Center for Scientific Review; Cancellation of Meeting, 5694 [2019-03027]
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Federal Register / Vol. 84, No. 36 / Friday, February 22, 2019 / Notices
guidance takes into consideration the
feedback received and is intended to
serve as a focus for continued
discussions among the Agency,
pharmaceutical sponsors, the academic
community, and the public on this
topic.
The draft guidance focuses on drug
development and trial design issues that
are specific to the study of NRT drug
products. NRT drug products are
typically studied and labeled for use as
adjuncts to behavioral self-help
materials and to date have involved
single treatment regimens that begin on
the patient’s quit day. Alternate
treatment regimens (e.g., pretreatment
before quit day, quitting by gradual
reduction (reduce to quit), using
multiple NRT drug products together)
are discussed in the guidance.
As outlined in the guidance, NRT
drug products can be developed for
smoking cessation and/or reduction in
risk of relapse. NRT drug products that
first have demonstrated efficacy for at
least one of these indications can also
include additional information in
labeling by demonstrating efficacy in
certain secondary endpoints. Sponsors
can evaluate reduction in the urge to
smoke or relief of cue-induced craving
in former smokers, as secondary
endpoints. Additionally, sponsors that
can demonstrate, via a secondary
endpoint, that the drug product
provides relief of withdrawal symptoms
in smokers who are not trying to quit
smoking, may be able to include
labeling instructions to address
situations when such individuals are
required to abstain and therefore
experience withdrawal symptoms (e.g.,
while traveling on an airplane).
FDA is aware of the serious risks
associated with smoking and is
committed to facilitating the
development of therapies to support
smoking cessation efforts. Both the
regulatory pathway for an NRT drug
product and the amount of nonclinical
or clinical data needed to support
approval will depend on the
characteristics of the proposed NRT
drug product relative to an approved
NRT drug product. This guidance
outlines general considerations for NRT
drug development and trial design, and
FDA encourages sponsors to contact
FDA for feedback on their proposed
development plans. Sponsors
developing an over-the-counter drug
product should bear in mind that it is
often not possible to answer all
regulatory questions in a single trial,
and additional sequential steps may be
needed.
This draft guidance is being issued
consistent with FDA’s good guidance
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practices regulation (21 CFR 10.115).
The draft guidance, when finalized, will
represent the current thinking of FDA
on ‘‘Smoking Cessation and Related
Indications: Developing Nicotine
Replacement Therapy Drug Products.’’ It
does not establish any rights for any
person and is not binding on FDA or the
public. You can use an alternative
approach if it satisfies the requirements
of the applicable statutes and
regulations. This guidance is not subject
to Executive Order 12866.
II. Paperwork Reduction Act of 1995
This draft guidance refers to
previously approved collections of
information found in FDA regulations.
These collections of information are
subject to review by the Office of
Management and Budget (OMB) under
the Paperwork Reduction Act of 1995
(44 U.S.C. 3501–3520).
The collection of information in 21
CFR part 314 for the submission of new
drug applications (NDAs), including the
submission of labeling under
§§ 314.50(e)(2)(ii) and 314.50(l)(1)(i), as
well as the submission of 505(b)(2)
applications and abbreviated new drug
applications, has been approved under
OMB control number 0910–0001. The
submission of biologics license
applications (BLAs) has been approved
under OMB control number 0910–0338.
The collection of information in 21 CFR
part 312 has been approved under OMB
control number 0910–0014.
The submission of prescription drug
labeling under 21 CFR 201.56 and
201.57 has been approved under OMB
control number 0910–0572. The
collections of information in 21 CFR
parts 50 and 56 (Protection of Human
Subjects: Informed Consent;
Institutional Review Boards) have been
approved under OMB control number
0910–0755.
The collection of information in the
draft guidance for industry entitled
‘‘Formal Meetings Between FDA and
Sponsors and Applicants for PDUFA
Products,’’ (available at https://
www.fda.gov/ucm/groups/fdagovpublic/@fdagov-drugs-gen/documents/
document/ucm590547.pdf) including
requests for pre-NDA and pre-BLA
meetings, has been approved under
OMB control number 0910–0429.
The submission of special protocol
assessments has been approved under
OMB control number 0910–0470.
In accordance with the PRA, prior to
publication of any final guidance
document, FDA intends to solicit public
comment and obtain OMB approval for
any information collections
recommended in this guidance that are
new or that would represent material
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modifications to those previously
approved collections of information
found in FDA regulations or guidances.
III. Electronic Access
Persons with access to the internet
may obtain the draft guidance at either
https://www.fda.gov/Drugs/
GuidanceComplianceRegulatory
Information/Guidances/default.htm or
https://www.regulations.gov.
Dated: February 15, 2019.
Lowell J. Schiller,
Acting Associate Commissioner for Policy.
[FR Doc. 2019–03064 Filed 2–21–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review;
Cancellation of Meeting
Notice is hereby given of the
cancellation of the Center for Scientific
Review Special Emphasis Panel, March
1, 2019, 11:00 a.m. to March 1, 2019,
5:00 p.m., St. Gregory Hotel, 2033 M
Street NW, Washington, DC 20036
which was published in the Federal
Register on February 5, 2019, 84 FR
1766.
The meeting is cancelled.
Dated: February 15, 2019.
Melanie J. Pantoja,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2019–03027 Filed 2–21–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Notice of
Closed Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
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Agencies
[Federal Register Volume 84, Number 36 (Friday, February 22, 2019)]
[Notices]
[Page 5694]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03027]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Cancellation of Meeting
Notice is hereby given of the cancellation of the Center for
Scientific Review Special Emphasis Panel, March 1, 2019, 11:00 a.m. to
March 1, 2019, 5:00 p.m., St. Gregory Hotel, 2033 M Street NW,
Washington, DC 20036 which was published in the Federal Register on
February 5, 2019, 84 FR 1766.
The meeting is cancelled.
Dated: February 15, 2019.
Melanie J. Pantoja,
Program Analyst, Office of Federal Advisory Committee Policy.
[FR Doc. 2019-03027 Filed 2-21-19; 8:45 am]
BILLING CODE 4140-01-P