Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection of Zika Virus; Availability, 23723-23733 [2016-09370]

Download as PDF Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices mstockstill on DSK4VPTVN1PROD with NOTICES rubrum and Epidermophyton floccosum in patients 18 years of age and older. Subsequent to this approval, the USPTO received a patent term restoration application for LUZU (U.S. Patent No. 5,900,488) from Nihon Nohyaku Co., Ltd., and the USPTO requested FDA’s assistance in determining this patent’s eligibility for patent term restoration. In a letter dated May 11, 2015, FDA advised the USPTO that this human drug product had undergone a regulatory review period and that the approval of LUZU represented the first permitted commercial marketing or use of the product. Thereafter, the USPTO requested that FDA determine the product’s regulatory review period. determination regarding whether the applicant for extension acted with due diligence during the regulatory review period. To meet its burden, the petition must be timely (see DATES) and contain sufficient facts to merit an FDA investigation. (See H. Rept. 857, part 1, 98th Cong., 2d sess., pp. 41–42, 1984.) Petitions should be in the format specified in 21 CFR 10.30. Submit petitions electronically to https://www.regulations.gov at Docket No. FDA–2013–S–0610. Submit written petitions (two copies are required) to the Division of Dockets Management (HFA– 305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. II. Determination of Regulatory Review Period FDA has determined that the applicable regulatory review period for LUZU is 2,242 days. Of this time, 1,903 days occurred during the testing phase of the regulatory review period, while 339 days occurred during the approval phase. These periods of time were derived from the following dates: 1. The date an exemption under section 505(i) of the Federal Food, Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 355(i)) became effective: September 27, 2007. FDA has verified the Nihon Nohyaku Co., Ltd. claim that September 27, 2007, is the date the investigational new drug application (IND) became effective. 2. The date the application was initially submitted with respect to the human drug product under section 505(b) of the FD&C Act: December 11, 2012. FDA has verified the applicant’s claim that the new drug application (NDA) for LUZU (NDA 204153) was initially submitted on December 11, 2012. 3. The date the application was approved: November 14, 2013. FDA has verified the applicant’s claim that NDA 204153 was approved on November 14, 2013. This determination of the regulatory review period establishes the maximum potential length of a patent extension. However, the USPTO applies several statutory limitations in its calculations of the actual period for patent extension. In its application for patent extension, this applicant seeks 1,289 days of patent term extension. Dated: April 18, 2016. Leslie Kux, Associate Commissioner for Policy. III. Petitions Anyone with knowledge that any of the dates as published are incorrect may submit either electronic or written comments and ask for a redetermination (see DATES). Furthermore, any interested person may petition FDA for a VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 [FR Doc. 2016–09374 Filed 4–21–16; 8:45 am] BILLING CODE 4164–01–P 23723 vitro diagnostic tests for detection of Zika virus and/or diagnosis of Zika virus infection subject to the terms of any authorization issued under the FD&C Act. The Authorization, which includes an explanation of the reasons for issuance, is reprinted in this document. The Authorization is effective as of March 17, 2016. ADDRESSES: Submit written requests for single copies of the EUA to the Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver Spring, MD 20993– 0002. Send one self-addressed adhesive label to assist that office in processing your request or include a fax number to which the Authorization may be sent. See the SUPPLEMENTARY INFORMATION section for electronic access to the Authorization. DATES: FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2016–N–0969] Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection of Zika Virus; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the issuance of an Emergency Use Authorization (EUA) (the Authorization) for an in vitro diagnostic device for detection of Zika virus in response to the Zika virus outbreak in the Americas. FDA issued this Authorization under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), as requested by the U.S. Centers for Disease Control and Prevention (CDC). The Authorization contains, among other things, conditions on the emergency use of the authorized in vitro diagnostic device. The Authorization follows the February 26, 2016, determination by the Department of Health and Human Services (HHS) Secretary that there is a significant potential for a public health emergency that has a significant potential to affect national security or the health and security of U.S. citizens living abroad and that involves Zika virus. On the basis of such determination, the HHS Secretary declared on February 26, 2016, that circumstances exist justifying the authorization of emergency use of in SUMMARY: PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 Carmen Maher, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4347, Silver Spring, MD 20993–0002, 301–796–8510 (this is not a toll free number). SUPPLEMENTARY INFORMATION: I. Background Section 564 of the FD&C Act (21 U.S.C. 360bbb–3) as amended by the Project BioShield Act of 2004 (Pub. L. 108–276) and the Pandemic and AllHazards Preparedness Reauthorization Act of 2013 (Pub. L. 113–5) allows FDA to strengthen the public health protections against biological, chemical, nuclear, and radiological agents. Among other things, section 564 of the FD&C Act allows FDA to authorize the use of an unapproved medical product or an unapproved use of an approved medical product in certain situations. With this EUA authority, FDA can help assure that medical countermeasures may be used in emergencies to diagnose, treat, or prevent serious or life-threatening diseases or conditions caused by biological, chemical, nuclear, or radiological agents when there are no adequate, approved, and available alternatives. Section 564(b)(1) of the FD&C Act provides that, before an EUA may be issued, the Secretary of HHS must declare that circumstances exist justifying the authorization based on one of the following grounds: (1) A determination by the Secretary of Homeland Security that there is a domestic emergency, or a significant potential for a domestic emergency, E:\FR\FM\22APN1.SGM 22APN1 23724 Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices mstockstill on DSK4VPTVN1PROD with NOTICES involving a heightened risk of attack with a biological, chemical, radiological, or nuclear agent or agents; (2) a determination by the Secretary of Defense that there is a military emergency, or a significant potential for a military emergency, involving a heightened risk to U.S. military forces of attack with a biological, chemical, radiological, or nuclear agent or agents; (3) a determination by the Secretary of HHS that there is a public health emergency, or a significant potential for a public health emergency, that affects, or has a significant potential to affect, national security or the health and security of U.S. citizens living abroad, and that involves a biological, chemical, radiological, or nuclear agent or agents, or a disease or condition that may be attributable to such agent or agents; or (4) the identification of a material threat by the Secretary of Homeland Security under section 319F–2 of the Public Health Service (PHS) Act (42 U.S.C. 247d–6b) sufficient to affect national security or the health and security of U.S. citizens living abroad. Once the Secretary of HHS has declared that circumstances exist justifying an authorization under section 564 of the FD&C Act, FDA may authorize the emergency use of a drug, device, or biological product if the Agency concludes that the statutory criteria are satisfied. Under section 564(h)(1) of the FD&C Act, FDA is required to publish in the Federal Register a notice of each authorization, and each termination or revocation of an authorization, and an explanation of the reasons for the action. Section 564 of the FD&C Act permits FDA to authorize the introduction into interstate commerce of a drug, device, or biological product intended for use when the Secretary of HHS has declared that circumstances exist justifying the authorization of emergency use. Products appropriate for emergency use may include products and uses that are not approved, cleared, or licensed under sections 505, 510(k), or 515 of the FD&C Act (21 U.S.C. 355, VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 360(k), and 360(e)), or section 351 of the PHS Act (42 U.S.C. 262). FDA may issue an EUA only if, after consultation with the HHS Assistant Secretary for Preparedness and Response, the Director of the National Institutes of Health, and the Director of the CDC (to the extent feasible and appropriate given the applicable circumstances), FDA 1 concludes: (1) That an agent referred to in a declaration of emergency or threat can cause a serious or lifethreatening disease or condition; (2) that, based on the totality of scientific evidence available to FDA, including data from adequate and well-controlled clinical trials, if available, it is reasonable to believe that: (A) The product may be effective in diagnosing, treating, or preventing (i) such disease or condition; or (ii) a serious or lifethreatening disease or condition caused by a product authorized under section 564, approved or cleared under the FD&C Act, or licensed under section 351 of the PHS Act, for diagnosing, treating, or preventing such a disease or condition caused by such an agent; and (B) the known and potential benefits of the product, when used to diagnose, prevent, or treat such disease or condition, outweigh the known and potential risks of the product, taking into consideration the material threat posed by the agent or agents identified in a declaration under section 564(b)(1)(D) of the FD&C Act, if applicable; (3) that there is no adequate, approved, and available alternative to the product for diagnosing, preventing, or treating such disease or condition; and (4) that such other criteria as may be prescribed by regulation are satisfied. No other criteria for issuance have been prescribed by regulation under section 564(c)(4) of the FD&C Act. Because the statute is self-executing, regulations or guidance are not required for FDA to implement the EUA authority. 1 The Secretary of HHS has delegated the authority to issue an EUA under section 564 of the FD&C Act to the Commissioner of Food and Drugs. PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 II. EUA Request for an In Vitro Diagnostic Device for Detection of Zika Virus On February 26, 2016, the Secretary of HHS determined that there is a significant potential for a public health emergency that has a significant potential to affect national security or the health and security of U.S. citizens living abroad and that involves Zika virus. On February 26, 2016, under section 564(b)(1) of the FD&C Act, and on the basis of such determination, the Secretary of HHS declared that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection of Zika virus and/or diagnosis of Zika virus infection, subject to the terms of any authorization issued under section 564 of the FD&C Act. Notice of the determination and declaration of the Secretary was published in the Federal Register on March 2, 2016 (81 FR 10878). On March 14, 2016, CDC requested, and on March 17, 2016, FDA issued, an EUA for the CDC Trioplex Real-time RT-PCR Assay (Trioplex rRTPCR), subject to the terms of the Authorization. III. Electronic Access An electronic version of this document and the full text of the Authorization are available on the Internet at https://www.regulations.gov. IV. The Authorization Having concluded that the criteria for issuance of the Authorization under section 564(c) of the FD&C Act are met, FDA has authorized the emergency use of an in vitro diagnostic device for detection of Zika virus subject to the terms of the Authorization. The Authorization in its entirety (not including the authorized versions of the fact sheets and other written materials) follows and provides an explanation of the reasons for its issuance, as required by section 564(h)(1) of the FD&C Act. BILLING CODE 4164–01–P E:\FR\FM\22APN1.SGM 22APN1 VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 23725 EN22AP16.048</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices 23726 Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices Centers for Disease Control and Pn;:vention tor detectton authorization I. Criteria for lssulmt·e of Authorizntion concluded that the emergency use lilld or /',ika infection in thll issuance an authorization under section VlfiJS M>!Ol:llHCU virus can caus..:: Zika virus L The condition to humans infected with the or or scientific evidence availahlll to FDA> it 2. reasonable to bulicvc instrument and when used with the risk.'! of such 3. and available altemative to the emergency use '""'&''""''"& Zika virus infection. VerDate Sep<11>2014 19:18 Apr 21, 2016 of Authorization Jkt 238001 PO 00000 Frm 00053 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.049</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES u. Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices 23727 Centers for Disease Control and Pn;:vention I'RT-PCR The Authmized VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.050</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES • 23728 Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices and P and Rand R a:nd P • and • • Posith·e controls for a!!en:t-snocnitc Inactivated Inactivated cn:tKlitng:un.ya lnadivaled Zika virus • IU+lase P Primer and Probe Set sets pmcess . VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.051</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES • Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices 23729 Centers for Disease Control and Pn;:vention prcg)lilllt women, • • R!!al- RT-PCR ,.,,,,"'""'"' Real- • Time FDA has reviewed the scientific information available to infonnation VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.052</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES when the 23730 Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices Centers for Disease Control and Pn;:vention under s.;ction of thtl i\ct. rRT-PCR IV. Conditions of Authorization Pursuant to section ~Jondit ions ofth~J on this authorization: Centers for Disease Control and Prevention CDC will distribute the authorized rRT-PCR with may be revised CDC in consultation with FDA, to authorized laboratories< H. Women, and the authorized rRT-PCR Fad Sheet for Patients. C. CDC will make available on its website the authorized rRT-PCR Fact Sheet for Health Care the authorized Fa!,lt Sheet for •-r"""''"'' and the authorized rRT-PCR Fact Sheet for Patients. mstockstill on DSK4VPTVN1PROD with NOTICES to VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4725 under health Part E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.053</GPH> D. CDC will infonn authorized laboratories and relevant fbis Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices 23731 Centers for Disease Control and Pn;:vention control, CDC G. maintain records of devic.: II. authorized make avaih<ble additional '"'·"~'"''~<"·" of the authorized rRT-PCR tlmt is''"'"'"""·''"' the tem1s ofthis letter (if authorization. CDC J. and the authorized made CDC request the addition PCR instruments rRT-PCR. requests will be made concun·encc of, FDA. L. the addition rRT-PCR. Such requests will be made concurrence of, M. CDC may request the addition of other Rn•>"i'"'"" u1vv:'"'" rRT-PCR. Such requests be made concun·ence and FDA. CDC will reference standard when the material ne•:on11es av.ruu•u''"· FDA and of and concurrence with to reflect the additional Authorized Laboratories 0. Authorized laboratories will include the authorized Fact Sheet for Health Care I'Nlvmers Prr•onqnt Women, and the authorized Fact Sheet for Patients. Under "'"'"'"'""''"'"'"'' other methods for include mass media. P. Authorized laboratories will be these the 7500 VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.054</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES material. 23732 Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices Centers for Disease Control and Pn;:vention health CDC and authorized IU!llll114UilCU Until the use ofthe 'Ihis lest ha<: been authorized This FDA under an for authorized for the detection and ditlerentiation from other VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4725 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.055</GPH> mstockstill on DSK4VPTVN1PROD with NOTICES tenninated or revoked sooner. Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices produce grown in fields or other growing areas amended with untreated biological soil amendments of animal origin (including raw manure). We are taking this action for an extension to allow interested persons additional time to submit comments. [FR Doc. 2016–09370 Filed 4–21–16; 8:45 am] BILLING CODE 4164–01–C DEPARTMENT OF HEALTH AND HUMAN SERVICES DATES: Food and Drug Administration ADDRESSES: Submit either electronic or written comments by July 5, 2016. [Docket No. FDA–2016–N–0321] Risk Assessment of Foodborne Illness Associated With Pathogens From Produce Grown in Fields Amended With Untreated Biological Soil Amendments of Animal Origin; Request for Scientific Data, Information, and Comments; Extension of Comment Period AGENCY: Food and Drug Administration, HHS. Notice; request for comments and for scientific data and information; extension of comment period. ACTION: The Food and Drug Administration (FDA or we) is extending the comment period for the notice entitled ‘‘Risk Assessment of Foodborne Illness Associated With Pathogens From Produce Grown in Fields Amended With Untreated Biological Soil Amendments of Animal Origin; Request for Scientific Data, Information, and Comments’’ that appeared in the Federal Register of March 4, 2016. The notice requested scientific data, information, and comments that would assist in the development of a risk assessment for mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 19:18 Apr 21, 2016 Jkt 238001 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 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 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–0321 for ‘‘Risk Assessment of Foodborne Illness Associated With Pathogens From Produce Grown in Fields Amended With Untreated Biological Soil Amendments of Animal Origin; Request for Scientific Data, Information, and Comments.’’ 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 E:\FR\FM\22APN1.SGM 22APN1 EN22AP16.056</GPH> Dated: April 18, 2016. Leslie Kux, Associate Commissioner for Policy. 23733

Agencies

[Federal Register Volume 81, Number 78 (Friday, April 22, 2016)]
[Notices]
[Pages 23723-23733]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09370]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-0969]


Authorization of Emergency Use of an In Vitro Diagnostic Device 
for Detection of Zika Virus; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
issuance of an Emergency Use Authorization (EUA) (the Authorization) 
for an in vitro diagnostic device for detection of Zika virus in 
response to the Zika virus outbreak in the Americas. FDA issued this 
Authorization under the Federal Food, Drug, and Cosmetic Act (the FD&C 
Act), as requested by the U.S. Centers for Disease Control and 
Prevention (CDC). The Authorization contains, among other things, 
conditions on the emergency use of the authorized in vitro diagnostic 
device. The Authorization follows the February 26, 2016, determination 
by the Department of Health and Human Services (HHS) Secretary that 
there is a significant potential for a public health emergency that has 
a significant potential to affect national security or the health and 
security of U.S. citizens living abroad and that involves Zika virus. 
On the basis of such determination, the HHS Secretary declared on 
February 26, 2016, that circumstances exist justifying the 
authorization of emergency use of in vitro diagnostic tests for 
detection of Zika virus and/or diagnosis of Zika virus infection 
subject to the terms of any authorization issued under the FD&C Act. 
The Authorization, which includes an explanation of the reasons for 
issuance, is reprinted in this document.

DATES: The Authorization is effective as of March 17, 2016.

ADDRESSES: Submit written requests for single copies of the EUA to the 
Office of Counterterrorism and Emerging Threats, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver 
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist 
that office in processing your request or include a fax number to which 
the Authorization may be sent. See the SUPPLEMENTARY INFORMATION 
section for electronic access to the Authorization.

FOR FURTHER INFORMATION CONTACT: Carmen Maher, Office of 
Counterterrorism and Emerging Threats, Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 1, Rm. 4347, Silver Spring, MD 20993-
0002, 301-796-8510 (this is not a toll free number).

SUPPLEMENTARY INFORMATION:

I. Background

    Section 564 of the FD&C Act (21 U.S.C. 360bbb-3) as amended by the 
Project BioShield Act of 2004 (Pub. L. 108-276) and the Pandemic and 
All-Hazards Preparedness Reauthorization Act of 2013 (Pub. L. 113-5) 
allows FDA to strengthen the public health protections against 
biological, chemical, nuclear, and radiological agents. Among other 
things, section 564 of the FD&C Act allows FDA to authorize the use of 
an unapproved medical product or an unapproved use of an approved 
medical product in certain situations. With this EUA authority, FDA can 
help assure that medical countermeasures may be used in emergencies to 
diagnose, treat, or prevent serious or life-threatening diseases or 
conditions caused by biological, chemical, nuclear, or radiological 
agents when there are no adequate, approved, and available 
alternatives.
    Section 564(b)(1) of the FD&C Act provides that, before an EUA may 
be issued, the Secretary of HHS must declare that circumstances exist 
justifying the authorization based on one of the following grounds: (1) 
A determination by the Secretary of Homeland Security that there is a 
domestic emergency, or a significant potential for a domestic 
emergency,

[[Page 23724]]

involving a heightened risk of attack with a biological, chemical, 
radiological, or nuclear agent or agents; (2) a determination by the 
Secretary of Defense that there is a military emergency, or a 
significant potential for a military emergency, involving a heightened 
risk to U.S. military forces of attack with a biological, chemical, 
radiological, or nuclear agent or agents; (3) a determination by the 
Secretary of HHS that there is a public health emergency, or a 
significant potential for a public health emergency, that affects, or 
has a significant potential to affect, national security or the health 
and security of U.S. citizens living abroad, and that involves a 
biological, chemical, radiological, or nuclear agent or agents, or a 
disease or condition that may be attributable to such agent or agents; 
or (4) the identification of a material threat by the Secretary of 
Homeland Security under section 319F-2 of the Public Health Service 
(PHS) Act (42 U.S.C. 247d-6b) sufficient to affect national security or 
the health and security of U.S. citizens living abroad.
    Once the Secretary of HHS has declared that circumstances exist 
justifying an authorization under section 564 of the FD&C Act, FDA may 
authorize the emergency use of a drug, device, or biological product if 
the Agency concludes that the statutory criteria are satisfied. Under 
section 564(h)(1) of the FD&C Act, FDA is required to publish in the 
Federal Register a notice of each authorization, and each termination 
or revocation of an authorization, and an explanation of the reasons 
for the action. Section 564 of the FD&C Act permits FDA to authorize 
the introduction into interstate commerce of a drug, device, or 
biological product intended for use when the Secretary of HHS has 
declared that circumstances exist justifying the authorization of 
emergency use. Products appropriate for emergency use may include 
products and uses that are not approved, cleared, or licensed under 
sections 505, 510(k), or 515 of the FD&C Act (21 U.S.C. 355, 360(k), 
and 360(e)), or section 351 of the PHS Act (42 U.S.C. 262). FDA may 
issue an EUA only if, after consultation with the HHS Assistant 
Secretary for Preparedness and Response, the Director of the National 
Institutes of Health, and the Director of the CDC (to the extent 
feasible and appropriate given the applicable circumstances), FDA \1\ 
concludes: (1) That an agent referred to in a declaration of emergency 
or threat can cause a serious or life-threatening disease or condition; 
(2) that, based on the totality of scientific evidence available to 
FDA, including data from adequate and well-controlled clinical trials, 
if available, it is reasonable to believe that: (A) The product may be 
effective in diagnosing, treating, or preventing (i) such disease or 
condition; or (ii) a serious or life-threatening disease or condition 
caused by a product authorized under section 564, approved or cleared 
under the FD&C Act, or licensed under section 351 of the PHS Act, for 
diagnosing, treating, or preventing such a disease or condition caused 
by such an agent; and (B) the known and potential benefits of the 
product, when used to diagnose, prevent, or treat such disease or 
condition, outweigh the known and potential risks of the product, 
taking into consideration the material threat posed by the agent or 
agents identified in a declaration under section 564(b)(1)(D) of the 
FD&C Act, if applicable; (3) that there is no adequate, approved, and 
available alternative to the product for diagnosing, preventing, or 
treating such disease or condition; and (4) that such other criteria as 
may be prescribed by regulation are satisfied.
---------------------------------------------------------------------------

    \1\ The Secretary of HHS has delegated the authority to issue an 
EUA under section 564 of the FD&C Act to the Commissioner of Food 
and Drugs.
---------------------------------------------------------------------------

    No other criteria for issuance have been prescribed by regulation 
under section 564(c)(4) of the FD&C Act. Because the statute is self-
executing, regulations or guidance are not required for FDA to 
implement the EUA authority.

II. EUA Request for an In Vitro Diagnostic Device for Detection of Zika 
Virus

    On February 26, 2016, the Secretary of HHS determined that there is 
a significant potential for a public health emergency that has a 
significant potential to affect national security or the health and 
security of U.S. citizens living abroad and that involves Zika virus. 
On February 26, 2016, under section 564(b)(1) of the FD&C Act, and on 
the basis of such determination, the Secretary of HHS declared that 
circumstances exist justifying the authorization of emergency use of in 
vitro diagnostic tests for detection of Zika virus and/or diagnosis of 
Zika virus infection, subject to the terms of any authorization issued 
under section 564 of the FD&C Act. Notice of the determination and 
declaration of the Secretary was published in the Federal Register on 
March 2, 2016 (81 FR 10878). On March 14, 2016, CDC requested, and on 
March 17, 2016, FDA issued, an EUA for the CDC Trioplex Real-time RT-
PCR Assay (Trioplex rRT-PCR), subject to the terms of the 
Authorization.

III. Electronic Access

    An electronic version of this document and the full text of the 
Authorization are available on the Internet at https://www.regulations.gov.

IV. The Authorization

    Having concluded that the criteria for issuance of the 
Authorization under section 564(c) of the FD&C Act are met, FDA has 
authorized the emergency use of an in vitro diagnostic device for 
detection of Zika virus subject to the terms of the Authorization. The 
Authorization in its entirety (not including the authorized versions of 
the fact sheets and other written materials) follows and provides an 
explanation of the reasons for its issuance, as required by section 
564(h)(1) of the FD&C Act.
BILLING CODE 4164-01-P

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    Dated: April 18, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-09370 Filed 4-21-16; 8:45 am]
 BILLING CODE 4164-01-C
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