final rules
issued within 912 days of closing of the
docket of the proposed rulemaking; and
(6) Total number of TEAs submitted
under § 330.14.
(c) Timelines for FDA review and
action. FDA will review and take an
action within the following timelines:
(1) Within 180 days of submission of
a TEA under § 330.14(c), FDA will issue
a notice of eligibility or post to the
docket a letter of ineligibility, in
accordance with § 330.14(d) and (e).
(2) Within 90 days of submission by
the sponsor of a safety and effectiveness
data submission, FDA will issue a filing
determination in accordance with
§ 330.14(j). The date of filing begins the
FDA timelines in paragraphs (c)(3) and
(4) of this section.
(3) Within 730 days from the date of
filing, if the condition is initially
determined not to be GRASE for OTC
use in the United States, FDA will
inform the sponsor and other interested
parties who have submitted data of its
determination by feedback letter in
accordance with § 330.14(g)(4).
(4) Within 1,095 days from the date of
filing of a safety and effectiveness data
submission, FDA will issue a notice of
proposed rulemaking to either:
PO 00000
Frm 00027
Fmt 4702
Sfmt 4702
(i) Include the condition in an
appropriate OTC monograph(s), either
by amending an existing monograph(s)
or establishing a new monograph(s), if
necessary; or
(ii) Include the condition in § 310.502
of this chapter.
(5) Within 912 days of the closing of
the docket of the proposed rulemaking
under paragraph (c)(4) of this section,
FDA will issue a final rule.
Dated: March 29, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016–07612 Filed 4–1–16; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF THE TREASURY
Financial Crimes Enforcement Network
31 CFR Parts 1010 and 1023
RIN 1506–AB29
Amendments to the Definition of
Broker or Dealer in Securities
Financial Crimes Enforcement
Network (‘‘FinCEN’’), Treasury.
ACTION: Notice of proposed rulemaking.
AGENCY:
FinCEN, a bureau of the
Department of the Treasury, is
proposing amendments to the
definitions of ‘‘broker or dealer in
securities’’ and ‘‘broker-dealer’’ under
the regulations implementing the Bank
Secrecy Act. This rulemaking would
amend those definitions explicitly to
include funding portals that are
involved in the offering or selling of
crowdfunding securities pursuant to
section 4(a)(6) of the Securities Act of
1933. The consequence of those
amendments would be that funding
portals would be required to implement
policies and procedures reasonably
designed to achieve compliance with
the Bank Secrecy Act requirements
currently applicable to brokers or
dealers in securities. The proposal to
specifically require funding portals to
comply with the Bank Secrecy Act
regulations is intended to help prevent
money laundering, terrorist financing,
and other financial crimes.
DATES: Written comments on this Notice
of Proposed Rulemaking (‘‘NPRM’’)
must be submitted on or before June 3,
2016.
ADDRESSES: Comments may be
submitted, identified by Regulatory
Identification Number (RIN) 1506–
AB29, by any of the following methods:
• Federal E-rulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
SUMMARY:
E:\FR\FM\04APP1.SGM
04APP1
Agencies
[Federal Register Volume 81, Number 64 (Monday, April 4, 2016)]
[Proposed Rules]
[Pages 19069-19086]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-07612]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
21 CFR Part 330
[Docket No. FDA-2016-N-0543]
RIN 0910-AH30
Food and Drug Administration Review and Action on Over-the-
Counter Time and Extent Applications
AGENCY: Food and Drug Administration, HHS.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is proposing
to amend its nonprescription (over-the-counter or OTC) drug
regulations. The proposed rule, if finalized as proposed, would
supplement the time and extent application (TEA) process for OTC drugs
by establishing timelines and performance metrics for FDA's review of
non-sunscreen TEAs, as required by the Sunscreen Innovation Act (SIA).
We are also proposing other changes to make the TEA process more
efficient.
DATES: Submit either electronic or written comments on the proposed
rule by June 3, 2016. Submit comments on information collection issues
under the Paperwork Reduction Act of 1995 by June 3, 2016, (see the
``Paperwork Reduction Act of 1995'' section of this document).
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-2016-N-0543 for ``Food and Drug Administration Review and Action on
Over-the-Counter Time and Extent Applications.'' 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
[[Page 19070]]
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 comments on information collection issues to the Office of
Management and Budget in the following ways:
Fax to the Office of Information and Regulatory Affairs,
OMB, Attn: FDA Desk Officer, FAX: 202-395-7285, or email to
oira_submission@omb.eop.gov. All comments should be identified with the
title, Food and Drug Administration Review and Action on
Over[hyphen]the[hyphen]Counter Time and Extent Applications.
FOR FURTHER INFORMATION CONTACT: With regard to the proposed rule:
Kristin Hardin, Center for Drug Evaluation and Research (CDER), Food
and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD
20993, 240-402-4246, Kristen.Hardin@fda.hhs.gov.
With regard to the information collection: Ila Mizrachi, Office of
Operations, Food and Drug Administration, 8455 Colesville Rd., Rm.
14526, Silver Spring, MD 20993-0002, PRAStaff@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Executive Summary
A. Purpose and Scope of the Proposed Rule
B. Summary of the Major Provisions of the Proposed Rule
C. Legal Authority
D. Costs and Benefits
II. Table of Abbreviations and Acronyms Commonly Used in This
Document
III. Background
A. FDA Regulation of Over-The-Counter (OTC) Drugs
B. The Sunscreen Innovation Act (SIA)
IV. Legal Authority
V. Description of the Proposed Rule
A. Timelines for FDA Review and Action on Time and Extent
Applications and Safety and Effectiveness Data Submissions (Proposed
New Sec. 330.15)
B. Amendments to Sec. 330.14 ``Additional criteria and
procedures for classifying OTC drugs as generally recognized as safe
and effective and not misbranded''
VI. Proposed Effective Date
VII. Economic Analysis of Impacts
A. Introduction
B. Summary
VIII. Analysis of Environmental Impact
IX. Paperwork Reduction Act of 1995
X. Federalism
XI. References
I. Executive Summary
A. Purpose and Scope of the Proposed Rule
This proposed rule is intended to implement part of the Sunscreen
Innovation Act (SIA) (21 U.S.C. Ch. 9 sub. 5 part I, enacted November
26, 2014). Among other provisions, the SIA amended the Federal Food,
Drug, and Cosmetic Act (FD&C Act) by adding section 586F to the FD&C
Act. Section 586F(b) directs FDA to issue regulations establishing
timelines and related performance metrics for the review of certain
submissions under FDA's regulation governing TEAs, which is codified at
21 CFR 330.14. The TEA regulation sets forth criteria and procedures by
which OTC drugs initially marketed in the United States after the OTC
Drug Review began in 1972 and OTC drugs without any U.S. marketing
experience can be considered in the OTC drug monograph system. If a
drug meets each of the conditions contained in any applicable OTC drug
monograph, and other applicable regulations, it is considered generally
recognized as safe and effective (GRASE) and not misbranded, and is not
required by FDA to be approved in a new drug application (NDA) under
section 505 of the FD&C Act. Drugs determined to be not GRASE (or non-
monograph) must be approved under section 505 of the FD&C Act before
being marketed in the United States (see section II.A. for more detail
on the OTC Drug Review and the TEA process).
Section 586F(b) of the FD&C Act specifically requires FDA to issue
regulations providing for the timely and efficient review of
submissions under the TEA regulation, including establishing (1)
reasonable timelines for reviewing and acting on such submissions for
non-sunscreen OTC active ingredients and other conditions (non-
sunscreen TEA conditions) and (2) measurable metrics for tracking the
extent to which such timelines are met.
FDA is also proposing to amend the TEA regulation to make the TEA
process more efficient and predictable for both product sponsors and
FDA by adding filing determination requirements and criteria and by
addressing the withdrawal of consideration of TEA and safety and
effectiveness data submissions.
The timelines and metrics in this proposed rule would apply to non-
sunscreen TEA conditions (see section V.A for more detail). FDA is
addressing timelines for review of sunscreen active ingredients and
other related topics regarding sunscreens separately, under other
provisions of the SIA (see section II.B for more detail).
B. Summary of the Major Provisions of the Proposed Rule
The proposed rule implements the SIA requirements for non-sunscreen
TEAs by adding proposed new Sec. 330.15 to FDA's OTC drug monograph
regulations (21 CFR part 330). The proposed new section has two major
provisions regarding actions to be taken by FDA, consistent with
requirements in the SIA. In particular, proposed Sec. 330.15(c)
establishes timelines for FDA to review and take action on non-
sunscreen TEA conditions, and proposed Sec. 330.15(b) describes
measurable metrics that FDA will use for tracking the extent to which
the timelines set forth in the regulations are met. Proposed Sec.
330.15(a) generally limits the applicability of these timelines to non-
sunscreen TEAs submitted after the enactment of the SIA, with one
exception.
We are proposing to amend Sec. 330.14 to:
Add provisions concerning filing determinations regarding
safety and effectiveness data submissions for eligible TEA conditions
(i.e., determinations as to whether such submissions are sufficiently
complete to permit a substantive review by FDA) (Sec. 330.14(j)),
add provisions regarding the withdrawal of consideration
of TEAs and safety and effectiveness data submissions (Sec.
330.14(k)),
add certain definitions (Sec. 330.14(a)), and
make minor conforming and clarifying changes.
C. Legal Authority
This rule is proposed under FDA's authority to regulate OTC drug
products under the FD&C Act (see sections 201, 501, 502, 503, 505, 510,
586F, and 701(a) of the FD&C Act (21 U.S.C. 321, 351, 352, 353, 355,
360, 360fff-6, and 371(a))). As stated in the Federal Register of
January 22, 2002 (67 FR 3069), in which the final rule establishing the
TEA process was published, submission of an NDA has
[[Page 19071]]
been required before marketing a new drug since passage of the FD&C Act
in 1938 (21 U.S.C. 355). To market a new drug, it must first be
approved under section 505 of the FD&C Act. Section 701(a) of the FD&C
Act authorizes FDA to issue regulations for the efficient enforcement
of the FD&C Act. FDA's regulations in 21 CFR part 330 describe the
conditions for a drug to be considered GRASE and not misbranded. If a
drug meets each of the conditions contained in part 330, as well as
each of the conditions contained in any applicable OTC drug monograph,
and other applicable regulations, it is considered GRASE and not
misbranded, and is not required by FDA to obtain approval under section
505 of the FD&C Act.
In addition, section 586F of the FD&C Act requires FDA to issue
regulations providing for the timely and efficient review of certain
submissions under the TEA regulation at 21 CFR 330.14. Section 586F of
the FD&C Act specifically requires these regulations to include
timelines and metrics associated with the review of those submissions
under the TEA regulation. Proposed Sec. 330.15 would add timeline and
metrics provisions that are intended to implement section 586F of the
FD&C Act.
D. Costs and Benefits
We expect that the proposed rule would make the TEA process more
efficient and predictable, and improve communication between FDA and
sponsors. Sponsors may benefit from knowing if additional data is
needed and what optimal steps to take to receive a GRASE determination,
and we would be able to bring resolution to TEA conditions. However, we
do not know the monetary value of added predictability to sponsors.
We expect the rule would create a minimal burden on sponsors,
primarily when they send a letter to request a meeting with us. Thus,
we anticipate no increase in annual recurring costs for either small or
large sponsors. We expect the six current sponsors of non-sunscreen
TEAs covering conditions that have been found eligible to be considered
for inclusion in the OTC drug monograph system would incur one-time
costs to read and understand the proposed rule. We also estimate
sponsors will submit two additional TEAs annually, and each of these
sponsors would also spend time reading and understanding the proposed
rule. The present value of the total costs over 10 years ranges from
about $17,000 to $35,000 with a 7 percent discount rate and from about
$19,000 to $38,000 with a 3 percent discount rate. With a discount rate
of 7 percent and 3 percent, we estimate that on average affected
sponsors would incur less than $150 of annualized costs per year.
II. Table of Abbreviations and Acronyms Commonly Used in This Document
ANDA Abbreviated New Drug Application
FDA Food and Drug Administration
FD&C Act Federal Food, Drug, and Cosmetic Act
GRASE Generally Recognized as Safe and Effective
HHS U.S. Department of Health and Human Services
NDA New Drug Application
NOE Notice of Eligibility
NPRM Notice of Proposed Rulemaking
OMB Office of Management and Budget
OTC Over-the-Counter
PRA Paperwork Reduction Act
SIA Sunscreen Innovation Act of 2014
TEA Time and Extent Application
III. Background
A. FDA Regulation of Over-the-Counter (OTC) Drugs
The OTC drug monograph system was established to evaluate the
safety and effectiveness of all OTC drug products marketed in the
United States before May 11, 1972, that were not covered by new drug
applications (NDAs) and all OTC drug products covered by ``safety''
NDAs that were marketed in the United States before enactment of the
1962 drug amendments to the FD&C Act. In 1972, FDA began its OTC Drug
Review to evaluate OTC drugs by categories or classes (e.g.,
sunscreens, antacids), rather than on a product-by-product basis, and
to develop ``conditions'' under which classes of OTC drugs are GRASE
and not misbranded.
FDA publishes these conditions in the Federal Register in the form
of OTC drug monographs, which consist primarily of active ingredients,
labeling, and other general requirements. Final monographs for OTC
drugs that are GRASE and not misbranded are codified in 21 CFR part
330. Manufacturers of drugs that meet each of the conditions contained
in part 330, including each of the conditions contained in any
applicable OTC drug monograph, and other applicable regulations, need
not seek FDA clearance before marketing.
Initially, OTC drug conditions not marketed in the U.S. prior to
the inception of the OTC Drug Review were not eligible for review under
the OTC drug monograph process. The TEA process, established by
regulations finalized in 2002 (21 CFR 330.14), expanded the scope of
the OTC Drug Review. A ``condition,'' for purposes of the TEA
regulation, is an active ingredient or botanical drug substance (or a
combination of active ingredients or botanical drug substances), dosage
form, dosage strength, or route of administration marketed for a
specific OTC use. The TEA process provides a potential pathway for OTC
conditions, including newer active ingredients that previously had no
U.S. marketing history or that were marketed in the United States after
the OTC Drug Review began, to be marketed under an OTC drug monograph.
Active ingredients and other conditions that satisfy the TEA
eligibility requirements are subject to the same safety, effectiveness,
and labeling standards that apply to other conditions under the OTC
monograph process (see 21 CFR 330.14(g)). The TEA regulation requires
multi-step, notice-and-comment rulemaking procedures before an active
ingredient or other condition is added to an OTC drug monograph.
The TEA process begins with the submission of a TEA containing data
documenting the OTC marketing history of the active ingredient,
combination of active ingredients, or other condition(s) (e.g., a new
dosage strength for an active ingredient already included in an OTC
drug monograph). FDA reviews the application and determines whether the
sponsor's marketing data establish that the condition or conditions
have been marketed to a material extent and for a material time, as set
forth in the TEA regulation's eligibility requirements. If the
condition is not found eligible, FDA will send a letter to the sponsor
explaining why the condition was not found acceptable. If the marketing
data satisfy the TEA regulation's eligibility criteria, FDA publishes a
notice of eligibility (NOE) in the Federal Register announcing that the
active ingredient or other condition is being considered for inclusion
in an OTC drug monograph and calling for submissions of safety and
efficacy data for the proposed OTC use.
We note that although a TEA is the application regarding the time
and extent of marketing, which leads to an eligibility determination
(resulting in publication of an NOE or a letter of ineligibility),
references to TEAs or applications under section 330.14 (including in
the SIA) sometimes encompass FDA's review of the condition's
eligibility and the GRASE determination for the condition. Thus, these
references may be used to mean the TEA itself, the safety and
[[Page 19072]]
effectiveness data submission, FDA's GRASE determination, associated
order or rulemaking actions, or all of these. In this proposed rule and
preamble, the terms ``TEA'' and ``safety and effectiveness data
submission'' are used, where appropriate, to describe the two distinct
submissions under the TEA regulation. However, the term ``TEA process''
may be used when referring to one or more actions under the TEA
regulation.
If, after FDA reviews the safety and effectiveness data, the Agency
initially determines that the active ingredient or other condition is
GRASE, it will publish a proposed rule to include the condition in an
appropriate OTC drug monograph.
If the condition is initially determined not to be GRASE, FDA will
inform the sponsor and other interested parties that submitted data of
its decision by letter, and will include the letter in the relevant
public docket (Sec. 330.14(g)(4)). The Agency will also publish a
notice of proposed rulemaking to include the condition in Sec.
310.502. The sponsor and other interested parties will have an
opportunity to submit comments and new data on FDA's initial
determination and proposed rule (Sec. 330.14(g)(5)). After evaluation
of any additional data submitted, FDA will either issue a final rule or
a new proposed rule, if necessary, in the Federal Register.
B. The Sunscreen Innovation Act (SIA)
In November 2014, Congress passed the SIA to supplement the TEA
process with regard to both sunscreen and non-sunscreen OTC drug
products. Proposed Sec. 330.15 addresses section 586F of the FD&C Act,
which was added by the SIA and only applies to TEAs for drugs other
than nonprescription sunscreen active ingredients or combinations of
nonprescription sunscreen active ingredients (see sections 586 and 586F
of the FD&C Act, as amended by the SIA). For FDA review of non-
sunscreen TEA conditions, section 586F includes two main requirements,
one regarding timelines for review of eligible TEA conditions pending
before the date of enactment of the SIA, and the other regarding
timelines and performance metrics for the TEA process going forward.
The first general requirement (see FD&C Act section 586F(a)) is
that FDA provide the option of selecting one of four frameworks for
review to each non-sunscreen TEA sponsor who (1) had submitted a TEA
for a condition that had been deemed eligible to be considered for
inclusion in the OTC monograph system before the date of enactment of
the SIA, and (2) requested the framework option within 180 days after
enactment. FDA was required to provide the framework options to
requesting sponsors by no later than one year after enactment of the
SIA (by November 26, 2015). Before the date of SIA enactment, there
were six non-sunscreen TEAs for conditions that had been found eligible
to be considered for inclusion in the OTC drug monograph system: (1)
Piroctone olamine (for dandruff control) (69 FR 7652, 2/18/04; Docket
2004N-0050 (FDA-2004-N-0037)); (2) triclosan (for oral healthcare) (69
FR 40640, 7/6/04; Docket 1981N-0033P (FDA-1981-N-0015)); (3) triclosan
(for acne treatment) (70 FR 72447, 12/5/05; Docket 2005N-0445 (FDA-
2005-N-0454)); (4) climbazole (for dandruff control) (70 FR 72448, 12/
5/05; Docket 2005N-0444 (FDA-2005-N-0021)); (5) sodium picosulfate (for
laxative use) (71 FR 35917, 6/22/06; Docket 2006O-0232 (FDA-2006-O-
0057)); and (6) sodium shale oil sulfonate (for dandruff control) (74
FR 15741, 4/7/09; Docket FDA-2009-N-0146).
The sponsors of three of those TEAs requested that FDA provide a
review framework by the deadline established in section 586F(a) of the
FD&C Act. The three TEAs are for: (1) Piroctone olamine (for dandruff
control) (69 FR 7652, 2/18/04; Docket 2004N-0050 (FDA-2004-N-0037));
(2) sodium picosulfate (for laxative use) (71 FR 35917, 6/22/06; Docket
2006O-0232 (FDA-2006-O-0057)); and (3) sodium shale oil sulfonate (for
dandruff control) (74 FR 15741, 4/7/09; Docket FDA-2009-N-0146). FDA
provided the review framework options to the requesting sponsors on
November 24, 2015. With regard to the three sponsors who did not
request or elect a framework in accordance with section 586F(a) of the
FD&C Act, the eligible conditions addressed by their TEAs will be
reviewed under the timelines set forth in proposed Sec. 330.15 (if
finalized as proposed).
The second general requirement (see FD&C Act section 586F(b)) is
that FDA issue a regulation that includes (1) timelines for review of
non-sunscreen TEA conditions and (2) measurable metrics for tracking
the extent to which the timelines are met. This proposed rule includes
both timelines and metrics, as required by the SIA.
FDA has determined that with regard to non-sunscreen TEAs, the best
way to both address the statutory requirements of the SIA and to make
certain FDA-initiated modifications to the TEA process set forth in
Sec. 330.14 is to (1) establish a new section (proposed Sec. 330.15)
that is specific to non-sunscreen TEA conditions, and (2) amend Sec.
330.14 with regard to process improvements for TEAs for all OTC drugs
(such as providing format and content criteria for a filing
determination and addressing withdrawal of consideration).
In addition to developing new Sec. 330.15, which implements SIA
requirements with regard to the TEA process for non-sunscreens, FDA
proposes to make certain changes to the process set forth in Sec.
330.14 that we believe will make the TEA process more clear and
efficient for both sponsors and FDA. These proposed changes to Sec.
330.14 are discussed in more detail in this document, but notably
include provisions that address filing determination requirements with
regard to safety and effectiveness data submissions (to allow FDA to
determine, and sponsors to know, early on whether a submission is
sufficiently complete to permit a substantive review) and provisions
regarding withdrawal of consideration of a TEA or safety and
effectiveness data submission.
IV. Legal Authority
This rule is being proposed under FDA's authority to regulate OTC
drug products under the FD&C Act (see sections 201, 501, 502, 503, 505,
586F, and 701(a) of the FD&C Act (21 U.S.C. 321, 351, 352, 353, 355,
360fff-6, and 371(a))). As stated in the Federal Register of January
22, 2002 (67 FR 3069), in which the final rule establishing the TEA
process was published, submission of an NDA has been required before
marketing a new drug since passage of the FD&C Act in 1938 (21 U.S.C.
355). To market a new drug, it must first be approved under section 505
of the FD&C Act. Section 701(a) of the FD&C Act authorizes FDA to issue
regulations for the efficient enforcement of the FD&C Act. FDA's
regulations in 21 CFR part 330 describe the conditions for a drug to be
considered GRASE and not misbranded. If a drug meets each of the
conditions contained in part 330, as well as each of the conditions
contained in any applicable OTC drug monograph, and other applicable
regulations, it is considered GRASE and not misbranded, and is not
required by FDA to obtain approval under section 505 of the FD&C Act.
In addition, section 586F of the FD&C Act requires FDA to issue
regulations providing for the timely and efficient review of certain
submissions under the TEA regulation at 21 CFR 330.14. Section 586F of
the FD&C Act specifically requires these regulations to
[[Page 19073]]
include timelines and metrics associated with the review of certain
submissions under the TEA regulation. Proposed Sec. 330.15 would add
timeline and metrics provisions that are intended to implement section
586F of the FD&C Act.
V. Description of the Proposed Rule
In this rule, we are proposing to establish new Sec. 330.15 and to
amend current Sec. 330.14. In particular, we are proposing to: (1)
Establish timelines and metrics for review of non-sunscreen TEA
conditions, (2) add provisions concerning filing determination
requirements with regard to the content and format of safety and
effectiveness data submissions under Sec. 330.14(f), (3) address
withdrawal of consideration of TEAs and safety and effectiveness data
submissions, (4v) add related definitions, and (5) make clarifying and
conforming changes to the TEA regulation. These proposed changes are
discussed in detail in this section.
A. Timelines for FDA Review and Action on Time and Extent Applications
and Safety and Effectiveness Data Submissions (Proposed Sec. 330.15)
The SIA mandates that FDA issue regulations to establish timelines
and metrics regarding the review of non-sunscreen TEA conditions, and
provides that the proposed timelines may vary based on the content,
complexity, and format of the submission, and that they must (1)
reflect FDA's public health priorities, including the potential public
health benefits posed by the inclusion of additional drugs in the OTC
drug monograph system, (2) take into consideration the availability of
FDA resources for carrying out such priorities and the relevant review
processes and procedures, and (3) be reasonable, taking into account
the required consideration of priorities and resources (FD&C Act
section 586F(b)(2)). Proposed Sec. 330.15 is intended to implement
these requirements.
1. Applicability (See Proposed Sec. 330.15(a))
As a general matter, the timeline provisions in proposed Sec.
330.15 apply to FDA and are triggered by specific actions by sponsors,
such as submission of a TEA or submission of a safety and effectiveness
data submission (as defined in proposed Sec. 330.14(a)) and, in some
cases, FDA (e.g., the date of filing). The metrics provisions also
apply to FDA.
Proposed Sec. 330.15(a) describes which TEA conditions are subject
to the timelines for FDA review and action in this section and which
are not. We invite comment on the proposed applicability of this
section. In particular, FDA is proposing that the review of an active
ingredient or other condition in a TEA submitted under Sec. 330.14 for
consideration in the OTC drug monograph system would be subject to the
proposed timelines, with two exceptions.
First, in Sec. 330.15(a)(1), FDA proposes that Sec. 330.15 does
not apply to a sunscreen active ingredient or a combination of
sunscreen active ingredients or other conditions for such ingredients.
Section 586F(b) of the FD&C Act directs the Agency to issue regulations
establishing timelines for drugs other than nonprescription sunscreen
active ingredients or combinations of nonprescription sunscreen active
ingredients. The SIA recognizes that active ingredients can only be
GRASE under specified conditions. For example, section 586A of the FD&C
Act, which was added by the SIA to provide an alternative route for
inclusion in the sunscreen monograph, states that a person may submit a
request to FDA for a determination of whether a nonprescription
sunscreen active ingredient or combination of ingredients, for use
under specified conditions, to be prescribed, recommended, or suggested
in the labeling thereof (including dosage form, dosage strength, and
route of administration) is GRASE. Because the TEA regulation addresses
active ingredients and other conditions, including dosage forms, and an
active ingredient can only be GRASE under specified conditions, we
understand the reference to TEAs for drugs other than sunscreen active
ingredients in section 586F(b) of the FD&C Act to be distinguishing
sunscreen active ingredients and related conditions from non-sunscreen
active ingredients and related conditions. Furthermore, ``pending
requests'' for sunscreen active ingredients under the SIA are subject
to the provisions of section 586C(b) of the FD&C Act, as amended by the
SIA (21 U.S.C. 360fff-3(b)), which include timeframes for FDA review
and action. Therefore, under proposed Sec. 330.15(a), Sec. 330.15
would not apply to sunscreen active ingredients and related conditions.
Second, in Sec. 330.15(a)(2), FDA proposes that Sec. 330.15
generally does not apply to non-sunscreen active ingredients or other
conditions submitted in TEAs under Sec. 330.14 on or before the date
of enactment of the SIA. Section 586F(b)(1) of the FD&C Act directs the
Agency to issue regulations establishing timelines for the review of
TEA conditions submitted after the date of enactment of the SIA.
However, as provided in the SIA, any non-sunscreen TEA conditions
determined to be eligible to be considered for inclusion in the OTC
drug monograph system before the date of enactment of the SIA, for
which the sponsor did not request a framework for review under section
586F(a)(1), will also be reviewed under the timelines set forth in
Sec. 330.15(c) of this proposed rule (see FD&C Act section
586F(a)(1)(C)) (if finalized as proposed). Accordingly, the scope of
the exclusion in proposed Sec. 330.15(a)(2) references section
586F(a)(1)(C) of the FD&C Act to account for such TEA conditions.
For sponsors of TEAs covering conditions that had been found
eligible to be considered for inclusion in the OTC drug monograph
system before the date of enactment of the SIA who elected to choose a
framework for review, FDA was required to provide four optional
frameworks that set forth timelines for FDA review (FD&C Act section
586F(a)((2)). The frameworks included timelines for review if the
sponsors choose an order process with or without a filing
determination, or a rulemaking process with or without a filing
determination. A notification of optional frameworks was provided to
each requesting sponsor on November 24, 2015. Before the date of
enactment of the SIA, there were six non-sunscreen TEA conditions that
were found by FDA to be eligible to be considered for inclusion in the
OTC drug monograph system (listed in section II.B). Of these, three
sponsors elected a framework for review, and three did not (listed in
section II.B).
2. Timelines for FDA Review and Action (Proposed New Sec. 330.15(c)).
As discussed in the introduction to section V.A, section 586F(b) of
the FD&C Act, as amended by the SIA, directs FDA to establish timelines
for the review of certain TEA conditions. As also discussed in section
V.A.1, in addition to applying to new non-sunscreen TEAs, these
timelines would apply to certain non-sunscreen TEA conditions that were
found to be eligible before November 26, 2014. Section 586F(b) of the
FD&C Act also requires timelines for internal procedures related to the
review of safety and effectiveness data submissions.
FDA is proposing to establish the timelines described in this
section of the document for FDA review and action, as described in
proposed new Sec. 330.15(c).
Note that terms for certain actions that begin review timelines for
FDA are defined in proposed amendments to
[[Page 19074]]
Sec. 330.14 (e.g., ``date of filing''). In addition to clarifying that
its definitions apply to proposed Sec. 330.15, proposed Sec.
330.14(a) would clarify the applicability of the definitions in section
201 of the FD&C Act by expressly stating that any relevant definitions
in that section, such as the definition of ``person'' at section
201(e), would apply to Sec. Sec. 330.14 and 330.15.
a. Proposed Timelines
The proposed timelines are:
FDA will issue a notice of eligibility or post to the
docket a letter of ineligibility, in accordance with Sec. 330.14(d)
and (e), within 180 days of submission of a TEA under Sec. 330.14(c).
FDA will issue a filing determination in accordance with
Sec. 330.14(j) within 90 days of receipt by FDA of a safety and
effectiveness data submission from the sponsor under Sec. 330.14(f).
Under proposed Sec. 330.14(a)(5), a safety and effectiveness data
submission is defined as a data package submitted by a sponsor that
includes safety and effectiveness data and information under Sec.
330.14(f) and that is represented by the sponsor as being a complete
submission. Therefore, FDA will not start the 90-day filing
determination period until the sponsor has confirmed that it considers
the submission to contain all data and information required under Sec.
330.14(f) by providing a statement that the submission is a complete
safety and effectiveness data submission. If the sponsor submitted such
a safety and effectiveness data submission at the same time as the
sponsor submitted the TEA, and the condition addressed in the TEA is
deemed eligible for consideration, FDA will issue a filing
determination within 90 days after issuing the notice of eligibility.
If the active ingredient or other condition is initially
determined not to be GRASE, FDA will inform the sponsor and other
interested parties who have submitted data of its determination by
feedback letter in accordance with Sec. 330.14(g)(4), within 730 days
(generally 24 months) from the date of filing. FDA is considering
whether to add a codified provision to address sponsor requests for
additional time in response to a feedback letter and how that would
affect the timeline for review. We welcome comments on this issue.
FDA will issue a notice of proposed rulemaking within
1,095 days (generally 36 months) from the date of filing to either:
[cir] Include the active ingredient or other condition in an
appropriate OTC monograph(s), either by amending an existing
monograph(s) or establishing a new monograph(s), if necessary; or
[cir] Include the active ingredient or other condition in Sec.
310.502 (which would require the sponsor to seek approval under section
505 of the FD&C Act before marketing).
FDA will issue a final rule within 912 days (generally 30
months) of the closing of the docket of the proposed rulemaking under
Sec. 330.15(c)(4). If the docket is reopened, the final rule will be
issued within 912 days of the closing of the re-opened docket.
For non-sunscreen TEA conditions that were found to be eligible
before enactment of the SIA and that would be subject to the timelines
in proposed Sec. 330.15, FDA intends to treat the date of publication
of the final rule for Sec. 330.15 to be the date of filing for
purposes of Sec. Sec. 330.14 and 330.15. Therefore, upon the
publication of the final rule, the timelines in proposed Sec.
330.15(c)(3), if applicable, and Sec. 330.15(c)(4) would begin for
these eligible TEA conditions.
b. Development of Timelines
As required by the SIA (section 586F(b)(2) of the FD&C Act), FDA
considered specific factors in developing the timelines in proposed new
Sec. 330.15(c). In particular, the SIA provides that the timelines for
the review of non-sunscreen TEA conditions may vary based on the
content, complexity, and format of the submission, and shall (1)
reflect FDA public health priorities (including potential public health
benefits of including additional drugs in the OTC drug monograph
system), (2) take into consideration the resources available for
carrying out such public health priorities and the relevant review
processes and procedures, and (3) be reasonable, taking into account
the required consideration of priorities and resources just described
(section 586F(b)(2)(A) and (B) of the FD&C Act).
FDA is allowed (for the ``may'' factors) or required (for the
``shall'' factors) to take these factors into account in the timelines
for review of non-sunscreen TEAs and related submissions. These SIA
provisions recognized factors that could possibly affect how long it
may take FDA to complete review of a particular TEA and related
submissions. The timelines proposed in Sec. 330.15 factored in the
considerations that are required under the SIA; they reflect the
projected time necessary for FDA to complete its review of marketing,
filing, and scientific data and other information, as well as to make
tentative and final determinations about the adequacy of the
submissions to ultimately support a finding that the active ingredient
or other condition is or is not GRASE and not misbranded for
nonprescription use, based on the Agency's public health priorities and
the resources available to carry them out. The timelines also include
the projected time necessary to draft and finalize the letters or rules
(proposed and final), and when applicable, prepare the document for
publication in the Federal Register. In addition, the timelines take
into account other activities that may occur during the review, such as
convening an advisory committee meeting, meeting with sponsors, or
both. FDA believes that the proposed timelines are reasonable, taking
into consideration FDA's priorities and resources. More detail on how
FDA took these factors into account is provided in this section.
i. FDA Public Health Priorities
Under section 586F(b)(2)(B)(i) of the FD&C Act, the timelines must
reflect FDA's public health priorities, including the potential public
health benefits posed by the inclusion of additional drugs in the OTC
drug monograph system. FDA has a very broad mandate and multiple public
health priorities, with limited resources to address these priorities.
FDA's Center for Drug Evaluation and Research (CDER) is responsible
for regulating the safety and efficacy of both prescription and
nonprescription human drugs. Like FDA as a whole, CDER must continually
balance multiple important public health priorities, of which the OTC
Drug Review is one. CDER does, and will continue to, consider the OTC
Drug Review among its priorities as it endeavors to appropriately
allocate staff and resources within the context of all CDER
responsibilities.
Examples of how FDA public health priorities may affect the time
required for the review of non-sunscreen TEA conditions under the
proposed timelines include situations such as a public health emergency
or competing high priority work that requires diversion of the staff
assigned to a TEA or safety and effectiveness data submission.
ii. Resources Available for Carrying Out Such Priorities
Under section 586F(b)(2)(B)(ii), the timelines must take into
consideration Agency resources available for carrying out its public
health priorities and the processes and procedures related to the
review of TEA conditions. Examples of resource constraints that may
affect the time required for review include, but are
[[Page 19075]]
not limited to: multiple TEAs arriving at or near the same time;
general expected staff and budget constraints; unexpected staff and
budget constraints; personnel turnover and lag times in hiring new
staff; etc. For example, FDA has only a certain number of trained staff
available to assign to TEA review work, and these staff generally have
other assigned work in addition to TEA reviews.
iii. Reasonableness, Taking Into Consideration Agency Priorities and
Resources
In developing the timelines set forth in proposed new Sec.
330.15(c), FDA has attempted to set reasonable timelines that will be
achievable in most circumstances, given our experience to date with
TEAs and related safety and effectiveness data submissions. While FDA
expects that the filing determination requirements we propose adding to
Sec. 330.14(j) will help to avoid major content and format
deficiencies in incoming safety and effectiveness data submissions,
there is likely still to be some variation in the formatting of
incoming TEAs and safety and effectiveness data submissions, and a
related variation in the ease and efficiency of review.
In determining reasonable timelines, FDA also considered the
potential effect on stakeholders, including TEA sponsors and the
public. In addition to considering the benefits that the proposed
timelines and related metrics would provide to sponsors (e.g., more
transparency regarding the TEA review process, increased predictability
regarding how long each major process step is expected to take, and
metrics on how long each step actually takes), FDA also considered
other potential impacts of the proposed timelines on sponsors,
including concerns regarding the time required to complete the review
and rulemaking process. For each step in the TEA process, FDA attempted
to determine a timeline that is achievable, consistent with timelines
for similar FDA activities in other contexts to the extent possible
(e.g., NDA process timelines, general rulemaking experience),
consistent with the Agency's priorities and resources, and that
reasonably takes into consideration the interests of the public (in
safe and effective OTC drug products) and sponsors (in a timely and
efficient review process). For some steps, this resulted in FDA setting
a shorter timeline than it had previously estimated for the step. For
example, the proposed timeline for the eligibility determination step
(proposed new Sec. 330.15(c)(1)) is 180 days from receipt of a TEA,
which is roughly half the time estimated by FDA for this step in a 2011
guidance to industry (Ref. 1).
Eligibility Determination
With respect to the eligibility determination (Sec. 330.15(c)(1)),
FDA is proposing to review and issue a notice of eligibility or post to
the docket a letter of ineligibility within 180 days of receipt of a
TEA, which FDA considers to be a reasonable timeline, taking into
consideration Agency priorities and resources. As stated previously, in
a 2011 final guidance to industry, FDA previously estimated a 1-year
timeframe for taking this action (Ref. 1).
Filing Determination
FDA is proposing to issue a filing determination within 90 days of
submission by the sponsor of a safety and effectiveness data
submission, which is defined in proposed Sec. 330.14(a), in part, as a
submission that the sponsor has confirmed it considers to be complete
(i.e., contains all data and information required under Sec.
330.14(f)). While this timeline is 30 days longer than the filing
provisions in 21 CFR 314.101 for NDAs and ANDAs, we anticipate that the
filing review of a safety and effectiveness data submission for a
nonprescription active ingredient or other condition may require more
time than an NDA or ANDA review because the submission may consist of
data and information from a wider variety of sources, with possibly a
greater reliance on certain sources (e.g., published literature).
Rulemaking and Feedback Letter
Notice and comment rulemaking is generally a lengthy and multistep
process (Ref. 2). The timelines in this proposed rule are consistent
with the length of time typically required for other rulemaking, and
reflect the amount of time FDA anticipates will be required for the
reviews of safety and effectiveness data submissions and related
rulemaking.
Major steps for FDA rulemaking generally include determination that
a rule is needed and what the rule should say; drafting, reviewing, and
finalizing the proposed rule; publishing the proposed rule; a public
comment period and review of the comments; revising the proposed rule
as appropriate; reviewing the draft final rule and finalizing it, and
publishing the final rule in the Federal Register.
As noted previously, rulemaking is often a lengthy process, and the
OTC Drug Review process (of which the TEA process is a part) offers
additional rulemaking challenges, such as were discussed in a public
meeting on OTC process reform held by FDA in 2014 (``Over-The-Counter
Drug Monograph System--Past, Present and Future; Public Hearing,'' 79
FR 10168, February 24, 2014; Docket No. FDA-2014-N-0202). Additional
information, such as the hearing transcript, is available at https://www.fda.gov/Drugs/NewsEvents/ucm380446.htm. For TEA active ingredients
and other conditions, the timelines for rulemaking involve conducting
the scientific review, making a GRASE determination, and drafting and
finalizing the rule for publication in the Federal Register. FDA
estimates that initial scientific review of a complete safety and
effectiveness data submission, including for new molecular entities
that have never been marketed in the United States, will take
approximately 730 days (generally 24 months). In addition to conducting
this comprehensive review, the timeline may also include other
activities, such as convening an advisory committee (or, under rare
circumstances, an advisory review panel under Sec. 330.10) and meeting
with sponsors.
If the active ingredient or other condition is initially determined
not to be GRASE for OTC use in the United States, FDA will also issue a
feedback letter within this 730-day (generally 24-month) timeline. The
feedback letter may identify the specific gaps in the data or
information necessary to make a GRASE determination, and it provides
the sponsor with time before the NPRM is published that could be used
to begin collecting the data or information required for potential
inclusion in a monograph. We note that a feedback letter reflects the
Agency's initial determination. If FDA does not issue a feedback
letter, it does not guarantee that we will ultimately determine that an
ingredient is GRASE and not misbranded.
FDA proposes to issue an NPRM within 1,095 days (generally 36
months) from the date of filing (as defined in proposed Sec.
330.15(a)(6)). For an active ingredient or other condition that is
initially determined to be GRASE, FDA would issue a proposed rule to
include the condition in the appropriate OTC monograph. For an active
ingredient or other condition that is initially determined not to be
GRASE, FDA would issue a proposed rule to include the condition in 21
CFR 310.502 (the regulation listing drugs that have been accorded new
drug status through rulemaking and must be approved under section 505
of the FD&C Act before marketing). In general, FDA intends to close the
public comment period for the proposed rule at 90 days,
[[Page 19076]]
unless a request to defer further rulemaking to allow the submission of
new safety or effectiveness data to the record is granted.
FDA is proposing to issue a final rule within 912 days (generally
30 months) of the closing of the comment period for the proposed rule.
During this 912-day time period, FDA will review and consider any new
data, information, and public comments submitted to the docket and
draft and publish a final regulation.
Timelines for FDA review and action for sunscreen active
ingredients under sections 586B and 586C of the FD&C Act, as amended by
the SIA, are generally shorter than those in this proposed rule. The
most notable differences are the timelines for proposed and final GRASE
determinations which, under the SIA requirements for sunscreen active
ingredients, are made through an order process rather than a rulemaking
process. The order process eliminates some of the requirements of
rulemaking that are time-consuming and resource intensive.
A 2009 Government Accountability Office (GAO) report (Ref. 3)
examined, among other things, how long agencies, including FDA, take to
issue rules. For the 16 case studies, the report found significant
variation in time to complete rulemaking, with an average of about four
years and a range of one to nearly 14 years. Factors that influenced
the time needed to issue a rule included the complexity of the issues,
Agency priorities, and the amount of internal and external review
required (Ref. 3 at p. 19).
In summary, based on the type of data typically submitted in a TEA,
along with the potential variability in the content and formatting of
that submission, and because of the complex scientific review required
to determine if an active ingredient or other condition is GRASE for
OTC use, the possible use of an advisory committee, and the
requirements for the rulemaking process itself, FDA considers the
timelines put forth in this proposed rule to be reasonable, taking into
consideration Agency priorities and resources. As described in further
detail in the paragraphs that follow, if a TEA and the related safety
and effectiveness data submission are straightforward, well-organized,
and complete, FDA may be able to take action within shorter timeframes
than proposed in this rule.
As stated previously, under section 586F(b)(2)(A) of the FD&C Act,
the timelines established in the regulations required under that
section could vary based on the content, complexity, and format of the
submission. FDA considered a number of timeline options. Ultimately,
FDA determined that instead of setting multiple proposed timelines for
submissions of varying content, complexity, and format, it would be
more efficient and sensible to set one general timeline for the review
of non-sunscreen TEA conditions that accommodates anticipated variation
among submissions. There is likely to be some variation in how quickly
each submission is reviewed, because each will present a unique set of
data and each review will occur in the context of multiple ongoing FDA
activities and priorities. This may result in a review step taking less
time than proposed in Sec. 330.15(c) (for example, if a submission is
well-organized, complete when submitted, and straightforward). In
unusual circumstances, a review or rulemaking step may require a longer
time than proposed in Sec. 330.15(c) (e.g., an unusually high volume
of TEAs submitted, an especially complex new ingredient or other
condition, or a public health emergency that diverts Agency resources).
However, FDA would endeavor to meet the proposed timelines in Sec.
330.15(c) for all submissions, and any missed timelines would be
reflected in the metrics set forth in proposed Sec. 330.15(b). In
summary, the provisions in Sec. 330.15(c) provide sponsors and the
public with consistent timeframes for expected Agency action. In the
paragraphs that follow, we discuss some practical examples of how
certain factors might be expected to impact FDA review of a non-
sunscreen TEA condition:
[cir] Content
The quantity and quality of submitted data can generally impact
FDA's review. If a TEA or safety and effectiveness data submission
includes all the information that is required and all information that
the sponsor wishes to have considered in the initial submission to FDA,
it is likely possible to complete review of the TEA or safety and
effectiveness data submission more quickly than if it has poor quality
data, if FDA finds that clarification or additional data is needed, or
if the sponsor submits additional spontaneous data supplements during
the substantive review.
[cir] Complexity
Complexity, including, among other things, the nature of the active
ingredient or other condition that is the subject of the TEA and the
status of the monograph for the therapeutic category (i.e., final,
tentative, or new) may also impact FDA's review. For example, review of
a TEA and safety and effectiveness data submission for an active
ingredient that has not previously been evaluated under the monograph
for any use would likely be more complex than for an ingredient that is
the subject of a GRASE determination in another monograph category. In
addition, a review that involves a new technology would be more complex
than one that does not.
The OTC monograph status for the therapeutic category (final,
tentative, or new) and the U.S. Pharmacopeia (USP) monograph status
(whether establishment of a USP monograph is required or not) may each
affect the time required for review and rulemaking, in that addition of
an active ingredient or other condition to a final OTC monograph once
the GRASE determination is made would generally be faster than working
with a tentative or new OTC monograph. Also, because a USP monograph
for the ingredient is required before FDA can issue a final rule adding
an active ingredient to an OTC monograph (Sec. 330.14(i)), the USP
monograph status may lengthen the review and rulemaking time.
Finally, if FDA determines that an advisory committee or an
advisory review panel is appropriate (e.g., for a particularly complex
new issue), that process could increase the time required to complete
the review, particularly if the committee's recommendations raised
additional issues to review.
[cir] Format
The format including, among other things, whether a TEA or safety
and effectiveness data submission is well-organized or poorly-
organized, whether some or all of the information is submitted in
electronic format, etc., could also impact FDA's review. We note that
FDA recently issued draft guidance for industry regarding the format
and content of data submissions for nonprescription sunscreen active
ingredients (Ref. 4). A well-formatted TEA can generally be reviewed
more quickly and efficiently than a poorly-organized TEA. In addition,
review could take longer (or result in a refusal to file) if a safety
and effectiveness data submission is disorganized with a structure that
does not facilitate review for completeness, if there are electronic
submissions that cannot be opened or that cannot be readily navigated
(e.g., hyperlinks do not operate), or if there are data tabulations or
graphic displays that are not interpretable, inadequately labeled, or
do not indicate data sources. These issues may arise, in particular,
with regard to safety and effectiveness
[[Page 19077]]
data submissions that are filed over protest.
3. Metrics (Proposed New Sec. 330.15(b))
Section 586F(b) of the FD&C Act requires FDA to establish
measurable metrics for tracking the extent to which the timelines set
forth in the regulations are met (see proposed timelines under Sec.
330.15(c)). FDA is proposing to maintain a publicly available posting
of metrics for the review of TEAs and safety and effectiveness data
submissions submitted under Sec. 330.14 that are subject to the
timelines under proposed Sec. 330.15(a), and update the posting
annually. The posting will contain the metrics listed in this section,
as proposed in Sec. 330.15(b), for submissions received during the
previous calendar year.
Number and percent of eligibility notices or ineligibility
letters issued within 180 days of submission of a TEA (i.e., for new
TEAs submitted during the year, the number and percentage for which FDA
issued either an eligibility notice or an ineligibility letter within
180 days).
Number and percent of filing determinations issued within
90 days of submission of a safety and effectiveness data submission
(i.e., for safety and effectiveness data submissions received during
the year, the number and percentage for which FDA issued a filing
determination within 90 days).
If applicable, number and percent of feedback letters
issued within 730 days (generally 24 months) from the date of filing
(i.e., the number of feedback letters issued during the year, if any,
and the number and percent of these that were issued within 730 days
from the date of filing the safety and effectiveness data submission).
Number and percent of notices for proposed rulemaking
issued within 1,095 days (generally 36 months) from the date of filing
(i.e., the number of notices of proposed rulemaking issued during the
year, if any, and the number and percent of these that were issued
within 1,095 days from the date of filing).
Number and percent of final rules issued within 912 days
(generally 30 months) of closing of the docket of the proposed
rulemaking (i.e., the number of final rules issued during the year, if
any, and the number and percent of these that were issued within 912
days of the closing of the docket of the proposed rulemaking). We note
that if the docket is reopened, the 912 days will be measured from the
date the reopened docket is closed.
Total number of TEAs submitted under Sec. 330.14; FDA may
also post a total number of TEAs that have been submitted in all
previous years.
For purposes of the metrics, a lack of FDA action in response to a
triggering event in the previous calendar year will not be factored in
unless the response was due in the previous calendar year. In other
words, if a sponsor submits a TEA in October of the previous calendar
year, and FDA has not yet issued a notice of eligibility or letter of
ineligibility because 180 days has not elapsed by the end of the
calendar year, under the proposed metrics, FDA would not consider the
lack of response as missing the timeline. Whether FDA met the timeline
or not would be reflected in the next year's metrics.
FDA intends to track these metrics and post them publically on the
FDA Internet site. The Agency routinely uses its Internet site to post
information and track progress and performance metrics on various
initiatives (Ref. 5).
The Agency anticipates that the proposed metrics web posting will
improve transparency by providing sponsors and the public with
information that will enable them to quickly ascertain the number of
TEAs that have been submitted to FDA, and the Agency's performance in
meeting the proposed timelines. Over time, these measurements may also
assist the Agency with resource planning and utilization.
B. Amendments to Sec. 330.14 ``Additional Criteria and Procedures for
Classifying OTC Drugs as Generally Recognized as Safe and Effective and
Not Misbranded''
FDA is proposing to revise Sec. 330.14 to add new definitions and
requirements. The new proposed definitions are primarily meant to
clarify the beginning or ending of the timelines for FDA review and
action as proposed in new Sec. 330.15. The new proposed requirements
include filing determination provisions under proposed new Sec.
330.14(j) and ``withdrawal of consideration'' provisions under proposed
new Sec. 330.14(k), which are intended to make the TEA process more
efficient for both sponsors and FDA.
1. Definitions (Proposed Revised Sec. 330.14(a))
FDA is proposing new definitions that, in general, are intended to
clarify the beginning or ending of the timelines for FDA review and
action as proposed in Sec. 330.15. FDA is adding these definitions to
Sec. 330.14 instead of proposed new Sec. 330.15 because Sec. 330.14
describes the TEA process to which these definitions apply. The
definitions for ``condition'' and ``botanical drug substance,''
proposed under Sec. 330.14(a)(1) and (2) respectfully, are unchanged
from the current definitions under Sec. 330.14(a). FDA is proposing to
add the following new definitions of terms that apply to Sec. 330.14.
FDA is proposing that the term ``sponsor'' mean the person
(as defined in section 201(e) of the FD&C Act) that submitted a TEA
under Sec. 330.14(c). Because the TEA process involves a public
rulemaking process, comments from other interested parties, such as
additional safety and effectiveness data, may be submitted to the
docket for a TEA condition. FDA is proposing this definition to make
clear that the sponsor is the person that submitted the TEA and related
safety and effectiveness data submission, and will be the recipient of
certain letters communicating FDA decisions. Because this is a public
process, such letters will also be posted publicly to the relevant
docket.
FDA is proposing that the term ``time and extent
application (TEA)'' mean a submission by a sponsor under Sec.
330.14(c), which will be evaluated by the Agency to determine
eligibility of a condition for consideration in the OTC drug monograph
system. FDA is proposing this definition to make clear the difference
between a submission to FDA for the purposes of establishing that the
condition has been marketed for a material time and to a material
extent versus a submission to FDA for the purposes of establishing that
the condition is GRASE.
FDA is proposing that the phrase ``safety and
effectiveness data submission'' mean a data package submitted by a
sponsor that includes safety and effectiveness data and information
under Sec. 330.14(f) and that is represented by the sponsor as being a
complete submission. FDA is proposing this definition to differentiate
this type of submission from the TEA. It also clarifies that FDA will
not begin its filing determination under Sec. 330.14(j) unless the
sponsor first asserts that the submission is complete.
FDA is proposing that the phrase ``date of filing'' mean
the date of the notice from FDA informing the sponsor that FDA has made
a threshold determination that the safety and effectiveness data
submission is sufficiently complete to permit a substantive review. For
submissions filed over protest in accordance with Sec. 330.14(j)(3),
the date of filing is the date of the notice from FDA informing the
sponsor that FDA has filed the submission over protest. This date will
be no later than 30 days after the sponsor's request that FDA file the
submission over protest. FDA is
[[Page 19078]]
proposing this definition to make clear the start of the timeframe for
FDA review and action under Sec. 330.15(c)(3) and (4).
FDA is proposing that the term ``feedback letter'' mean a
letter issued by the Agency in accordance with Sec. 330.14(g)(4) that
informs the sponsor and other interested parties who have submitted
data under paragraph (f) of this section that a condition is initially
determined not to be GRASE. FDA is proposing this definition to clarify
the FDA action under Sec. 330.14(g)(4) and the timeframe for such
action under Sec. 330.15(c)(3).
2. Filing Determination (Proposed New Sec. 330.14(j))
FDA is proposing new requirements that specify certain filing
determination requirements that are intended, in part, to help improve
the content and format of a safety and effectiveness data submission.
FDA is also proposing timelines related to these proposed new
requirements. For example, submission criteria include factors such as
whether the submission includes all required information, whether the
submission is organized and formatted in a manner that allows FDA to
readily determine if it is sufficiently complete to permit a
substantive review, and whether the submission includes all required
certifications.
The proposed new section also sets forth processes that apply
whether the submission is accepted for filing, refused, or filed over
protest. If the submission is filed, the date of filing, as defined in
proposed Sec. 330.14(a), represents the start of FDA's initial review
for a GRASE determination, and triggers the start of timelines under
proposed Sec. Sec. 330.15(c)(3) and (4).
FDA believes that these proposed requirements would benefit both
TEA sponsors and FDA, as well as potentially benefitting other
interested parties. In FDA's experience, TEA-related submissions vary
widely in their content and format and are sometimes difficult or
extremely time-consuming and resource-intensive to review as submitted
(e.g., missing data; copies of articles in foreign languages without an
accompanying translation; hyperlinks that do not work; data submitted
piecemeal; data not organized in any discernable manner, such as a
submission with no listing of contents, page numbers, data categories,
etc.). The proposed new requirements would provide more clarity and
certainty to sponsors as to the content and format of a safety and
effectiveness data submission and would provide for FDA to let sponsors
know early on in the process if there is missing material or a
problematic format that could delay review. For FDA, the proposed new
requirements would be expected to result in more complete and clear
data submissions from sponsors, to allow FDA to more easily and quickly
determine whether the submission is sufficiently complete to permit FDA
to go forward with a substantive review, and to ensure that once FDA
begins its substantive review, the data and other information necessary
for a complete review are available. If the submission is not
sufficiently complete to allow substantive review, the new requirements
would provide a clear pathway to communicate this issue to sponsors via
a filing determination, and to communicate what additional information
or format changes are required. Because safety and effectiveness data
submissions are posted to the public docket, once filed, a more
complete submission may also benefit other interested parties. Among
other things, it may be easier for non-sponsor interested parties to
determine whether there is information not otherwise reflected in the
docket that they would like to submit for FDA to consider in the GRASE
determination.
We note that while the SIA did not require FDA to issue a
regulation regarding filing determination criteria for safety and
effectiveness data submissions under Sec. 330.14, it did require FDA
to issue draft and final guidance on the format and content of
information submitted by a sponsor in support of a ``request'' under
section 586A of the FD&C Act and a ``pending request,'' which are
related to sunscreens (see FD&C Act section 586D(a)(1)(A) and (B)). A
notice of availability of the draft guidance on this topic was
published in the Federal Register on November 23, 2015 (Ref. 4). When
final, this guidance will provide the Agency's current thinking about
the criteria for the content and format of the safety and effectiveness
data submitted by the sponsor of a TEA for a nonprescription sunscreen
active ingredient or related condition. As noted in the draft guidance,
when finalized, parts of the general advice in that guidance about the
content and format of sunscreen safety and effectiveness data
submissions may also be useful to persons preparing submissions for
non-sunscreen TEA conditions.
As stated earlier in this section, proposed Sec. 330.14(j) sets
forth criteria FDA would use in making a filing determination for a
safety and effectiveness data submission, as well as timing and
processes related to the determination. In particular, in Sec.
330.14(j)(1), FDA proposes that after FDA receives a safety and
effectiveness data submission, the Agency will determine whether the
submission may be filed. The determination would be whether or not to
accept the submission for filing, after an initial review of the
submission regarding whether the submission contains the data and
information required under Sec. 330.14(f) in an acceptable format, and
satisfies the other filing criteria under Sec. 330.14(j)(4). The
filing of a submission under proposed Sec. 330.14(j)(2) would mean
that FDA has made a threshold determination that the submission is
sufficiently complete to permit a substantive review.
In Sec. 330.14(j)(2), FDA proposes that the date of filing will
begin the FDA timelines described in Sec. 330.15(c)(3) and (4).
In Sec. 330.14(j)(3), FDA proposes to describe the process for
cases in which FDA refuses to file the safety and effectiveness data
submission. If this happens, the Agency would notify the sponsor in
writing and state the reason for the refusal under proposed Sec.
330.14(j)(4). Proposed Sec. 330.14(j)(3) provides the sponsor 30 days
in which to request an informal conference with the Agency about
whether the Agency should file the submission and sets forth the
procedures if the sponsor wishes to file the submission over protest
following the informal conference. Proposed Sec. 330.14(j)(3) further
provides that FDA will convene the informal conference within 30 days
of the request from the sponsor. It also provides that if, within 120
days after the informal conference, the sponsor requests that FDA file
the submission (with or without correcting the deficiencies), the
Agency will file the safety and effectiveness data submission over
protest under Sec. 330.14(j)(2), notify the sponsor in writing, and
review it as filed. The sponsor need not resubmit a copy of a safety
and effectiveness data submission that is filed over protest.
In proposed Sec. 330.14(j)(4), FDA describes the conditions under
which FDA may refuse to file a safety and effectiveness data
submission. These include a submission that:
[cir] Is incomplete because it does not contain information
required under Sec. 330.14(f) (if such information is not provided
because it is not relevant, the submission must clearly identify and
explain the omission);
[cir] Is not organized or formatted in a manner to enable the
Agency to readily determine if it is sufficiently complete to permit a
substantive review;
[[Page 19079]]
[cir] Does not contain a signed statement that the submission
represents a complete safety and effectiveness data submission and that
the submission includes all the safety and effectiveness data and
information available to the sponsor at the time of the submission,
whether positive or negative;
[cir] Does not contain an analysis and summary of the data and
other supporting information, organized by clinical or nonclinical
area;
[cir] Does not contain a supporting document summarizing the
strategy used for literature searches, including search terms, sources,
dates accessed and years reviewed;
[cir] Does not contain a reference list and copy of supporting
information; or
[cir] Includes data or information relevant to the GRASE
determination that is marked as confidential without a statement that
the information may be released to the public (if the relevant data was
produced and marked confidential by a third party, the sponsor would
need to include a statement that the sponsor is authorized to make the
information publicly available or include an authorization from the
third party permitting the information to be publicly disclosed).
In addition, the following four filing determination factors relate
to requirements under other sections of the regulations. FDA may refuse
to file a safety and effectiveness data submission if the submission:
[cir] Does not contain either a complete environmental assessment
or information supporting a categorical exclusion under part 25 (see 21
CFR part 25, ``Environmental impact considerations'');
[cir] Does not contain a statement for each nonclinical laboratory
study that it was conducted in compliance with part 58 requirements
(see 21 CFR part 58, ``Good laboratory practice for nonclinical
laboratory studies'') (or a statement of reasons for the
noncompliance);
[cir] Does not contain a statement for each clinical investigation
involving human subjects that it was conducted in compliance with part
56 institutional review board regulations (see 21 CFR part 56,
``Institutional Review Boards'') or was not subject to those
regulations, and that it was conducted in compliance with part 50
informed consent regulations (see 21 CFR part 50, ``Protection of human
subjects''); or
[cir] Does not include required part 54 financial certification and
disclosure statements (see 21 CFR part 54, ``Financial disclosure by
clinical investigators'').
3. Withdrawal of Consideration of a TEA or Safety and Effectiveness
Data Submission (Proposed New Sec. 330.14(k))
The Agency is also proposing to add withdrawal provisions to new
Sec. 330.14(k). These proposed provisions acknowledge that a sponsor
may request withdrawal of consideration of a TEA or safety and
effectiveness data submission. In addition, inaction by a sponsor in
certain circumstances may be deemed by FDA as a request for withdrawal
of consideration (e.g., prolonged failure of a sponsor to submit any
safety and effectiveness data after receipt of an NOE, failure of a
sponsor to respond to FDA communications). These proposed requirements
are expected to help provide clarity on the status of TEAs and safety
and effectiveness data submissions, and the effect of a withdrawal of
consideration on the docket. They would also permit FDA to suspend work
on those TEAs or safety and effectiveness data submissions that are no
longer being pursued by the sponsor and for which FDA does not believe
that the GRASE determination should go forward.
The Agency believes that the proposed provisions on withdrawal of
consideration would allow the Agency to better allocate resources for
the review of TEA conditions than the current process. Based on past
experience with the OTC monograph process, FDA has found that following
an Agency action, a sponsor may not respond to a request for data from
FDA. For example, the Agency issued an NOE and request for safety and
effectiveness data in 2005 for a TEA active ingredient (70 FR 72447,
December 5, 2005) and to date, FDA has not received data or a response
from the sponsor. Without an established deadline for submitting data
or otherwise responding to an Agency request, a sponsor may never
submit the requested data and a TEA condition may remain unresolved. To
better utilize FDA resources as well as to address the withdrawal of
consideration of a TEA or a safety and effectiveness data submission,
the Agency is proposing to amend Sec. 330.14 to add paragraph (k) to
address such withdrawal of consideration.
In Sec. 330.14(k)(1), we propose that FDA may withdraw
consideration of a TEA or safety and effectiveness data submission if:
(1) The sponsor requests that its submission be withdrawn from
consideration, or (2) FDA deems the submission to be withdrawn from
consideration due to the sponsor's failure to act on the submission or
failure to respond to communications from FDA. For purposes of this
provision, withdrawal of consideration of a TEA would include the
withdrawal of consideration of a TEA condition that had been found to
be eligible, but for which a safety and effectiveness data submission
is not received by the Agency. If a sponsor requests withdrawal of
consideration for its TEA or safety and effectiveness data submission,
FDA generally intends to stop its review. However, we note that while
FDA may withdraw consideration of a TEA or safety and effectiveness
determination, we may determine not to do so in some cases. For
example, if FDA has already issued a proposed rule that tentatively
determines that the active ingredient or other condition is GRASE for
OTC use, or is not GRASE for OTC use, FDA may continue to rely on the
information submitted to the docket and proceed to issue a final rule.
In Sec. 330.14(k)(2), we propose that FDA will notify the sponsor
of a submission that FDA intends to deem withdrawn under paragraph
(k)(1)(ii), and that the sponsor will then have 30 days from the date
of the notice to request that FDA not withdraw consideration of the TEA
or safety and effectiveness data submission and request additional time
needed to submit relevant data and information. For example, a sponsor
may request that FDA not withdraw consideration of a safety and
effectiveness data submission to allow the submission of new safety or
effectiveness data to the record if the sponsor needs additional time
to conduct a study and submit the data. If, within 30 days of FDA's
notice, the sponsor requests that FDA not withdraw consideration under
proposed Sec. 330.14(k)(1)(ii), we will continue to consider the
submission. If we continue to consider the submission, that does not
preclude the possibility of withdrawing consideration under Sec.
330.14(k)(1) at a later time. FDA recommends that sponsors keep FDA
apprised of the anticipated timing for submission of requested data to
facilitate the review process and better utilize FDA resources.
In Sec. 330.14(k)(3), FDA proposes to clarify that if
consideration of a TEA or safety and effectiveness data submission is
withdrawn, information that has been posted to the public docket for
the TEA at the time of the withdrawal (such as an NOE or a safety and
effectiveness data submission that has been accepted for filing and
posted to the docket) will remain on the public docket. The TEA process
is primarily a public process and withdrawal of consideration of a TEA
or safety and effectiveness data submission will not cause previously
public information to be removed from
[[Page 19080]]
the docket. We also note that the original sponsor or other interested
parties may wish to pursue review of the active ingredient or other
condition at some point in the future. In that case, a new safety and
effectiveness data submission may be submitted for the same active
ingredient or other condition after consideration of the original
submission has been withdrawn. If the Agency has already issued an NOE
that determined that the active ingredient or other condition is
eligible for review under the TEA process, another interested party may
submit safety and effectiveness data for the eligible condition for the
Agency's review.
In Sec. 330.14(k)(4), FDA proposes that if a TEA or safety and
effectiveness data submission being reviewed in accordance with Sec.
330.15 is withdrawn, the timelines under Sec. 330.15(c) and the
metrics under Sec. 330.15(b) no longer apply.
4. Minor Changes to Sec. 330.14 for Clarity and Consistency
FDA is proposing to reorganize paragraph (a) of Sec. 330.14 to
create an introductory paragraph that includes the current text under
Sec. 330.14(a), except for the definitions of ``condition'' and
``botanical drug substance,'' which would be moved to the proposed
definitions section in Sec. 330.14(a). FDA is proposing to eliminate
the paragraph heading ``introduction,'' and in its place, propose the
paragraph heading ``definitions'' and a statement that the definitions
that follow apply to this section and Sec. 330.15. Under this new
heading, FDA is proposing to include the definitions and current text
for the terms ``condition'' and ``botanical drug substance.'' FDA is
also proposing to add to the end of the introductory paragraph of Sec.
330.14 a sentence stating that Sec. 330.15 sets forth timelines for
FDA review and action.
FDA is proposing several minor amendments to Sec. 330.14(f) for
clarity and for consistency with the OTC monograph regulations under
Sec. 330.10.
FDA is proposing to revise paragraph (f) to use
terminology consistent with the new definition in Sec. 330.14(a)(5)
for ``safety and effectiveness data submission'' when referring to the
data package submitted by the sponsor.
FDA is proposing to revise the first sentence and add the
second sentence to differentiate between, in the NOE, requesting the
safety and effectiveness data submission from the sponsor, and
requesting data and views from other interested parties.
FDA is proposing to add a sentence that references the new
filing determination requirements at proposed new Sec. 330.14(j) and
makes clear that the safety and effectiveness data submission must be
sufficiently complete to be filed by the Agency under proposed
paragraph (j)(2).
FDA is proposing to add a sentence that references the
requirements for compliance with good laboratory practices,
institutional review board, informed consent, and financial
certification or disclosure statement requirements, under Sec.
330.10(c), (e), and (f), and makes clear that those requirements also
apply to the safety and effectiveness data and information submitted
under this paragraph. This proposed sentence does not impose new
requirements. The sentence was added for clarity and consistency with
Sec. 330.10.
FDA is proposing to add the word ``feedback'' prior to the word
``letter'' in the first sentence of Sec. 330.14(g)(4) to use
terminology consistent with the proposed new definition for ``feedback
letter'' in Sec. 330.14(a)(7).
VI. Proposed Effective Date
The SIA directs the Agency to issue a final rule regarding the
timelines and metrics described in section 586F(b) of the FD&C Act
within 27 months after the enactment of the SIA (by February 26, 2017).
The SIA also requires that the final rule be published not less than 30
calendar days before the effective date of the regulation.
Consequently, the final rule implementing the timeline and metrics
provisions of section 586F(b) will become effective 30 calendar days
after the date of the final rule's publication in the Federal Register.
Beginning on that date, the timelines and metrics set forth in the
regulation will apply to the review of TEAs and safety and
effectiveness data submissions to which that regulation is applicable,
and any amended provisions of Sec. 330.14 will apply to the TEA
process under that regulation.
VII. Economic Analysis of Impacts
A. Introduction
We have examined the impacts of the proposed rule under Executive
Order 12866, Executive Order 13563, the Regulatory Flexibility Act (5
U.S.C. 601-612), and the Unfunded Mandates Reform Act of 1995 (Pub. L.
104-4). Executive Orders 12866 and 13563 direct us to assess all costs
and benefits of available regulatory alternatives and, when regulation
is necessary, to select regulatory approaches that maximize net
benefits (including potential economic, environmental, public health
and safety, and other advantages; distributive impacts; and equity). We
have developed a comprehensive Economic Analysis of Impacts that
assesses the impacts of the proposed rule. We believe that this
proposed rule is not a significant regulatory action as defined by
Executive Order 12866.
The Regulatory Flexibility Act requires us to analyze regulatory
options that would minimize any significant impact of a rule on small
entities. Because this proposed rule does not impose significant new
economic burdens on any entity, we propose to certify that the proposed
rule will not have a significant economic impact on a substantial
number of small entities.
The Unfunded Mandates Reform Act of 1995 (section 202(a)) requires
us to prepare a written statement, which includes an assessment of
anticipated costs and benefits, before proposing ``any rule that
includes any Federal mandate that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100,000,000 or more (adjusted annually for
inflation) in any one year.'' The current threshold after adjustment
for inflation is $144 million, using the most current (2014) Implicit
Price Deflator for the Gross Domestic Product. This proposed rule would
not result in an expenditure in any year that meets or exceeds this
amount.
In table 1, we provide the Regulatory Information Service Center/
Office of Information and Regulatory Affairs Consolidated Information
System accounting information.
[[Page 19081]]
Table 1--Economic Data: Costs and Benefits Statement
--------------------------------------------------------------------------------------------------------------------------------------------------------
Units year Discount rate Period covered
Category Primary estimate Low estimate High estimate dollars (%) (yrs.) Notes
--------------------------------------------------------------------------------------------------------------------------------------------------------
Benefits:
Annualized............... ................ ................ ................ ................ 7.............. ............... ...............
Monetized................ ................ ................ ................ ................ 3.............. ............... ...............
$millions/year........... ................ ................ ................ ................ ............... ............... ...............
Annualized............... ................ ................ ................ ................ 7.............. ............... ...............
Quantified............... ................ ................ ................ ................ 3.............. ............... ...............
--------------------------------------------------------------------------------------------------------------------------
Qualitative.............. The proposed rule would improve the TEA review process by establishing timelines and clarifying requirements and increase
the predictability of the process.
--------------------------------------------------------------------------------------------------------------------------
Costs:
Annualized............... $0.00........... $0.00........... $0.00........... 2015............ 7.............. 10............. ...............
Monetized................ 0.00............ 0.00............ 0.00............ 2015............ 3.............. 10............. ...............
$millions/year........... ................ ................ ................ ................ ............... ............... ...............
Annualized............... ................ ................ ................ ................ 7.............. ............... ...............
Quantified............... ................ ................ ................ ................ 3.............. ............... ...............
Qualitative.............. ................ ................ ................ ................ ............... ............... ...............
Transfers................ ................ ................ ................ ................ ............... ............... ...............
Federal.................. ................ ................ ................ ................ 7.............. ............... ...............
Annualized Monetized..... ................ ................ ................ ................ 3.............. ............... ...............
$millions/year........... ................ ................ ................ ................ ............... ............... ...............
From/To.................. From:........... ................ ................ To:............. ............... ............... ...............
Other.................... ................ ................ ................ ................ 7.............. ............... ...............
Annualized Monetized..... ................ ................ ................ ................ 3.............. ............... ...............
$millions/year........... ................ ................ ................ ................ ............... ............... ...............
From/To.................. From:........... ................ ................ To:............. ............... ............... ...............
Effects.................. ................ ................ ................ ................ ............... ............... ...............
--------------------------------------------------------------------------------------------------------------------------------------------------------
State, Local, and/or Tribal Government: No effects
Small Business: No effects
Wages: No effect
Growth: No effect
--------------------------------------------------------------------------------------------------------------------------------------------------------
B. Summary
1. Baseline Conditions
We regulate nonprescription drug products under two primary
pathways: (1) The new drug application (NDA) process, described in 21
CFR part 314; or (2) the nonprescription (over-the-counter or OTC) drug
monograph process, described in part 330. There are important
differences between these two pathways. Under the NDA process, the
sponsor of an application must submit to us nonclinical and clinical
data that supports the safety and effectiveness of its drug product,
and we must review and approve the application before the sponsor can
market such product. By contrast, OTC drug monographs are regulations
describing conditions (Sec. 330.14 defines condition as an active
ingredient or botanical drug substance (or combination of both), dosage
form, dosage strength, or route of administration marketed for a
particular specific OTC use) that certain OTC drugs (such as antacids)
must meet to be considered as GRASE and not misbranded. In contrast
with the application pathway, once a sponsor submits safety and
effectiveness data to amend a monograph (which is posted to a public
docket), the data are public. Drug products that comply with an
applicable OTC drug monograph and other applicable regulations may be
marketed without an NDA.
Initially, active ingredients and other conditions that were not
marketed in the United States before the inception of the OTC Drug
Review in 1972 were not eligible for review under the OTC drug
monograph process. However, the TEA process, established by regulations
finalized in 2002 (21 CFR 330.14), expanded the scope of this OTC drug
review. The TEA process offers a pathway for OTC conditions to be
marketed under an OTC drug monograph. OTC conditions can include newer
active ingredients that previously had no U.S. marketing history, or
that were marketed in the United States after the OTC drug review
began. Active ingredients and other conditions that satisfy the TEA
eligibility requirements are subject to the same safety, effectiveness,
and labeling standards that apply to other conditions under the OTC
monograph process.
The TEA process requires multi-step, notice-and-comment rulemaking
procedures before a new active ingredient or other condition is added
to an OTC drug monograph. After determining that an active ingredient
or other condition is eligible for consideration under the OTC
monograph process, we issue a notice in the Federal Register announcing
the TEA determination and requesting safety and effectiveness data for
the proposed OTC use. Next, after reviewing data submitted to the
docket, we issue a proposed rule to either include the condition in the
appropriate OTC drug monograph or, if the condition is initially
determined not to be GRASE for OTC use, include it in Sec. 310.502,
which would require the sponsor to seek approval under the NDA pathway
to market the condition. The proposed rule allows for public comments
and for sponsors and other interested parties to submit additional data
for safety and effectiveness. If a monograph is amended, by publishing
a final rule, an OTC condition that complies with the OTC monograph and
the general requirements for OTC drugs may be marketed in the United
States without an NDA (examples of other general requirements include
requirements to comply with Current Good Manufacturing Practice, to
register and
[[Page 19082]]
list products, to use drug facts labeling, etc.).
Although our multi-step TEA process allows sponsors to learn about
the progress of our review of an application (for example when an NOE
is issued, and if a feedback letter is issued), there are no
established timelines to review applications or for sponsors to submit
data. The lack of timelines can create unpredictability for interested
parties because they may lack key information. For example, they may
not know: (1) Whether the safety and effectiveness data submitted is
sufficient or in the right format for us to conduct a substantive
review; (2) when they need to submit new information; or (3) when to
expect our determinations regarding eligibility or other feedback. The
unpredictability in the process could result in sponsors not performing
a required action within reasonable time for our review, performing
unnecessary actions (examples of unnecessary actions may include
collecting unnecessary or inadequate data, performing tests or studies
that do not contribute to data needed by us to make a GRASE
determination), or creating unnecessary effort for us and for them. For
example, if a TEA remains inactive for a significant amount of time,
scientific knowledge may evolve thus creating the need to amend the
original TEA. Without specific timelines sponsors may not know whether
their initial data submission was insufficient to review, was
sufficient but is under review, or whether we require additional
information. In addition, without specific timelines, we don't know if
sponsors intend to submit additional data or whether they do not intend
to pursue their application any further.
2. Purpose of This Proposed Rule
This proposed rule complies with certain mandates of the Sunscreen
Innovation Act (Pub. L. 113-195), enacted in November 2014. In
particular, the proposed rule would establish timelines and metrics for
review of TEAs for non-sunscreen OTC drug products. Specific timelines
applicable to non-sunscreen TEA conditions would be added in a new
section to Title 21 of the CFR, Sec. 330.15. The first proposed
timeline is to issue a Notice of Eligibility or a post a letter of
ineligibility to the TEA docket within 180 days of submission of a TEA.
The second proposed timeline is to issue a filing determination within
90 days of receipt of a complete safety and effectiveness data
submission from the sponsor once such sponsor has confirmed that it
considers the submission to be complete. If we initially determine the
active ingredient or other condition not to be GRASE, we will inform
sponsors and interested parties within 730 days from the date of filing
as defined in proposed Sec. 330.14(a). The next proposed timeline is
to issue a notice of proposed rulemaking (NPRM) within 1,095 days from
the date of filing. Lastly, we propose to issue a final rule within 912
days of the closing of the docket of the proposed rulemaking.
The proposed rule would also amend the existing Sec. 330.14 by:
(1) Setting forth clear filing determination requirements with regard
to the content and format of safety and effectiveness data submissions
for TEAs, and by (2) addressing withdrawal of consideration of a TEA or
safety and effectiveness data submission. These amendments would apply
to all TEAs, and their goal is to provide early notification to
sponsors whether their applications meet the filing requirements and to
provide more clarity regarding withdrawal of a TEA-related submissions.
The proposed amendments are intended to provide us with feedback from
sponsors whether they intend to actively pursue their applications, and
specify that we may withdraw consideration of a TEA or safety and
effectiveness data submission in certain circumstances (such as at a
sponsor's request or after prolonged inaction and lack of response to
FDA communications). Finally, the proposed rule would also add
definitions and make clarifying changes to the TEA regulation in Sec.
330.14.
The proposed clarifications and establishment of timelines for the
TEA process seek to dissipate uncertainties that may be preventing
interested parties from submitting all the necessary data for us to
grant final GRASE determination to existing TEA conditions that have
been found to be eligible to be considered for inclusion in the OTC
drug monograph system. Since the TEA review process became effective in
2002 (67 FR 3060 at 3074, January 23, 2002), we have received six TEAs
for non-sunscreen active ingredients, including applications for
dandruff, laxative, anti-gingivitis, and anti-acne products. However,
we have not yet issued a proposed rule regarding whether any of these
ingredients are GRASE under specified conditions of use. In fact, as of
December 2015, the sponsor of one of these TEAs has not yet submitted
safety and effectiveness data for our review.
3. Benefits
We lack data to quantify the potential benefits of the proposed
rule. With the proposed rule, we expect the proposed timelines and data
submission clarifications would make the TEA process, including
establishing a new OTC drug monograph, more efficient and predictable,
and improve communication between us and sponsors. Sponsors may benefit
from knowing if additional data is needed and what optimal steps to
take to receive a GRASE determination, and we would be able to bring
resolution to TEA conditions. However, we do not know the monetary
value of added predictability to sponsors. Also, because we have not
yet issued tentative GRASE determinations for any of the non-sunscreen
TEA conditions under review, as of December 2015, and because we do not
know the increase in the probability of granting tentative GRASE
determinations resulting from the proposed rule, we request comment on
the potential benefits of the proposed rule.
4. Costs
This proposed rule supplements the TEA process. We expect the rule
would create a minimal burden on sponsors from the possible cost
associated with sending a meeting request letter to us in the event
that we refuse to file a safety and effectiveness data submission and
the sponsor would like to meet with us to discuss the decision, or the
possible cost of calling or writing FDA to request that we not withdraw
consideration of a submission in the event that we deem a submission
withdrawn under proposed 330.14(k)(ii). Therefore, we anticipate no
increase in annual recurring costs for either small or large sponsors.
We expect the six current sponsors would spend time reading and
understanding the proposed rule, and this would take from about 6.5
hours to 13 hours. With an hourly wage rate of $133 including 100
percent overhead, each sponsor would incur one-time costs ranging from
about $865 to $1,730. We also estimate that we would receive two
additional TEAs annually, and thus during a 10-year horizon we estimate
potentially twenty additional applicants would spend the time to read
and understand the proposed rule. The present value of the total costs
over 10 years ranges from about $17,000 to $35,000 with a 7 percent
discount rate and from about $19,000 to $38,000 with a 3 percent
discount rate. With a discount rate of 7 percent and 3 percent, we
estimate that on average sponsors would incur less than $150 of
annualized costs per year.
[[Page 19083]]
5. Impact on Small Entities
The Regulatory Flexibility Act requires a Regulatory Flexibility
Analysis (RFA) unless the Agency can certify that the proposed rule
would have no significant impact on a substantial number of small
entities. The proposed rule would affect few entities. Moreover, we
estimate one-time costs under $2,000 per entity, costs well below 0.01
percent of annual revenues for the smallest entities, and we propose to
certify that the rule would not have a significant economic impact on a
substantial number of small entities.
We invite comments on this analysis.
VIII. Analysis of Environmental Impact
We have determined under 21 CFR 25.31(a) that this action is of a
type that does not individually or cumulatively have a significant
effect on the human environment. Therefore, neither an environmental
assessment nor an environmental impact statement is required.
IX. Paperwork Reduction Act of 1995
This proposed rule contains information collection provisions that
are subject to review by OMB under the Paperwork Reduction Act of 1995
(44 U.S.C. 3501-3520). The title, description, and respondent
description of the information collection are given under this section
with an estimate of the annual reporting burden. Included in the
estimate is the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information.
We invite 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: Food and Drug Administration Review and Action on Over-the-
Counter Time and Extent Applications
Description: The proposed rule would amend FDA's TEA regulations to
establish timelines and performance metrics for FDA's review of non-
sunscreen TEAs and safety and effectiveness data submissions, as
required by the SIA. FDA also proposes other changes to make the TEA
process more efficient.
FDA has OMB approval (Control Number 0910-0688) for the information
collection in 21 CFR 330.14, which specifies additional criteria and
procedures by which OTC drugs that were initially marketed in the
United States after the OTC Drug Review began and OTC drugs without any
U.S. marketing experience may become eligible for consideration in the
OTC drug monograph system.
The proposed rule would amend the TEA regulations in Sec. 330.14
to make the process more efficient and to make conforming and
clarifying changes. Proposed Sec. 330.14(j) would clarify the
requirements on content and format criteria for a safety and
effectiveness data submission, and would provide procedures for FDA's
review of the submissions and determination of whether a submission is
sufficiently complete to permit a substantive review. Proposed Sec.
330.14(j)(3) would describe the process for cases in which FDA refuses
to file the safety and effectiveness data submission. Under proposed
Sec. 330.14(j)(3), if FDA refuses to file the submission, the Agency
will notify the sponsor in writing, state the reason(s) for the
refusal, and provide the sponsor with 30 days in which to submit a
written request for an informal conference with the Agency about
whether the Agency should file the submission. A sponsor's submission
of a written request for an informal conference is not already approved
under OMB Control Number 0910-0688. We estimate that approximately one
sponsor (``number of respondents'' in table 2, row 1) will annually
submit to FDA approximately one request for an informal conference
(``total annual responses'' in table 2, row 1), and that preparing and
submitting each request will take approximately one hour for each
sponsor (``average burden per response'' in table 2, row 1).
Under proposed Sec. 330.14(j)(4)(iii), the safety and
effectiveness data submission must contain a signed statement that the
submission represents a complete safety and effectiveness data
submission and that the submission includes all the safety and
effectiveness data and information available to the sponsor at the time
of the submission, whether positive or negative. A sponsor's signed
statement is not already approved under OMB Control Number 0910-0688.
We estimate that approximately two sponsors (``number of respondents''
in table 2, row 2) will annually submit to FDA approximately two signed
statements as described previously (``total annual responses'' in table
2, row 2), and that preparing and submitting each signed statement will
take approximately one hour for each sponsor (``average burden per
response'' in table 2, row 2).
Under proposed Sec. 330.14(k)(1), FDA, in response to a written
request from a sponsor, may withdraw consideration of a TEA submitted
under Sec. 330.14(c) or a safety and effectiveness data submission
submitted under Sec. 330.14(f). A sponsor's request that FDA withdraw
consideration of a TEA or safety and effectiveness data submission is
not already approved under OMB Control Number 0910-0688. We estimate
that approximately one sponsor (``number of respondents'' in table 2,
row 3) will annually submit to FDA approximately one request (``total
annual responses'' in table 2, row 3), and that preparing and
submitting each request will take approximately one hour for each
sponsor (``average burden per response'' in table 2, row 3).
Under proposed Sec. 330.14(k)(2), a sponsor may request that FDA
not withdraw consideration of a TEA or safety and effectiveness data
submission. A sponsor's request for FDA to not deem its submission
withdrawn from consideration is not already approved under OMB Control
Number 0910-0688. We estimate that approximately one sponsor (``number
of respondents'' in table 2, row 4) will annually submit to FDA
approximately one request (``total annual responses'' in table 2, row
4), and that preparing and submitting each request will take
approximately two hours for each sponsor (``average burden per
response'' in table 2, row 4).
[[Page 19084]]
FDA estimates the burden of this information collection as follows:
Table 2--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of Average
21 CFR Section Number of responses per Total annual burden per Total hours
respondents respondent responses response
----------------------------------------------------------------------------------------------------------------
330.14(j)(3)--Sponsor request 1 1 1 1 1
for informal conference on
FDA's refusal to file..........
330.14(j)(4)(iii)--Sponsor's 2 1 2 1 2
signed statement that the
submission is complete.........
330.14(k)(1)--Sponsor request 1 1 1 1 1
for FDA to withdraw
consideration of a TEA or
safety and effectiveness data
submission.....................
330.14(k)(2)--Sponsor request 1 1 1 2 2
for FDA to not deem its
submission withdrawn from
consideration..................
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
In compliance with the PRA (44 U.S.C. 3507(d)), we have submitted
the information collection requirements of this proposed rule to OMB
for review. Interested persons are requested to send comments on this
information collection to the Office of Information and Regulatory
Affairs, OMB (see ADDRESSES).
X. Federalism
We have analyzed this proposed rule in accordance with the
principles set forth in Executive Order 13132. Section 4(a) of the
Executive order requires agencies to ``construe . . . a Federal statute
to preempt State law only where the statute contains an express
preemption provision or there is some other clear evidence that the
Congress intended preemption of State law, or where the exercise of
State authority conflicts with the exercise of Federal authority under
the Federal statute.'' The sole statutory provision giving preemptive
effect to the proposed rule is section 751 of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 379r).
We believe that the preemptive effect of this proposed rule, if
finalized, would be consistent with Executive Order 13132. Through the
publication of this proposed rule, we are providing notice and an
opportunity for State and local officials to comment on this
rulemaking.
XI. References
The following references are on display in the Division of Dockets
Management (see ADDRESSES) and are available for viewing by interested
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also
available electronically at https://www.regulations.gov. FDA has
verified the Web site addresses, as of the date this document publishes
in the Federal Register, but Web sites are subject to change over time.
1. FDA, Guidance for Industry, ``Time and Extent Applications
for Nonprescription Drug Products,'' September 2011, available at
https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM078902.pdf.
2. Office of the Federal Register, ``A Guide to the Rulemaking
Process,'' 2011, available at https://www.federalregister.gov/uploads/2011/01/the_rulemaking_process.pdf.
3. GAO, ``Federal Rulemaking, Improvements Needed to Monitoring
and Evaluation of Rules Development as Well as to the Transparency
of OMB Regulatory Reviews,'' April 2009 (GAO-09-205), available at
https://www.gao.gov/assets/290/288538.pdf.
4. FDA, Draft Guidance for Industry, ``Nonprescription Sunscreen
Drug Products: Content and Format of Data Submissions To Support a
GRASE Determination Under the Sunscreen Innovation Act,'' November
2015, available at https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM473772.pdf.
5. Examples of FDA internet pages that include progress reports
or other metrics include: FDA's FDA-TRACK Web page, https://www.fda.gov/AboutFDA/Transparency/track/ucm195010.htm; FDA's
``Sunscreen Innovation Act (SIA)'' Web page, https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/ucm434782.htm, and
FDA's ``Rulemaking History for OTC Time and Extent Applications''
Web page, https://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/Over-the-CounterOTCDrugs/StatusofOTCRulemakings/ucm072455.htm.
List of Subjects in 21 CFR Part 330
Over-the-counter drugs.
Therefore, under the Federal Food, Drug, and Cosmetic Act and under
authority delegated to the Commissioner of Food and Drugs, we propose
that 21 CFR part 330 be amended as follows:
PART 330--OVER-THE-COUNTER (OTC) HUMAN DRUGS WHICH ARE GENERALLY
RECOGNIZED AS SAFE AND EFFECTIVE AND NOT MISBRANDED
0
1. The authority citation for part 330 is revised to read as follows:
Authority: 21 U.S.C. 321, 351, 352, 353, 355, 360, 360fff-6,
371.
0
2. Section 330.14 is amended as follows:
0
a. Redesignate paragraph (a) as introductory text, revise the newly
redesignated introductory text, and add new paragraph (a);
0
b. Revise paragraphs (f) introductory text and (g)(4);
0
c. Add paragraphs (j) and (k).
The revisions and additions read as follows:
Sec. 330.14 Additional criteria and procedures for classifying OTC
drugs as generally recognized as safe and effective and not misbranded.
This section sets forth additional criteria and procedures by which
over-the-counter (OTC) drugs initially marketed in the United States
after the OTC drug review began in 1972 and OTC drugs without any U.S.
marketing experience can be considered in the OTC drug monograph
system. This section also addresses conditions regulated as a cosmetic
or dietary supplement in a foreign country that would be regulated as
OTC drugs in the United States. Section 330.15 sets forth timelines for
FDA review and action.
(a) Definitions. The definitions and interpretations contained in
section 201 of the Federal Food, Drug, and Cosmetic Act and the
following definitions of terms apply to this section and to Sec.
330.15.
(1) Condition means an active ingredient or botanical drug
substance (or a combination of active ingredients
[[Page 19085]]
or botanical drug substances), dosage form, dosage strength, or route
of administration, marketed for a specific OTC use, except as excluded
in paragraph (b)(2) of this section.
(2) Botanical drug substance means a drug substance derived from
one or more plants, algae, or macroscopic fungi, but does not include a
highly purified or chemically modified substance derived from such a
source.
(3) Sponsor means the person that submitted a time and extent
application (TEA) under paragraph (c) of this section.
(4) Time and extent application (TEA) means a submission by a
sponsor under paragraph (c) of this section, which will be evaluated by
the agency to determine eligibility of a condition for consideration in
the OTC drug monograph system.
(5) Safety and effectiveness data submission means a data package
submitted by a sponsor that includes safety and effectiveness data and
information under paragraph (f) of this section and that is represented
by the sponsor as being a complete submission.
(6) Date of filing means the date of the notice from FDA informing
the sponsor that FDA has made a threshold determination that the safety
and effectiveness data submission is sufficiently complete to permit a
substantive review; or, if the submission is filed over protest in
accordance with paragraph (j)(3) of this section, the date of filing is
the date of the notice from FDA informing the sponsor that FDA has
filed the submission over protest (this date will be no later than 30
days after the sponsor's request that FDA file the submission over
protest).
(7) Feedback letter means a letter issued by the agency in
accordance with paragraph (g)(4) of this section that informs the
sponsor and other interested parties who have submitted data under
paragraph (f) of this section that a condition is initially determined
not to be generally recognized as safe and effective (GRASE).
* * * * *
(f) Safety and effectiveness data submission. The notice of
eligibility shall request that the sponsor submit a safety and
effectiveness data submission that includes published and unpublished
data to demonstrate the safety and effectiveness of the condition for
its intended OTC use(s). The notice of eligibility will also request
data and views from other interested parties. These data shall be
submitted to a docket established in the Division of Dockets Management
and shall be publicly available for viewing at that office, except data
deemed confidential under 18 U.S.C. 1905, 5 U.S.C. 552(b), or 21 U.S.C.
331(j). Data considered confidential under these provisions must be
clearly identified. Any proposed compendial standards for the condition
shall not be considered confidential. The safety and effectiveness data
submission must be sufficiently complete to be filed by the agency
under paragraph (j)(2) of this section. Safety and effectiveness data
and other information submitted under this paragraph are subject to the
requirements in Sec. 330.10(c), (e), and (f). The safety and
effectiveness data submission must include the following:
* * * * *
(g) * * *
(4) If the condition is initially determined not to be GRASE for
OTC use in the United States, the agency will inform the sponsor and
other interested parties who have submitted data of its determination
by feedback letter, a copy of which will be placed on public display in
the docket established in the Division of Dockets Management. The
agency will publish a notice of proposed rulemaking to include the
condition in Sec. 310.502 of this chapter.
* * * * *
(j) Filing determination. (1) After FDA receives a safety and
effectiveness data submission, the agency will determine whether the
submission may be filed. The filing of a submission means that FDA has
made a threshold determination that the submission is sufficiently
complete to permit a substantive review.
(2) If FDA finds that none of the reasons in paragraph (j)(4) of
this section for refusing to file the safety and effectiveness data
submission apply, the agency will file the submission and notify the
sponsor in writing. The date of filing begins the FDA timelines
described in Sec. 330.15(c)(3) and (4).
(3) If FDA refuses to file the safety and effectiveness data
submission, the agency will notify the sponsor in writing and state the
reason(s) under paragraph (j)(4) of this section for the refusal. The
sponsor may request in writing, within 30 days of the date of the
agency's notification, an informal conference with the agency about
whether the agency should file the submission, and FDA will convene the
meeting within 30 days of the request. If, within 120 days after the
informal conference, the sponsor requests that FDA file the submission
(with or without correcting the deficiencies), the agency will file the
safety and effectiveness data submission over protest under paragraph
(j)(2) of this section, notify the sponsor in writing, and review it as
filed. The sponsor need not resubmit a copy of a safety and
effectiveness data submission that is filed over protest.
(4) FDA may refuse to file a safety and effectiveness data
submission if any of the following applies:
(i) The submission is incomplete because it does not contain
information required under paragraph (f) of this section. If the
submission does not contain required information because such
information or data are not relevant to the condition, the submission
must clearly identify and provide an explanation for the omission.
(ii) The submission is not organized or formatted in a manner to
enable the agency to readily determine if it is sufficiently complete
to permit a substantive review.
(iii) The submission does not contain a signed statement that the
submission represents a complete safety and effectiveness data
submission and that the submission includes all the safety and
effectiveness data and information available to the sponsor at the time
of the submission, whether positive or negative.
(iv) The submission does not contain an analysis and summary of the
data and other supporting information, organized by clinical or
nonclinical area, such as clinical efficacy data, clinical safety data,
clinical pharmacology, adverse event reports, animal toxicology,
chemistry data, and compendial status.
(v) The submission does not contain a supporting document
summarizing the strategy used for literature searches, including search
terms, sources, dates accessed and years reviewed.
(vi) The submission does not contain a reference list of supporting
information, such as published literature, unpublished information,
abstracts and case reports, and a copy of the supporting information.
(vii) The submission includes data or information relevant for
making a GRASE determination marked as confidential without a statement
that the information may be released to the public.
(viii) The submission does not contain a complete environmental
assessment under Sec. 25.40 of this chapter or fails to provide
sufficient information to establish that the requested action is
subject to categorical exclusion under Sec. 25.30 or Sec. 25.31 of
this chapter.
(ix) The submission does not contain a statement for each
nonclinical laboratory study that it was conducted in compliance with
the requirements set forth in part 58 of this chapter, or, if it
[[Page 19086]]
was not conducted in compliance with part 58 of this chapter, a brief
statement of the reason for the noncompliance.
(x) The submission does not contain a statement for each clinical
investigation involving human subjects that it was conducted in
compliance with the institutional review board regulations in part 56
of this chapter, or was not subject to those regulations, and that it
was conducted in compliance with the informed consent regulations in
part 50 of this chapter.
(xi) The submission does not include financial certification or
disclosure statements, or both, as required by part 54 of this chapter,
accompanying any clinical data submitted.
(k) Withdrawal of consideration. (1) FDA may withdraw consideration
of a TEA submission or a safety and effectiveness data submission if:
(i) The sponsor requests that its submission be withdrawn from
consideration, or
(ii) FDA deems the submission to be withdrawn from consideration
due to the sponsor's failure to act on the submission or failure to
respond to communications from FDA.
(2) Before FDA deems a submission withdrawn under paragraph
(k)(1)(ii) of this section, FDA will notify the sponsor of the
submission. If, within 30 days from the date of the notice from FDA,
the sponsor requests that FDA not withdraw consideration of the
submission, FDA will not deem the submission to be withdrawn.
(3) If FDA withdraws consideration of a submission under paragraph
(k)(1) of this section, FDA will post a notice of withdrawal to the
docket. Information that has been posted to the public docket for the
TEA at the time of the withdrawal (such as a notice of eligibility or a
safety and effectiveness data submission that has been accepted for
filing and posted to the docket) will remain on the public docket.
(4) If FDA withdraws consideration of a submission under paragraph
(k)(1) of this section, the timelines under Sec. 330.15(c) will no
longer apply as of the date of withdrawal, and the submission will not
be included in the metrics under Sec. 330.15(b).
0
3. Add Sec. 330.15 to subpart B to read as follows:
Sec. 330.15 Timelines for FDA review and action on time and extent
applications and safety and effectiveness data submissions.
(a) Applicability. This section applies to the review of a
condition in a time and extent application (TEA) submitted under Sec.
330.14 for consideration in the over-the-counter (OTC) drug monograph
system. This section does not apply to:
(1) A sunscreen active ingredient or combination of sunscreen
active ingredients, and other conditions for such ingredients, or
(2) A non-sunscreen active ingredient or combination of non-
sunscreen active ingredients and other conditions for such ingredients
submitted in a TEA under Sec. 330.14 prior to November 27, 2014,
subject to section 586F(a)(1)(C) of the Federal Food, Drug, and
Cosmetic Act.
(b) Metrics. FDA will maintain and update annually, a publicly
available posting of metrics for the review of TEAs and safety and
effectiveness data submissions that are subject to the timelines in
this section. The posting will contain the following information for
tracking the extent to which the timelines set forth in paragraph (c)
of this section were met during the previous calendar year.
(1) Number and percent of eligibility notices or ineligibility
letters issued within 180 days of submission of a TEA;
(2) Number and percent of filing determinations issued within 90
days of submission of a safety and effectiveness data submission;
(3) If applicable, number and percent of feedback letters issued
within 730 days from the date of filing;
(4) Number and percent of notices for proposed rulemaking issued
within 1,095 days from the date of filing;
(5) Number and percent of final rules issued within 912 days of
closing of the docket of the proposed rulemaking; and
(6) Total number of TEAs submitted under Sec. 330.14.
(c) Timelines for FDA review and action. FDA will review and take
an action within the following timelines:
(1) Within 180 days of submission of a TEA under Sec. 330.14(c),
FDA will issue a notice of eligibility or post to the docket a letter
of ineligibility, in accordance with Sec. 330.14(d) and (e).
(2) Within 90 days of submission by the sponsor of a safety and
effectiveness data submission, FDA will issue a filing determination in
accordance with Sec. 330.14(j). The date of filing begins the FDA
timelines in paragraphs (c)(3) and (4) of this section.
(3) Within 730 days from the date of filing, if the condition is
initially determined not to be GRASE for OTC use in the United States,
FDA will inform the sponsor and other interested parties who have
submitted data of its determination by feedback letter in accordance
with Sec. 330.14(g)(4).
(4) Within 1,095 days from the date of filing of a safety and
effectiveness data submission, FDA will issue a notice of proposed
rulemaking to either:
(i) Include the condition in an appropriate OTC monograph(s),
either by amending an existing monograph(s) or establishing a new
monograph(s), if necessary; or
(ii) Include the condition in Sec. 310.502 of this chapter.
(5) Within 912 days of the closing of the docket of the proposed
rulemaking under paragraph (c)(4) of this section, FDA will issue a
final rule.
Dated: March 29, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-07612 Filed 4-1-16; 8:45 am]
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