Patient-Focused Drug Development for Stimulant Use Disorder; Public Meeting; Request for Comments, 61756-61758 [2020-21623]
Download as PDF
61756
Federal Register / Vol. 85, No. 190 / Wednesday, September 30, 2020 / Notices
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/pdf/2015-23389.pdf.
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 Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
This notice is issued under the
Federal Advisory Committee Act (5
U.S.C. app. 2) and 21 CFR part 14,
relating to the advisory committees.
ADDRESSES:
Dated: September 24, 2020.
Lauren K. Roth,
Associate Commissioner for Policy.
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’’).
[FR Doc. 2020–21630 Filed 9–29–20; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–N–0259]
Patient-Focused Drug Development for
Stimulant Use Disorder; Public
Meeting; Request for Comments
AGENCY:
Food and Drug Administration,
HHS.
Notice of public meeting;
request for comments.
ACTION:
In the Federal Register notice
published on March 19, 2020, the Food
and Drug Administration (FDA, the
Agency, or we) announced the
cancellation of the meeting entitled
‘‘Patient-Focused Drug Development for
Stimulant Use Disorder’’ originally
scheduled to occur on March 10, 2020,
as announced in the Federal Register on
February 18, 2020. FDA is announcing
a new date for the meeting, to occur in
a virtual format. The purpose of the
public meeting is to allow FDA to obtain
stakeholder perspectives on the impact
of stimulant use disorder and views on
treatment approaches for stimulant use
disorder.
DATES: The public meeting will be held
on October 6, 2020, from 12:30 p.m.
Eastern Time to 5 p.m. Eastern Time.
Submit either electronic or written
comments on this public meeting by
December 7, 2020. See the
SUPPLEMENTARY INFORMATION section for
registration date and information.
jbell on DSKJLSW7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:36 Sep 29, 2020
Jkt 250001
Please note that due to the
impact of the COVID–19 pandemic, all
meeting participants will be joining this
public meeting via an online
conferencing platform.
The docket number to accept
comments is FDA–2020–N–0259. Please
note that late, untimely filed comments
will not be considered. Electronic
comments must be submitted on or
before December 7, 2020. The https://
www.regulations.gov electronic filing
system will accept comments until
11:59 p.m. Eastern Time at the end of
December 7, 2020. Comments received
by mail/hand delivery/courier (for
written/paper submissions) will be
considered timely if they are
postmarked or the delivery service
acceptance receipt is on or before that
date.
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand Delivery/Courier (for
written/paper submissions): Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to the Dockets Management
Staff, 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.’’
PO 00000
Frm 00039
Fmt 4703
Sfmt 4703
Instructions: All submissions received
must include the Docket No. FDA–
2020–N–0259 for ‘‘Patient-Focused Drug
Development for Stimulant Use
Disorder; Public Meeting; Request for
Comments.’’ Received comments, those
filed in a timely manner (see
ADDRESSES), will be placed in the docket
and, except for those submitted as
‘‘Confidential Submissions,’’ publicly
viewable at https://www.regulations.gov
or at the Dockets Management Staff
between 9 a.m. and 4 p.m., Monday
through Friday, 240–402–7500.
• 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 Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/pdf/2015-23389.pdf.
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 Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
FOR FURTHER INFORMATION CONTACT:
Lyna Merzoug, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6308,
Silver Spring, MD 20993–0002, 301–
796–6001, PatientFocused@fda.hhs.gov.
E:\FR\FM\30SEN1.SGM
30SEN1
Federal Register / Vol. 85, No. 190 / Wednesday, September 30, 2020 / Notices
jbell on DSKJLSW7X2PROD with NOTICES
SUPPLEMENTARY INFORMATION:
I. Background
On March 19, 2020, FDA announced
in the Federal Register (85 FR 15789)
the cancellation of the meeting entitled
‘‘Patient-Focused Drug Development for
Stimulant Use Disorder’’ originally
scheduled to occur on March 10, 2020,
as announced in the Federal Register on
February 18, 2020 (85 FR 8877). The
meeting has been rescheduled in a
virtual format.
This meeting will provide FDA the
opportunity to obtain input from
individuals with stimulant use disorder
and other related stakeholders on the
impact of stimulant use disorder and
views on treatment goals and
approaches. FDA is interested in
stakeholders’ perspectives on: (1) The
health effects and daily impacts of their
condition; (2) the impact (if any) of
opioid and polysubstance use on their
condition; (3) treatment goals; and (4)
decision factors considered when
seeking out or selecting a treatment.
Stimulant use disorder describes a
range of problems associated with the
use of illicit stimulant drugs, including
methamphetamine and cocaine, and
prescription stimulants (e.g.,
ADDERALL, RITALIN), but not
including caffeine or nicotine. A
diagnosis of stimulant use disorder is
made when a clinician identifies a
pattern of use of amphetamine-type
substance, cocaine, or other stimulant
that leads to clinically significant
impairment or distress, including an
inability to reduce or control
consumption, cravings to use a
stimulant, continued use of a stimulant
despite it causing negative
consequences, and the need to use
increased amounts of a stimulant to
achieve the desired effect. There are no
FDA-approved medications for
stimulant use disorder.
The questions that will be asked of
individuals with stimulant use disorder
and other stakeholders at the meeting
are listed in the following section and
organized by topic. For each topic, a
brief initial panel discussion will begin
the dialogue. This will be followed by
a facilitated discussion inviting
comments from other audience
participants. In addition to input
generated through this public meeting,
FDA is interested in receiving
stakeholder input addressing these
questions through written comments,
which can be submitted to the public
docket (see ADDRESSES). As noted above,
when submitting comments, if you do
not wish your name and contact
information to be made publicly
available, you can provide this
VerDate Sep<11>2014
17:36 Sep 29, 2020
Jkt 250001
61757
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ When submitting
comments, if you are commenting on
behalf of a stimulant user, please
indicate that you are doing so and
answer the following questions as much
as possible from the stimulant user’s
perspective, but please refrain from
providing information that would
identify third parties, including minor
children.
FDA will post the agenda and other
meeting materials approximately 5 days
before the meeting at https://
www.fda.gov/drugs/news-eventshuman-drugs/public-meeting-patientfocused-drug-development-stimulantuse-disorder-03102020-03102020.
family responsibilities; participation in
social activities.
d. How does your stimulant use affect
daily life on your best days? On your
worst days?
II. Discussion Questions at the Public
Meeting
3. What are you currently doing to help
manage your stimulant use?
A. Topic 1: Health Effects and Daily
Impacts
a. How well have these management
approaches worked for you?
b. How well have they helped address
the effects of stimulant use that are most
troubling to you?
c. What are the biggest problems you
have faced in using these approaches?
Examples may include bothersome side
effects, challenges or barriers to access,
concern about stigma.
4. What are the biggest factors that
you consider when making decisions
about seeking out or engaging in
treatment for stimulant use disorder?
5. What specific things would you
look for in an ideal treatment for
stimulant use disorder?
6. If you had the opportunity to
participate in a clinical study to test an
experimental treatment for stimulant
use disorder, what factors would you
consider when deciding whether you
would participate?
1. How would you describe your
experience with stimulant use disorder?
a. Which stimulant(s) did you start
using first?
b. What stimulant(s) are you using
now?
c. Did you use any other illicit or
prescription drugs before you started
using the stimulant that you are
currently using?
d. How are you using stimulants?
How has your stimulant(s) use changed
over time? Are you using more
frequently or at higher doses?
e. Do you use stimulants in
combination with other drug(s)? If so,
what other drugs do you use and why?
f. Have you used a stimulant(s) as
treatment for opioid withdrawal and/or
overdose?
2. Of all the ways that stimulant use
disorder impacts your health and wellbeing, which effects have the most
significant impact on your daily life and
the daily life of your family and/or
friends? Examples may include physical
and mental effects of using stimulants
(effects on your body and thinking),
effects of stimulant withdrawal, effects
of cravings, impacts on your ability to
function in personal or professional life,
or emotional or social effects.
a. What drives your use of stimulants?
b. Are there certain activities that you
can only do if you take a stimulant? If
so, what are those activities?
c. Are there specific activities that are
important to you but that you cannot do
at all or as fully as you would like
because of your stimulant use?
Examples of activities may include daily
hygiene; meeting school, work, or
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
3. What worries you most about your
condition?
B. Topic 2: Current Approaches to
Management
1. Have you considered seeking
treatment? Why or why not?
2. If you are using more than one
substance, would stimulant use be the
primary or secondary reason to consider
treatment?
a. If not stimulants, what substance
would be the primary reason you would
seek treatment?
C. Topic 3: Impact of COVID–19
1. Has the COVID–19 pandemic
impacted your substance use or your
desire to seek treatment? If yes, please
describe how.
III. Participating in the Public Meeting
Registration: Persons interested in
attending this public meeting via
webcast must register online at https://
pfddstimulantusedisorder.eventbrite.com.
Contact information provided during
registration will remain confidential and
will only be used to send meeting
updates to participants.
Registration for this virtual event is
free, although there may be limited
space for attendance based on
bandwidth availability. Webcast
information will be provided upon
completion of registration. Closed
E:\FR\FM\30SEN1.SGM
30SEN1
61758
Federal Register / Vol. 85, No. 190 / Wednesday, September 30, 2020 / Notices
captioning will be provided. Please
check the meeting website for the latest
information: https://www.fda.gov/drugs/
news-events-human-drugs/publicmeeting-patient-focused-drugdevelopment-stimulant-use-disorder03102020-03102020.
Streaming Webcast of the Public
Meeting: This public meeting will be
streamed via webcast only. The
recording and presentation slides, along
with a meeting transcript and summary
report, will also be made publicly
available after the meeting. To register
for the webcast, please visit https://
pfdd-stimulantuse
disorder.eventbrite.com. The webcast
can be accessed via https://
fda.yorkcast.com/webcast/Play/
89f7acb8d56e4de8827d
1ade8efa42661d. Simply click on the
link and hit the ‘‘play’’ button and it
will start. The webcast link will be
activated 30 minutes prior to the start of
the meeting.
FDA has verified the website
addresses in this document, as of the
date this document publishes in the
Federal Register, but websites are
subject to change over time.
Transcripts: Please be advised that as
soon as a transcript of the public
meeting is available, it will be accessible
at https://www.regulations.gov. It may
be viewed at the Dockets Management
Staff (see ADDRESSES). A link to the
transcript will also be available on the
meeting website at https://www.fda.gov/
drugs/news-events-human-drugs/publicmeeting-patient-focused-drugdevelopment-stimulant-use-disorder03102020-03102020.
Dated: September 24, 2020.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2020–21623 Filed 9–29–20; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
BILLING CODE 4165–16–P
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice of Supplemental Awards.
jbell on DSKJLSW7X2PROD with NOTICES
HRSA provided supplemental
funding to two current National
Training and Technical Assistance
Partners award recipients to advance
17:36 Sep 29, 2020
Jkt 250001
Justification: Supplemental funding to
SBHA and Futures is necessary to
ensure timely implementation of
expanded T/TA that builds upon
current T/TA activities to strengthen
health center capacity to identify,
prevent, and address intimate partner
violence (IPV) and its effects. SBHA’s
expanded T/TA will result in new and
strengthened health center partnerships
to protect and support children,
increased health center capacity to
address social determinants of health,
and expanded health center strategies to
prevent violence. Futures’ expanded T/
TA will expand health center use of
electronic health records to support IPV
and human trafficking interventions,
increase collection of health center IPV
and human trafficking data, and
strengthen the use of health information
technology to connect health center
patients to referral services and support.
The award recipients have the
demonstrated subject matter expertise
and experience required to swiftly
address these time-sensitive needs.
[FR Doc. 2020–21573 Filed 9–29–20; 8:45 am]
AGENCY:
VerDate Sep<11>2014
Authority: Section 330(l) of the Public
Health Service Act, 42 U.S.C. 254b(l).
Thomas J. Engels,
Administrator.
Notice To Announce Supplemental
Awards To Support Training and
Technical Assistance To Address
Intimate Partner Violence
SUMMARY:
HRSA’s Strategy to Address Intimate
Partner Violence by expanding critical
training and technical assistance (T/TA)
to health centers.
FOR FURTHER INFORMATION CONTACT:
Tracey Orloff, Director, HRSA, Strategic
Partnerships Division, Office of Quality
Improvement, at TOrloff@hrsa.gov or
(301) 443–3197.
SUPPLEMENTARY INFORMATION:
Recipients of the Award: SchoolBased Health Alliance (SBHA) and
Futures without Violence (Futures).
Amount of Non-Competitive Award:
$75,000 for SBHA and $100,000 for
Futures.
Period of Supplemental Funding:
Fiscal year 2020 and ongoing annually
to the end of the project period,
contingent upon availability of funds
and recipient performance.
CFDA Number: 93.129.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center For Scientific Review; Notice of
Closed Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
amended, notice is hereby given of the
following meetings.
The meetings 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.
Name of Committee: Biobehavioral and
Behavioral Processes Integrated Review
Group; Biobehavioral Mechanisms of
Emotion, Stress and Health Study Section.
Date: October 28–30, 2020.
Time: 10:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892 (Virtual Meeting).
Contact Person: Sara Louise Hargrave,
Ph.D., Scientific Review Officer, Center for
Scientific Review, National Institute of
Health, 6701 Rockledge Drive, Room 3170,
Bethesda, MD 20892, (301) 443–7193,
hargravesl@mail.nih.gov.
Name of Committee: Emerging
Technologies and Training Neurosciences
Integrated Review Group; Bioengineering of
Neuroscience, Vision and Low Vision
Technologies Study Section.
Date: October 29–30, 2020.
Time: 8:00 a.m. to 7:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892 (Virtual Meeting).
Contact Person: Robert C. Elliott, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 5190,
MSC 7846, Bethesda, MD 20892, 301–435–
3009, elliotro@csr.nih.gov.
Name of Committee: Brain Disorders and
Clinical Neuroscience Integrated Review
Group; Clinical Neuroscience and
Neurodegeneration Study Section.
Date: October 29–30, 2020.
Time: 8:30 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892 (Virtual Meeting).
Contact Person: Alessandra C. Rovescalli,
Ph.D., Scientific Review Officer, National
Institutes of Health, Center for Scientific
Review, 6701 Rockledge Drive, Rm 5205,
MSC7846, Bethesda, MD 20892, (301) 435–
1021, rovescaa@mail.nih.gov.
Name of Committee: Brain Disorders and
Clinical Neuroscience Integrated Review
Group; Acute Neural Injury and Epilepsy
Study Section.
Date: October 29–30, 2020.
Time: 8:30 a.m. to 6:00 p.m.
E:\FR\FM\30SEN1.SGM
30SEN1
Agencies
[Federal Register Volume 85, Number 190 (Wednesday, September 30, 2020)]
[Notices]
[Pages 61756-61758]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21623]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2020-N-0259]
Patient-Focused Drug Development for Stimulant Use Disorder;
Public Meeting; Request for Comments
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice of public meeting; request for comments.
-----------------------------------------------------------------------
SUMMARY: In the Federal Register notice published on March 19, 2020,
the Food and Drug Administration (FDA, the Agency, or we) announced the
cancellation of the meeting entitled ``Patient-Focused Drug Development
for Stimulant Use Disorder'' originally scheduled to occur on March 10,
2020, as announced in the Federal Register on February 18, 2020. FDA is
announcing a new date for the meeting, to occur in a virtual format.
The purpose of the public meeting is to allow FDA to obtain stakeholder
perspectives on the impact of stimulant use disorder and views on
treatment approaches for stimulant use disorder.
DATES: The public meeting will be held on October 6, 2020, from 12:30
p.m. Eastern Time to 5 p.m. Eastern Time. Submit either electronic or
written comments on this public meeting by December 7, 2020. See the
SUPPLEMENTARY INFORMATION section for registration date and
information.
ADDRESSES: Please note that due to the impact of the COVID-19 pandemic,
all meeting participants will be joining this public meeting via an
online conferencing platform.
The docket number to accept comments is FDA-2020-N-0259. Please
note that late, untimely filed comments will not be considered.
Electronic comments must be submitted on or before December 7, 2020.
The https://www.regulations.gov electronic filing system will accept
comments until 11:59 p.m. Eastern Time at the end of December 7, 2020.
Comments received by mail/hand delivery/courier (for written/paper
submissions) will be considered timely if they are postmarked or the
delivery service acceptance receipt is on or before that date.
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): Dockets Management Staff (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
For written/paper comments submitted to the Dockets
Management Staff, 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-2020-N-0259 for ``Patient-Focused Drug Development for Stimulant
Use Disorder; Public Meeting; Request for Comments.'' Received
comments, those filed in a timely manner (see ADDRESSES), will be
placed in the docket and, except for those submitted as ``Confidential
Submissions,'' publicly viewable at https://www.regulations.gov or at
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through
Friday, 240-402-7500.
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 Dockets Management Staff. If you do not wish
your name and contact information to be made publicly available, you
can provide this information on the cover sheet and not in the body of
your comments and you must identify this information as
``confidential.'' Any information marked as ``confidential'' will not
be disclosed except in accordance with 21 CFR 10.20 and other
applicable disclosure law. For more information about FDA's posting of
comments to public dockets, see 80 FR 56469, September 18, 2015, or
access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
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 Dockets Management Staff, 5630 Fishers Lane,
Rm. 1061, Rockville, MD 20852, 240-402-7500.
FOR FURTHER INFORMATION CONTACT: Lyna Merzoug, Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6308, Silver Spring, MD 20993-0002, 301-
796-6001, [email protected].
[[Page 61757]]
SUPPLEMENTARY INFORMATION:
I. Background
On March 19, 2020, FDA announced in the Federal Register (85 FR
15789) the cancellation of the meeting entitled ``Patient-Focused Drug
Development for Stimulant Use Disorder'' originally scheduled to occur
on March 10, 2020, as announced in the Federal Register on February 18,
2020 (85 FR 8877). The meeting has been rescheduled in a virtual
format.
This meeting will provide FDA the opportunity to obtain input from
individuals with stimulant use disorder and other related stakeholders
on the impact of stimulant use disorder and views on treatment goals
and approaches. FDA is interested in stakeholders' perspectives on: (1)
The health effects and daily impacts of their condition; (2) the impact
(if any) of opioid and polysubstance use on their condition; (3)
treatment goals; and (4) decision factors considered when seeking out
or selecting a treatment.
Stimulant use disorder describes a range of problems associated
with the use of illicit stimulant drugs, including methamphetamine and
cocaine, and prescription stimulants (e.g., ADDERALL, RITALIN), but not
including caffeine or nicotine. A diagnosis of stimulant use disorder
is made when a clinician identifies a pattern of use of amphetamine-
type substance, cocaine, or other stimulant that leads to clinically
significant impairment or distress, including an inability to reduce or
control consumption, cravings to use a stimulant, continued use of a
stimulant despite it causing negative consequences, and the need to use
increased amounts of a stimulant to achieve the desired effect. There
are no FDA-approved medications for stimulant use disorder.
The questions that will be asked of individuals with stimulant use
disorder and other stakeholders at the meeting are listed in the
following section and organized by topic. For each topic, a brief
initial panel discussion will begin the dialogue. This will be followed
by a facilitated discussion inviting comments from other audience
participants. In addition to input generated through this public
meeting, FDA is interested in receiving stakeholder input addressing
these questions through written comments, which can be submitted to the
public docket (see ADDRESSES). As noted above, when submitting
comments, if you do not wish your name and contact information to be
made publicly available, you can provide this information on the cover
sheet and not in the body of your comments and you must identify this
information as ``confidential.'' When submitting comments, if you are
commenting on behalf of a stimulant user, please indicate that you are
doing so and answer the following questions as much as possible from
the stimulant user's perspective, but please refrain from providing
information that would identify third parties, including minor
children.
FDA will post the agenda and other meeting materials approximately
5 days before the meeting at https://www.fda.gov/drugs/news-events-human-drugs/public-meeting-patient-focused-drug-development-stimulant-use-disorder-03102020-03102020.
II. Discussion Questions at the Public Meeting
A. Topic 1: Health Effects and Daily Impacts
1. How would you describe your experience with stimulant use disorder?
a. Which stimulant(s) did you start using first?
b. What stimulant(s) are you using now?
c. Did you use any other illicit or prescription drugs before you
started using the stimulant that you are currently using?
d. How are you using stimulants? How has your stimulant(s) use
changed over time? Are you using more frequently or at higher doses?
e. Do you use stimulants in combination with other drug(s)? If so,
what other drugs do you use and why?
f. Have you used a stimulant(s) as treatment for opioid withdrawal
and/or overdose?
2. Of all the ways that stimulant use disorder impacts your health and
well-being, which effects have the most significant impact on your
daily life and the daily life of your family and/or friends? Examples
may include physical and mental effects of using stimulants (effects on
your body and thinking), effects of stimulant withdrawal, effects of
cravings, impacts on your ability to function in personal or
professional life, or emotional or social effects.
a. What drives your use of stimulants?
b. Are there certain activities that you can only do if you take a
stimulant? If so, what are those activities?
c. Are there specific activities that are important to you but that
you cannot do at all or as fully as you would like because of your
stimulant use? Examples of activities may include daily hygiene;
meeting school, work, or family responsibilities; participation in
social activities.
d. How does your stimulant use affect daily life on your best days?
On your worst days?
3. What worries you most about your condition?
B. Topic 2: Current Approaches to Management
1. Have you considered seeking treatment? Why or why not?
2. If you are using more than one substance, would stimulant use be
the primary or secondary reason to consider treatment?
a. If not stimulants, what substance would be the primary reason you
would seek treatment?
3. What are you currently doing to help manage your stimulant use?
a. How well have these management approaches worked for you?
b. How well have they helped address the effects of stimulant use
that are most troubling to you?
c. What are the biggest problems you have faced in using these
approaches? Examples may include bothersome side effects, challenges or
barriers to access, concern about stigma.
4. What are the biggest factors that you consider when making
decisions about seeking out or engaging in treatment for stimulant use
disorder?
5. What specific things would you look for in an ideal treatment
for stimulant use disorder?
6. If you had the opportunity to participate in a clinical study to
test an experimental treatment for stimulant use disorder, what factors
would you consider when deciding whether you would participate?
C. Topic 3: Impact of COVID-19
1. Has the COVID-19 pandemic impacted your substance use or your
desire to seek treatment? If yes, please describe how.
III. Participating in the Public Meeting
Registration: Persons interested in attending this public meeting
via webcast must register online at https://pfdd-stimulantusedisorder.eventbrite.com. Contact information provided
during registration will remain confidential and will only be used to
send meeting updates to participants.
Registration for this virtual event is free, although there may be
limited space for attendance based on bandwidth availability. Webcast
information will be provided upon completion of registration. Closed
[[Page 61758]]
captioning will be provided. Please check the meeting website for the
latest information: https://www.fda.gov/drugs/news-events-human-drugs/public-meeting-patient-focused-drug-development-stimulant-use-disorder-03102020-03102020.
Streaming Webcast of the Public Meeting: This public meeting will
be streamed via webcast only. The recording and presentation slides,
along with a meeting transcript and summary report, will also be made
publicly available after the meeting. To register for the webcast,
please visit https://pfdd-stimulantusedisorder.eventbrite.com. The
webcast can be accessed via https://fda.yorkcast.com/webcast/Play/89f7acb8d56e4de8827d1ade8efa42661d. Simply click on the link and hit
the ``play'' button and it will start. The webcast link will be
activated 30 minutes prior to the start of the meeting.
FDA has verified the website addresses in this document, as of the
date this document publishes in the Federal Register, but websites are
subject to change over time.
Transcripts: Please be advised that as soon as a transcript of the
public meeting is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff
(see ADDRESSES). A link to the transcript will also be available on the
meeting website at https://www.fda.gov/drugs/news-events-human-drugs/public-meeting-patient-focused-drug-development-stimulant-use-disorder-03102020-03102020.
Dated: September 24, 2020.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2020-21623 Filed 9-29-20; 8:45 am]
BILLING CODE 4164-01-P