[Federal Register Volume 75, Number 58 (Friday, March 26, 2010)]
[Notices]
[Pages 14602-14603]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-6701]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2010-D-0143] (formerly Docket No. FDA-2008-D-0128)
Guidance for Industry on Drug-Induced Liver Injury: Premarketing
Clinical Evaluation; Opening of Comment Period for Future Revision of
Guidance Dated July 2009; Public Conference
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice of opening of comment period; notice of public
conference.
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SUMMARY: The Food and Drug Administration (FDA) is opening a comment
period for submission of suggestions for revising the guidance for
industry published in the Federal
[[Page 14603]]
Register July 30, 2009, entitled ``Drug-Induced Liver Injury:
Premarketing Clinical Evaluation.'' In addition, FDA, along with the
American Association for the Study of Liver Diseases (AASLD) and the
Pharmaceutical and Research Manufacturers of America, is sponsoring a
public conference to be held on March 24 and 25, 2010, to discuss and
debate issues contained in the published guidance document. The purpose
of the conference is to consider the effect of the recommendations in
the guidance since its publication, and to seek suggestions for future
revisions that will incorporate the views expressed.
DATES: The public conference will be held on March 24, 2010, from 8
a.m. to 6 p.m. and March 25, 2010, from 8 a.m. until 3:15 p.m. Submit
written or electronic comments on agency guidances at any time.
ADDRESSES: The conference will take place at the National Labor
College, 10000 New Hampshire Ave., Silver Spring MD 20993.
Submit written requests for single copies of the July 2009 guidance
to the Division of Drug Information, Center for Drug Evaluation and
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg.
51, rm. 2201, Silver Spring, MD 20993-0002. Send one self-addressed
adhesive label to assist that office in processing your requests.
Submit written comments on the guidance to the Division of Dockets
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane,
rm. 1061, Rockville, MD 20852. Submit electronic comments to http://www.regulations.gov. See the SUPPLEMENTARY INFORMATION section for
electronic access to the guidance document.
FOR FURTHER INFORMATION CONTACT: Lana L. Pauls, Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 22, rm. 4307, Silver Spring MD 20993-0002, 301-
796-0518, e-mail: [email protected].
SUPPLEMENTARY INFORMATION:
I. Background
FDA announced in July 2009 the availability of a guidance for
industry entitled ``Guidance for Industry on Drug-Induced Liver Injury:
Premarketing Clinical Evaluation.'' The guidance explained that drug-
induced liver injury (DILI) has been the most frequent cause of acute
liver failure in the United States in the last 10 years, exceeding all
other causes combined. It discussed methods of detecting DILI by
periodic tests of serum enzyme activities and bilirubin concentration
elevations, and how those laboratory tests might change over time,
along with symptoms and physical findings, to allow estimation of
severity of the injury. It suggested some rules for stopping or
interrupting drug treatment, and the need to obtain additional clinical
information to estimate the likelihood of the true cause. Previous
periods for comments on the draft guidance were opened in 2007 and
2008, and those comments were taken into consideration when issuing the
final guidance in July 2009. The guidance was issued consistent with
FDA's good guidance practices regulation (21 CFR 10.115), representing
the agency's current thinking on evidence for DILI in premarketing
clinical evaluation. It does not create or confer any rights for or on
any person and does not operate to bind FDA or the public. An
alternative approach may be used if such approach satisfies the
requirements of the applicable statutes and regulations.
II. The Public Conference
A. Why Are We Holding This Conference?
The purpose of the 2010 conference is to discuss the most current
information and thinking about clinical and basic aspects of the still-
unsolved problems of exactly how drugs cause liver injury and why
certain individual people are more susceptible than others, combining
views of both basic science and clinical experts, and selecting for
specific debate and discussion some controversial issues such as:
Whether indications of cholestasis (biliary tract
obstruction) are less important than evidence of primarily
hepatocellular injury with secondary functional impairment;
What findings could lead to interrupting or permanently
stopping administration of new drugs under evaluation; and
The appropriate use of rechallenge testing to study
hepatotoxicity.
B. Is There a Fee and How Do I Register for the Conference?
A modest registration fee will be charged to attendees other than
invited speakers, to help defray the costs of rental of the meeting
spaces, meals and snacks provided, and if possible to cover travel
costs incurred by invited academic (but not Government or industry)
speakers, and other costs. The fee for the 2-day meeting for industry
registrants is $450, and $225 for Federal Government and academic
registrants. Registration fees will be waived for invited speakers and
moderators.
The registration process will be handled by AASLD, a not-for-profit
organization which has extensive experience in planning, organizing,
and executing educational meetings.
The presentations and discussions will be recorded and published on
the Internet for public availability after minor editing by FDA. It
will then be posted on the Internet by AASLD following the meeting, to
allow consideration of the issues and material presented by those
unable to attend the conference in person.
Additional information on the conference, program, and registration
procedures, as well as on past conferences 2001 through 2009, is
available on the Internet at http://www.aasld.org (go to Conferences
and Education, Meetings and Conferences), and also at http://www.fda.gov by typing into the search box ``liver toxicity.'' (FDA has
verified the AASLD Web site address, but FDA is not responsible for any
subsequent changes to the Web site after this document publishes in the
Federal Register.)
III. Comments
Interested persons may submit to the Division of Dockets Management
(see ADDRESSES) written or electronic comments regarding the guidance
and the issues and questions presented at the conference. Submit a
single copy of electronic comments or two paper copies of any mailed
comments, except that individuals may submit one paper copy. Comments
are to be identified with the docket number found in brackets in the
heading of this document. Received comments may be seen in the Division
of Dockets Management between 9 a.m. and 4 p.m., Monday through Friday.
IV. Electronic Access
Persons with access to the Internet may obtain the document at
either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.
Dated: March 17, 2010.
Leslie Kux,
Acting Assistant Commissioner for Policy.
[FR Doc. 2010-6701 Filed 3-25-10; 8:45 am]
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