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25846 Federal Register / Vol. 71, No.

84 / Tuesday, May 2, 2006 / Notices

of human pharmaceutical and biological considered by FDA and the of electronic comments or two paper
products among the European Union, Pharmacovigilance Expert Working copies of any mailed comments, except
Japan, and the United States. The VICH Group. that individuals may submit one paper
is a parallel initiative for veterinary copy. Comments are to be identified
III. Paperwork Reduction Act of 1995
medicinal products. The VICH is with the docket number found in
concerned with developing harmonized This draft guidance document refers brackets in the heading of this
technical requirements for the approval to previously approved collections of document. A copy of the draft guidance
of veterinary medicinal products in the information found in FDA regulations. and received comments are available for
European Union, Japan, and the United The collections of information have public examination in the Division of
States, and includes input from both been approved under OMB control Dockets Management between 9 a.m.
regulatory and industry representatives. number 0910–0284 (expiration date and 4 p.m., Monday through Friday.
The VICH Steering Committee is June 30, 2006). Prior to the finalization
composed of member representatives and implementation of this guidance, VI. Electronic Access
from the European Commission; FDA intends to add the new collection Comments may be submitted
European Medicines Evaluation Agency; of information to the related form for electronically on the Internet at http://
European Federation of Animal Health; submitting adverse event reports www.fda.gov/dockets/ecomments. Once
Committee on Veterinary Medicinal entitled ‘‘Veterinary Adverse Drug on this Internet site, select Docket No.
Products; the U.S. FDA; the U.S. Reaction, Lack of Effectiveness, Product 2006D–0170, entitled draft guidance for
Department of Agriculture; the Animal Defect Report’’ (Form FDA 1932), and industry on ‘‘Pharmacovigilance of
Health Institute; the Japanese Veterinary FDA will publish a separate notice in Veterinary Medicinal Products; Data
Pharmaceutical Association; the the Federal Register requesting Elements for Submission of Adverse
Japanese Association of Veterinary comment on any new collection of Event Reports’’ (VICH GL42), and follow
Biologics; and the Japanese Ministry of information in the updated form. the directions.
Agriculture, Forestry, and Fisheries. Copies of the draft guidance
IV. Significance of Guidance
Four observers are eligible to document entitled ‘‘Draft Guidance for
participate in the VICH Steering Under 21 CFR 10.115(i)(3), when Industry on ‘‘Pharmacovigilance of
Committee: One representative from the issuing draft guidance documents that Veterinary Medicinal Products; Data
government of Australia/New Zealand, are the product of international Elements for Submission of Adverse
one representative from the industry in negotiations, FDA need not apply 21 Event Reports’’ (VICH GL42), may be
Australia/New Zealand, one CFR 10.115(i)(2), which states that obtained on the Internet from the Center
representative from the government of guidance documents must not include for Veterinary Medicine home page at
Canada, and one representative from the mandatory language such as ‘‘shall,’’ http://www.fda.gov/cvm.
industry of Canada. The VICH ‘‘must,’’ ‘‘required,’’ or ‘‘requirement,’’ Dated: April 26, 2006.
Secretariat, which coordinates the unless FDA is using these words to
Jeffrey Shuren,
preparation of documentation, is describe a statutory or regulatory
Assistant Commissioner for Policy.
provided by the International requirement. However, any final
Federation for Animal Health (IFAH). guidance document issued according to [FR Doc. E6–6601 Filed 5–1–06; 8:45 am]
An IFAH representative also 21 CFR 10.115(i) must contain the BILLING CODE 4160–01–S

participates in the VICH Steering elements in 21 CFR 10.115(i)(2). In this


Committee meetings. draft guidance, any language that is
mandatory under U.S. laws and/or DEPARTMENT OF HEALTH AND
II. Draft Guidance on HUMAN SERVICES
regulations is followed by a citation to
Pharmacovigilance of Veterinary
the appropriate statutory or regulatory Food and Drug Administration
Medicinal Products
provision. In accordance with 21 CFR
In November 2005, the VICH Steering 10.115(i)(3), any mandatory language in [Docket No. 2000D–1632 (formerly 00D–
Committee agreed that a draft guidance this draft guidance that does not 1632)]
entitled ‘‘Pharmacovigilance of describe a statutory or regulatory
Veterinary Medicinal Products: Data International Cooperation on
requirement will be revised in the final
Elements for Submission of Adverse Harmonisation of Technical
guidance document to comply with 21
Event Reports’’ (VICH GL42) should be Requirements for Approval of
CFR 10.115(i)(2).
made available for public comment. Veterinary Medicinal Products; Draft
The draft VICH guidance is consistent
Elements of this draft guidance were Revised Guidance for Industry on
with the agency’s current thinking on
previously published in 2000 as part of Pharmacovigilance of Veterinary
this topic. This guidance does not create
a draft guidance entitled Medicinal Products: Management of
or confer any rights for or on any person
‘‘Pharmacovigilance of Veterinary Adverse Event Reports; Request for
and will not operate to bind FDA or the
Medicinal Products: Management of Comments; Availability
public. An alternative method may be
Adverse Event Reports (AER’s)’’ (VICH used as long as it satisfies the AGENCY: Food and Drug Administration,
GL24). The objective of draft guidance requirements of applicable statutes and HHS.
VICH GL42 is to standardize the data for regulations. ACTION: Notice; request for comments.
submission of adverse events relating to
VMPs. A consistent set of data will V. Comments SUMMARY: The Food and Drug
contribute to a harmonized approach for This draft guidance document is being Administration (FDA) is announcing the
the detection and investigation of distributed for comment purposes only availability of draft revised guidance for
adverse effects of marketed VMPs and and is not intended for implementation industry (#117) entitled
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thus help to increase public and animal at this time. Interested persons may ‘‘Pharmacovigilance of Veterinary
health. The draft guidance is the submit written or electronic comments Medicinal Products: Management of
product of the Pharmacovigilance regarding this draft guidance document Adverse Event Reports (AER’s)’’ VICH
Expert Working Group of the VICH. to the Division of Dockets Management GL24. This draft revised guidance,
Comments on this draft will be (see ADDRESSES). Submit a single copy which updates a draft guidance on the

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Federal Register / Vol. 71, No. 84 / Tuesday, May 2, 2006 / Notices 25847

same topic for which a notice of harmonization is to identify and then guidance clarifies the 2000 draft
availability was published in the reduce differences in technical guidance, adds information, and
Federal Register of December 18, 2000 requirements for drug development provides consistency with more recently
(the 2000 draft guidance), has been among regulatory agencies in different published VICH guidances. The draft
developed for veterinary use by the countries. revised guidance is the product of the
International Cooperation on FDA has actively participated in the Pharmacovigilance Expert Working
Harmonisation of Technical International Conference on Group of VICH. Comments on this draft
Requirements for Registration of Harmonization of Technical will be considered by FDA and the
Veterinary Medicinal Products (VICH). Requirements for Approval of Pharmacovigilance Expert Working
This draft revised guidance is intended Pharmaceuticals for Human Use for Group.
to describe the reporting system for several years to develop harmonized The draft revised guidance describes
identification of possible adverse events technical requirements for the approval the harmonized and common systems,
following the use of marketed veterinary of human pharmaceutical and biological common definitions, and standardized
medicinal products (VMPs) submitted to products among the European Union, terminology within pharmacovigilance.
the European Union, Japan, and the Japan, and the United States. VICH is a Harmonization of those elements
United States. parallel initiative for veterinary between the VICH regions facilitates the
DATES: Submit written comments on the medicinal products. VICH is concerned reporting responsibilities for the
draft revised guidance by June 1, 2006, with developing harmonized technical marketing authorities or drug sponsors,
to ensure their adequate consideration requirements for the approval of many with worldwide activities. More
in preparation of the final guidance veterinary medicinal products in the specifically, the draft revised guidance
document. General comments on agency European Union, Japan, and the United presents the terms and definitions
guidance documents are welcome at any States, and includes input from both intended to harmonize other previously
time. regulatory and industry representatives. used terms referring to similar
ADDRESSES: Submit written requests for
The VICH steering committee is pharmacovigilance concepts. This draft
single copies of the draft revised composed of member representatives revised guidance describes a system for
guidance to the Communications Staff from the European Commission; the management of adverse drug event
(HFV–12), Center for Veterinary European Medicines Evaluation Agency; reports following the use of marketed
European Federation of Animal Health; veterinary medicinal products.
Medicine, Food and Drug
Committee on Veterinary Medicinal This draft revised guidance includes
Administration, 7519 Standish Pl.,
Products; FDA; the U.S. Department of revised text on the definition of a
Rockville, MD 20855. Send one self-
Agriculture; the Animal Health veterinary medicinal product, definition
addressed adhesive label to assist that
Institute; the Japanese Veterinary of international birth date, and third
office in processing your requests. See
Pharmaceutical Association; the country reporting. Data elements for the
the SUPPLEMENTARY INFORMATION section
Japanese Association of Veterinary submission of AERs were removed from
for electronic access to the draft revised
Biologics; and the Japanese Ministry of this draft revised guidance, but are
guidance document.
Agriculture, Forestry and Fisheries. addressed in a separate VICH draft
Submit written comments on the draft
Four observers are eligible to guidance document entitled
revised guidance to the Division of
participate in the VICH steering ‘‘Pharmacovigilance of Veterinary
Dockets Management (HFA–305), Food committee: One representative from the
and Drug Administration, 5630 Fishers Medicinal Products: Data Elements for
government of Australia/New Zealand, Submission of Adverse Event Reports’’
Lane, rm. 1061, Rockville, MD 20852. one representative from the industry in
Submit electronic comments to http:// VICH GL42. The notice of availability
Australia/New Zealand, one for VICH GL42 is published elsewhere
www.fda.gov/dockets/ecomments. representative from the government of
Comments should be identified with the in this issue of the Federal Register.
Canada, and one representative from the
full title of the draft revised guidance industry of Canada. The VICH III. Paperwork Reduction Act of 1995
and the docket number found in Secretariat, which coordinates the This draft revised guidance refers to
brackets in the heading of this preparation of documentation, is previously approved collections of
document. provided by the International information found in FDA regulations.
FOR FURTHER INFORMATION CONTACT: Federation for Animal Health (IFAH). These collections of information are
Lynn Post, Center for Veterinary An IFAH representative also subject to review by the Office of
Medicine (HFV–210), Food and Drug participates in the VICH steering Management and Budget (OMB) under
Administration, 7519 Standish Pl., committee meetings. the Paperwork Reduction Act of 1995
Rockville, MD 20855, 240–276–9062, e- (44 U.S.C. 3501–3520). The collections
mail: lynn.post@fda.hhs.gov. II. Draft Guidance on Adverse Event
of information in 21 CFR 514.80 have
Reports
SUPPLEMENTARY INFORMATION: been approved under OMB control
In November 2005, the VICH steering number 0910–0284 (expiration date 06/
I. Background committee held a meeting and agreed 30/2006).
In recent years, many important that the draft guidance document
initiatives have been undertaken by entitled ‘‘Pharmacovigilance of IV. Significance of Guidance
regulatory authorities and industry Veterinary Medicinal Products: Under part 10 (21 CFR part 10),
associations to promote the Management of Adverse Event Reports specifically § 10.115(i)(3), when issuing
international harmonization of (AER’s)’’ VICH GL24, should be revised draft guidance documents that are the
regulatory requirements. FDA has and made available for a second public product of international negotiations,
participated in efforts to enhance comment period. This draft revised FDA need not apply § 10.115(i)(2),
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harmonization and has expressed its guidance updates the draft guidance on which states that guidance documents
commitment to seek scientifically based the same topic for which a notice of must not include mandatory language
harmonized technical procedures for the availability was published in the such as ‘‘shall,’’ ‘‘must,’’ ‘‘required,’’ or
development of pharmaceutical Federal Register of December 18, 2000 ‘‘requirement,’’ unless FDA is using
products. One of the goals of (65 FR 79111). The draft revised these words to describe a statutory or

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25848 Federal Register / Vol. 71, No. 84 / Tuesday, May 2, 2006 / Notices

regulatory requirement. However, any Dated: April 26, 2006. factors likely playing a role.
final guidance document issued Jeffrey Shuren, Environmental risk factors, however,
according to § 10.115(i) must contain Assistant Commissioner for Policy. have been difficult to identify. By
the elements in § 10.115(i)(2). In this [FR Doc. E6–6602 Filed 5–1–06; 8:45 am] focusing on genetically susceptible
draft revised guidance, any language BILLING CODE 4160–01–S
subgroups, more precise estimates of the
that is mandatory under U.S. laws and/ contribution of environmental and other
or regulations is followed by a citation non-genetic factors to disease risk may
to the appropriate statutory or DEPARTMENT OF HEALTH AND be possible. Sisters of women with
regulatory provision. In accordance with HUMAN SERVICES breast cancer are one group at increased
§ 10.115(i)(3), any mandatory language risk for breast cancer; we would expect
in this draft revised guidance that does National Institutes of Health about 2 times as many breast cancers to
not describe a statutory or regulatory accrue in a cohort of sisters as would
requirement will be revised in the final National Institute of Environmental accrue in a cohort identified through
guidance document to comply with Health Sciences; Submission for OMB random sampling or other means. In
§ 10.115(i)(2). Review; Comment Request; The Sister addition, a cohort of sisters will be
The draft revised VICH guidance Study: A Prospective Study of the enriched with regard to the prevalence
represents the agency’s current thinking Genetic and Environmental Risk of relevant genes and/or exposures,
on the management of AERs of Factors for Breast Cancer further enhancing the ability to detect
approved new animal drugs. This draft Summary: Under the provisions of gene-environment interactions. Sisters
revised guidance does not create or section 3507(a)(1)(D) of the Paperwork of women with breast cancer will also
confer any rights for or on any person Reduction Act of 1995, the National be at increased risk for ovarian cancer
and will not operate to bind FDA or the Institute of Environmental Health and possibly for other hormonally-
public. An alternative method may be Sciences (NIEHS), the National mediated diseases. We are enrolling a
used as long as it satisfies the Institutes of Health (NIH) has submitted cohort of 50,000 women who have not
requirements of applicable statutes and to the Office of Management and Budget had breast cancer. Initial recruitment of
regulations. (OMB) a request for review and the first 2000 women took place from
approval of the information collection August 2003–September 2004 before
V. Comments beginning nationwide recruitment in
listed below. This proposed information
This draft revised guidance document collection was previously published in October 2004. The data collected in the
is being distributed for comment the Federal Register on February 23, initial phase allowed us to evaluate
purposes only and is not intended for 2006 on pages 9358–9359 and allowed subject recruitment and data collection
implementation at this time. Interested 60 days for public comment. No public procedures, and helped us better target
persons may submit to the Division of comments were received. The purpose our recruitment efforts. We estimate that
Dockets Management (see ADDRESSES) of this notice is to allow an additional a cohort of 50,000 sisters aged 35–74
written or electronic comments 30 days for public comment. The years would provide about 1500 breast
regarding this draft revised guidance National Institutes of Health may not cancer cases over five years
document. Submit a single copy of conduct or sponsor, and the respondent (approximately 300 new cases per year
electronic comments or two paper is not required to respond to, an once the cohort is fully enrolled).
copies of any mailed comments, except information collection that has been Frequency of Response: Burden
that individuals may submit one paper extended, revised, or implemented on or calculations include eligibility
copy. Comments are to be identified after October 1, 1995, unless it displays screening for 22,750 more women, and
with the docket number found in a currently valid OMB control number. completion of enrollment activities for
brackets in the heading of this 5 CFR 1320.5: Reporting and 25,000 more women (difference due to
document. A copy of the draft revised Recordkeeping Requirements: Final expected 2,250 women, and completion
guidance and received comments may Rule: Respondents to this collection of of enrollment activities for 25,000 more
be seen in the Division of Dockets information are not required to respond women (difference due to expected
Management between 9 a.m. and 4 p.m., unless the data collection instruments 2,250 women whose time lag between
Monday through Friday. display a currently valid OMB control initial screening and fully completing
VI. Electronic Access number. enrollment baseline activities is
Proposed Collection Title: The Sister expected to cross OMB expiration/
Electronic comments may also be Study: A Prospective Study of the revision date) to reach 50,000. These
submitted electronically on the Internet Genetic and Environmental Risk Factors women will complete one initial 15-
at http://www.fda.gov/dockets/ for Breast Cancer. minute screening (either on the
ecomments. Once on this Internet site, Type of Information Collection telephone OR on the Internet), two 1-
select Docket No. 2000D–1632, entitled Request: Revision of OMB No. 0925– hour telephone interviews, 4 mailed
‘‘Draft Guidance for Industry on 0522 and expiration date July 31, 2006. self-administered questionnaires (90
Pharmacovigilance of Veterinary Need and Use of Information minutes total), and will collect
Medicinal Products: Management of Collection: The purpose of the Sister biological and household specimens.
Adverse Event Reports (AER’s)’’ VICH Study is to study genetic and Also in the next 3 years, all 50,000
GL24 and follow the directions. environmental risk factors for the sisters will complete one annual update
Copies of the draft revised guidance development of breast cancer in a cohort (10 minutes) and one biennial follow-up
document entitled ‘‘Pharmacovigilance of sisters of women who have had breast questionnaire (60 minutes); in addition
of Veterinary Medicinal Products: cancer. In the United States, there were 25,000 will complete a second annual
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Management of Adverse Event Reports approximately 210,000 new cases in update. Women diagnosed with breast
(AER’s)’’ VICH GL24 may be obtained 2003, accounting for 30% of all new cancer or other health outcomes of
on the Internet from the Center for cancer cases among women. The interest (∼1800 allowing for 300 bc/year
Veterinary Medicine home page at etiology of breast cancer is complex, over our first 6 years, plus 1800 other
http://www.fda.gov/cvm. with both genetic and environmental outcomes) will be asked to provide

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