National Center for Complementary & Integrative Health; Notice of Closed Meeting, 29790-29791 [2021-11644]
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29790
Federal Register / Vol. 86, No. 105 / Thursday, June 3, 2021 / Notices
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
You may submit comments on any
guidance at any time (see 21 CFR
10.115(g)(5)).
Submit written requests for single
copies of the draft guidance to the
Division of Drug Information, Center for
Drug Evaluation and Research, Food
and Drug Administration, 10001 New
Hampshire Ave., Hillandale Building,
4th Floor, Silver Spring, MD 20993–
0002, or Office of Policy, Guidance and
Policy Development, Center for Devices
and Radiological Health, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 5431, Silver Spring,
MD 20993–0002. Send one selfaddressed adhesive label to assist that
office in processing your requests. See
the SUPPLEMENTARY INFORMATION section
for electronic access to the draft
guidance document.
FOR FURTHER INFORMATION CONTACT:
Amy Muhlberg, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg., 51, Rm. 3117,
Silver Spring, MD 20993–0002, 240–
402–6901; or Shanil Haugen, Center for
Devices and Radiological Health, Food
and Drug Administration, 10903 New
Hampshire Ave., Bldg., 66, Rm. 2612,
Silver Spring, MD 20993–0002, 301–
796–0301.
SUPPLEMENTARY INFORMATION:
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I. Background
FDA is announcing the availability of
a draft guidance for industry entitled
‘‘Oral Drug Products Administered Via
Enteral Feeding Tube: In Vitro Testing
and Labeling Recommendations.’’ This
draft guidance provides
recommendations regarding in vitro
testing of oral drug products, other than
solutions, administered via enteral
feeding tube (hereinafter enteral tube)
that are subject to: (1) New drug
applications (original or supplemental)
where applicants are seeking and/or
revising enteral tube administration
instructions and related information in
labeling; (2) abbreviated new drug
applications where the reference listed
drug contains enteral tube
administration instructions and related
information in labeling; and (3)
investigational new drug applications
where the investigational drug product
is administered or planned for
administration via enteral tube.
Specifically, the draft guidance provides
recommendations for consistent in vitro
testing of oral drug products to
demonstrate their suitability to be
administered via enteral tube. In
addition, it supports the development of
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clear, product-specific enteral tube
administration instructions in labeling
for administration to patients unable to
ingest oral drug products.
Enteral tubes are critical for patients
who are unable to swallow oral dosage
forms because of feeding disorders,
severe intellectual disabilities,
neurological disorders, cancers, and
other medical conditions or therapies
that compromise swallowing or the
function of the proximal gastrointestinal
system. It is critical that each drug
administered via enteral tube is
delivered at the correct dose in a
manner that preserves the drug’s
expected safety and efficacy profile and
does not compromise the integrity of the
tube.
Some FDA-approved drug products
marketed in the United States include
instructions for enteral tube
administration in their labeling.
However, testing is not sufficiently
widespread or consistent, and the
content and format of labeling
statements regarding administration of
drug products via enteral tube vary.
The Agency recognizes the need for
consistent in vitro testing to ensure safe
and effective delivery of drugs that may
be administered via enteral tube and to
identify drugs that cannot be
administered through an enteral tube
without altering the safety and
effectiveness profile of the drug product
or compromising the integrity of the
tube.
The draft guidance covers selection of
appropriate enteral tubes for testing,
selection of the dispersion media and
preparation of the drug dispersion, and
testing conditions and methods.
Additional recommendations are given
for modified release drug products.
Completion of the recommended testing
of a drug product prepared in the same
manner as it will be prepared for
administration to a patient in the
clinical setting should allow applicants
to demonstrate whether a drug product
is suitable for enteral tube
administration and identify drug
products that are incompatible with
enteral tube administration.
Finally, the draft guidance covers how
to summarize information regarding
administration of the drug product via
enteral tube in labeling, including
example labeling statements for drug
products that can be safely and
effectively administered via enteral tube
and labeling statements for drug
products that are not recommended for
administration via enteral tube.
FDA requests comment from the
public regarding the extent to which the
recommendations in the guidance could
be applicable to nonprescription
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products marketed under over-thecounter monographs that could be
administered via enteral tube.
This draft guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The draft guidance, when finalized, will
represent the current thinking of FDA
on ‘‘Oral Drug Products Administered
Via Enteral Feeding Tube: In Vitro
Testing and Labeling
Recommendations.’’ 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.
II. Paperwork Reduction Act of 1995
While this draft guidance contains no
collection of information, it does refer to
previously approved FDA collections of
information. Therefore, clearance by the
Office of Management and Budget
(OMB) under the Paperwork Reduction
Act of 1995 (44 U.S.C. 3501–3521) is not
required for this draft guidance. The
previously approved collections of
information are subject to review by
OMB under the PRA. The collections of
information in 21 CFR parts 312 and
314 have been approved under OMB
control numbers 0910–0014 and 0910–
0001, respectively. The collections of
information in 21 CFR 201.56 and
201.57 have been approved under OMB
control number 0910–0572.
III. Electronic Access
Persons with access to the internet
may obtain the draft guidance at https://
www.fda.gov/drugs/guidancecompliance-regulatory-information/
guidances-drugs, https://www.fda.gov/
medical-devices/device-advicecomprehensive-regulatory-assistance/
guidance-documents-medical-devicesand-radiation-emitting-products, or
https://www.regulations.gov.
Dated: May 26, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for
Policy.
[FR Doc. 2021–11622 Filed 6–2–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Center for Complementary &
Integrative Health; Notice of Closed
Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
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Federal Register / Vol. 86, No. 105 / Thursday, June 3, 2021 / Notices
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.
Name of Committee: National Center for
Complementary and Integrative Health
Special Emphasis Panel; ‘‘Limited
Competition for the Continuation of a
Multisite Clinical Trial Data Coordinating
Center (Collaborative U24, Clinical Trial
Optional)’’.
Date: June 16, 2021.
Time: 2:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Center for Complementary
and Integrative Democracy II, 6707
Democracy Blvd., Bethesda, MD 20892
(Virtual Meeting).
Contact Person: Martina Schmidt, Ph.D.,
Chief, Office of Scientific Review, National
Center for Complementary & Integrative
Health, NIH, 6707 Democracy Blvd., Suite
401, Bethesda, MD 20892, 301–594–3456,
schmidma@mail.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.213, Research and Training
in Complementary and Alternative Medicine,
National Institutes of Health, HHS)
Dated: May 27, 2021.
Tyeshia M. Roberson,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2021–11644 Filed 6–2–21; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
khammond on DSKJM1Z7X2PROD with NOTICES
National Institute of Neurological
Disorders and Stroke; 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 contract proposals and
the discussions could disclose
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confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the contract
proposals, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Neurological Disorders and Stroke Special
Emphasis Panel; NINDS Special Review
Group Contracts.
Date: June 25, 2021.
Time: 10:30 a.m. to 2:00 p.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health,
Neuroscience Center, 6001 Executive
Boulevard, Rockville, MD 20852 (Virtual
Meeting).
Contact Person: Marilyn Moore-Hoon,
Ph.D., Scientific Review Officer, Scientific
Review Branch, Division of Extramural
Activities, National Institute of Neurological
Disorders and Stroke, Rockville, MD 20852,
301–827–9087, mooremar@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.853, Clinical Research
Related to Neurological Disorders; 93.854,
Biological Basis Research in the
Neurosciences, National Institutes of Health,
HHS)
Dated: May 27, 2021.
Tyeshia M. Roberson,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2021–11640 Filed 6–2–21; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Center for Complementary &
Integrative Health; 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.
Name of Committee: National Center for
Complementary and Integrative Health
Special Emphasis Panel; Early Phase Clinical
Trials of Natural Products (NP).
Date: July 15, 2021.
Time: 12:00 p.m. to 5:00 p.m.
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29791
Agenda: To review and evaluate grant
applications.
Place: National Center for Complementary
and Integrative, Democracy II, 6707
Democracy Blvd., Bethesda, MD 20892
(Virtual Meeting).
Contact Person: Shiyong Huang, Ph.D.,
Scientific Review Officer, Office of Scientific
Review, Division of Extramural Activities,
NCCIH/NIH, 6707 Democracy Boulevard,
Suite 401, Bethesda, MD 20817,
shiyong.huang@nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.213, Research and Training
in Complementary and Alternative Medicine,
National Institutes of Health, HHS)
Dated: May 27, 2021.
Tyeshia M. Roberson,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2021–11643 Filed 6–2–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Office of the Secretary; Notice of
Meeting
Pursuant to section 10(a) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of a
meeting of the Interagency Pain
Research Coordinating Committee.
The meeting will be open to the
public. Individuals who plan to
participate and need special assistance,
such as sign language interpretation or
other reasonable accommodations,
should notify the Contact Person listed
below in advance of the meeting.
Name of Committee: Interagency Pain
Research Coordinating Committee.
Date: July 6, 2021.
Time: 1:30 p.m. to 4:30 p.m. Eastern Time
(ET).
Agenda: The meeting will cover committee
business items including updates on NIH
HEAL Initiative and Common Fund
programs. It will include follow up of IPRCC
recommendations and member updates.
Webcast Live: https://videocast.nih.gov/.
Deadline: Submission of intent to submit
written/electronic statement for comments:
Tuesday, June 29th, by 5:00 p.m. ET.
Place: National Institutes of Health,
Building 31, 31 Center Drive Bethesda, MD
20892 (Virtual Meeting).
Contact Person: Linda L. Porter, Ph.D.,
Director, Office of Pain Policy and Planning,
Office of the Director, National Institute of
Neurological Disorders and Stroke, NIH, 31
Center Drive, Room 8A31, Bethesda, MD
20892, Phone: (301) 451–4460, Email:
Linda.Porter@nih.gov.
Any interested person may file written
comments with the committee by forwarding
the statement to the Contact Person listed on
this notice. The statement should include the
name, address, telephone number and when
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Agencies
[Federal Register Volume 86, Number 105 (Thursday, June 3, 2021)]
[Notices]
[Pages 29790-29791]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-11644]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
National Center for Complementary & Integrative Health; Notice of
Closed Meeting
Pursuant to section 10(d) of the Federal Advisory Committee Act, as
[[Page 29791]]
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.
Name of Committee: National Center for Complementary and
Integrative Health Special Emphasis Panel; ``Limited Competition for
the Continuation of a Multisite Clinical Trial Data Coordinating
Center (Collaborative U24, Clinical Trial Optional)''.
Date: June 16, 2021.
Time: 2:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant applications.
Place: National Center for Complementary and Integrative
Democracy II, 6707 Democracy Blvd., Bethesda, MD 20892 (Virtual
Meeting).
Contact Person: Martina Schmidt, Ph.D., Chief, Office of
Scientific Review, National Center for Complementary & Integrative
Health, NIH, 6707 Democracy Blvd., Suite 401, Bethesda, MD 20892,
301-594-3456, [email protected].
This notice is being published less than 15 days prior to the
meeting due to the timing limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance Program Nos. 93.213,
Research and Training in Complementary and Alternative Medicine,
National Institutes of Health, HHS)
Dated: May 27, 2021.
Tyeshia M. Roberson,
Program Analyst, Office of Federal Advisory Committee Policy.
[FR Doc. 2021-11644 Filed 6-2-21; 8:45 am]
BILLING CODE 4140-01-P