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70720 Federal Register / Vol. 70, No.

225 / Wednesday, November 23, 2005 / Rules and Regulations

promoting safe flight of civil aircraft in the Federal Aviation Administration FAA–2005–23085; Directorate Identifier
air commerce by prescribing regulations amends part 39 of the Federal Aviation 2005–SW–25–AD.
for practices, methods, and procedures Regulations (14 CFR part 39) as follows: Applicability: Model 107–II helicopters, all
the Administrator finds necessary for serial numbers, with a quill shaft, part
safety in air commerce. This regulation PART 39—AIRWORTHINESS number (P/N) 107D2067, all dash numbers,
is within the scope of that authority DIRECTIVES and a spiral bevel pinion gear (pinion gear),
because it addresses an unsafe condition P/N 107D2215, installed, certificated in any
that is likely to exist or develop on ■ 1. The authority citation for part 39 category.
products identified in this rulemaking continues to read as follows: Compliance: Required as indicated.
action. Authority: 49 U.S.C. 106(g), 40113, 44701. To detect a fatigue crack in a quill shaft to
prevent separation of the quill shaft between
List of Subjects in 14 CFR Part 39 § 39.13 [Amended] the aft transmission and the mix box
Air transportation, Aircraft, Aviation assembly, loss of rotor synchronization, and
safety, Safety. ■ 2. Section 39.13 is amended by adding subsequent loss of control of the helicopter,
a new airworthiness directive to read as accomplish the following:
Adoption of the Amendment follows: (a) For a helicopter with a pinion gear
■ Accordingly, pursuant to the authority 2005–24–05 Boeing Vertol (Boeing): installed with the following hours time-in-
delegated to me by the Administrator, Amendment 39–14385. Docket No. service (TIS):

Pinion gear hours TIS Compliance time

700 or more hours TIS ............................................................................. Within 50 hours TIS, unless accomplished within the previous 350
hours TIS.
Less than 700 hours TIS .......................................................................... On or before reaching 750 hours TIS.

(1) Remove the aft transmission assembly, DEPARTMENT OF HEALTH AND published a proposed rule to describe
separate the mix box assembly from the aft HUMAN SERVICES various options for exporting an
transmission, and remove the quill shaft from investigational new drug, including a
the pinion gear assembly; Food and Drug Administration biological product. We issued the
(2) Visually inspect the external spline of proposed rule to implement statutory
the quill shaft for a chipped or cracked tooth 21 CFR Part 312 changes resulting from the FDA Export
around the pinhole; and Reform and Enhancement Act of 1996
(3) Magnetic particle inspect the quill shaft [Docket No. 2000N–1663]
(Pub. L. 104–134, as amended by Pub.
for a crack. RIN 0910–AA61 L. 104–180) and to modify a pre-existing
(b) Before further flight, replace any quill regulatory program for exporting
shaft that has a crack or a chipped or cracked Investigational New Drugs: Export investigational new drugs.
tooth with an airworthy quill shaft. Requirements for Unapproved New Under current § 312.110(b) (21 CFR
Note 1: Boeing Service Bulletin No. 107– Drug Products 312.110(b)), any person who intends to
63–1005, Revision 1, dated April 27, 2005, export an unapproved new drug product
AGENCY: Food and Drug Administration,
pertains to the subject of this AD. for use in a clinical investigation must
HHS.
Note 2: Replacement quill shafts
have either an investigational new drug
ACTION: Final rule. application (IND) or submit a written
manufactured by Kawasaki Heavy Industries
request to us (FDA). The written request
(KHI) for use on their Model KV107–II SUMMARY: The Food and Drug
helicopters must be approved by the must provide sufficient information
Administration (FDA) is amending its
geographic Aircraft Certification Office about the drug to satisfy us that the drug
regulations on the exportation of
(ACO) on a case-by-case basis for installation is appropriate for investigational use in
investigational new drugs, including
on a Boeing Model 107–II helicopter. humans, that the drug will be used for
biological products. The final rule
investigational purposes only, and that
(c) To request a different method of describes four different mechanisms for
the drug may be legally used by the
compliance or a different compliance time exporting an investigational new drug
consignee in the importing country for
for this AD, follow the procedures in 14 CFR product. These provisions implement
the proposed investigational use (see
39.19. Contact the Manager, New York ACO, changes in FDA’s export authority
§ 312.110(b)(2)(i)). The request must
Engine and Propeller Directorate, FAA, for resulting from the FDA Export Reform
also specify the quantity of the drug to
information about previously approved and Enhancement Act of 1996 and also
alternative methods of compliance.
be shipped and the frequency of
simplify the existing requirements for
(d) Special flight permits will not be
expected shipments (id.). If we
exports of investigational new drugs.
issued. authorize exportation of the drug, we
DATES: This rule is effective December notify the government of the importing
(e) This amendment becomes effective on 23, 2005.
December 8, 2005. country (id.). Similar procedures exist
FOR FURTHER INFORMATION CONTACT: for export requests made by foreign
Issued in Fort Worth, Texas, on November Philip L. Chao, Office of Policy and governments (see § 312.110(b)(2)(ii)).
16, 2005. Planning (HF–23), Food and Drug Section 312.110(b)(3) states that the
Scott A. Horn, Administration, 5600 Fishers Lane, requirements in paragraph (b) apply
Acting Manager, Rotorcraft Directorate, Rockville, MD 20857, 301–827–0587. only where the drug is to be used for the
Aircraft Certification Service. SUPPLEMENTARY INFORMATION: purpose of a clinical investigation.
[FR Doc. 05–23156 Filed 11–22–05; 8:45 am] Section 312.110(b)(4) states that the
I. Background requirements in paragraph (b) do not
BILLING CODE 4910–13–P
In the Federal Register of June 19, apply to the exports of new drugs
2002 (67 FR 41642), we (FDA) approved or authorized for export under

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Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations 70721

section 802 of the Federal Food, Drug, section 505(i) of the act (21 U.S.C. current regulation, and modify the
and Cosmetic Act (the act) (21 U.S.C. 355(i)). export requirements for the 312
382) or section 351(h)(1)(A) of the All drug products exported under program. The proposed rule would not
Public Health Service Act. section 802 of the act are, however, contain any new recordkeeping
The program for exporting subject to certain general requirements. requirements because such records are
investigational new drugs is commonly Section 802(f) of the act prohibits export already required under § 312.57 (if the
known as the ‘‘312 program’’ because if the unapproved new drug: foreign clinical trial is under an IND) or
the regulation pertaining to the program • Is not manufactured, processed, § 1.101.
is located in part 312 (21 CFR part 312). packaged, and held in substantial We received eight comments on the
Between fiscal years 1994 and 1997, we conformity with current good proposed rule. The comments came
received nearly 1,800 export requests manufacturing practice (CGMP) from seven sources: A pharmaceutical
under the 312 program. We found that requirements; trade association, four pharmaceutical
very few requests (less than 1 percent) • Is adulterated under certain companies, one consulting firm, and
presented any public health concerns. provisions of section 501 of the act (21 one university student. In general, six
In 1996, the FDA Export Reform and U.S.C. 351); comments strongly supported the rule
Enhancement Act of 1996 became law. • Does not comply with section with few or no modifications. One
The FDA Export Reform and 801(e)(1) of the act (21 U.S.C. 381(e)(1)), comment opposed exports of
Enhancement Act created, among other which requires that the exported investigational new drugs generally, and
things, two new provisions that affect product be intended for export, meet the another comment sought clarification of
the exportation of investigational drug foreign purchaser’s specifications, not one statutory provision and did not
products, including biological products. be in conflict with the laws in the address the rule itself. We address most
One provision, now section 802(b)(1)(A) importing country, be labeled on the comments in greater detail below. (We
of the act, authorizes exportation of an outside of the shipping package that the do not discuss the comment seeking a
unapproved new drug to any country if products are intended for export, and clarification of the statute because it was
not be sold or offered for sale in the not directly related to the rule.) To make
that drug has valid marketing
United States; it easier to identify comments and our
authorization by the appropriate
• Is the subject of a determination by responses, the word ‘‘Comment,’’ in
authority in Australia, Canada, Israel,
FDA that the probability of parenthesis, will appear before the
Japan, New Zealand, Switzerland, South
reimportation of the exported drug comment’s description, and the word
Africa, the European Union (EU), or a
would present an imminent hazard to ‘‘Response,’’ in parenthesis, will appear
country in the European Economic Area
the public health and safety of the before our response. We have also
(EEA) and certain other requirements
United States; numbered each comment to identify
are met. These countries are listed in
• Presents an imminent hazard to the them more easily. The number assigned
section 802(b)(1)(A)(i) and (b)(1)(A)(ii)
public health of the foreign country; to each comment is purely for
of the act and are sometimes referred to organizational purposes and does not
as the ‘‘listed countries.’’ Currently, the • Fails to comply with labeling
requirements in the country receiving signify the comment’s value or
EU countries are Austria, Belgium, importance or the order in which it was
Cyprus, the Czech Republic, Denmark, the exported drug; or
• Is not promoted in accordance with received.
Estonia, Finland, France, Germany,
Greece, Hungary, Ireland, Italy, Latvia, labeling requirements in the importing B. Can Investigational New Drugs Be
Lithuania, Luxembourg, Malta, the country and, where applicable, in the Exported Under an IND?
Netherlands, Poland, Portugal, Slovakia, listed country in which the drug has
Proposed § 312.110(b)(1) would
Slovenia, Spain, Sweden, and the valid marketing authorization.
represent the first mechanism for
United Kingdom. The EEA countries are Section 802(g) of the act also imposes
exporting an investigational new drug
the EU countries, and Iceland, certain recordkeeping and notification
and would apply if the foreign clinical
Liechtenstein, and Norway. The list of obligations on drugs exported under
investigation is to be done under an
countries in section 802(b)(1)(A)(i) of section 802 of the act. In the Federal
IND. Proposed § 312.110(b)(1) would
the act will expand automatically if any Register of December 19, 2001 (66 FR
provide that an investigational new drug
country accedes to the EU or becomes 65429), we issued a final rule on these
may be exported from the United States
a member of the EEA. Exports under recordkeeping and notification if an IND is in effect for the drug under
section 802(b)(1)(A) of the act can requirements, and the rule is codified at § 312.40, the drug complies with the
encompass exportation of an § 1.101 (21 CFR 1.101). laws of the country to which it is being
unapproved new drug product for The new export provisions in section exported, and each person who receives
investigational use in a foreign country 802 of the act significantly reduced the the drug is an investigator who will use
if the exported drug product has number of requests under the 312 the drug in a study submitted to and
marketing authorization in any listed program from an annual average of 570 allowed to proceed under the IND.
country and the relevant statutory requests to 200 requests. This final rule Because this provision is not limited to
requirements are met. Exports under amends § 312.110 to conform to the particular countries, a drug that is the
section 802(b)(1)(A) of the act do not FDA Export Reform and Enhancement subject of an IND could be exported
require prior FDA authorization. Act of 1996 and to modify the 312 under the act to any country in the
The second provision, now section program. world if the export is for the purpose of
802(c) of the act, permits exportation of II. Comments on the Proposed Rule conducting a clinical investigation in
unapproved new drugs intended for the importing foreign country. Exporters
investigational use to any listed country A. What Did the Proposed Rule Cover? should be aware, however, that this
in accordance with the laws of that How Many Comments Did FDA Receive? provision, like all provisions in
country. Exports of drugs to the listed The proposed rule would amend proposed § 312.110, pertain only to the
countries under section 802(c) of the act § 312.110 to provide four mechanisms requirements of the act. Other Federal
do not require prior FDA authorization for exporting investigational new drugs, laws, such as those relating to customs
and are exempt from regulation under eliminate unnecessary language in the or controlled substances or barring

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70722 Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations

exports to specific countries, may letter and certification described in product to a country from which it will
restrict or prohibit an export even if it § 1.101(b)(2), that parties must still later be shipped to another country. We
would be permitted under this rule. comply with the statutory requirement stated that we were aware that some
We received no comments on this in section 801(e)(1)(B) of the act, and firms have interpreted section 802(c) of
provision and have finalized it without that we would be evaluating whether to the act as permitting transshipment to
change. issue an advance notice of proposed unlisted countries as long as the
C. Can Investigational New Drugs Be rulemaking regarding the petitioner’s shipment went through a listed country
Exported If They Have Marketing issues (see Letter from Margaret M. (see 67 FR 41642 at 41643). (We knew
Authorization? Which Countries Must Dotzel, Associate Commissioner for about the firms’ position on
Provide That Marketing Authorization? Policy, to Peter Barton Hutt, Covington transshipment from comments we had
& Burling, dated July 22, 2002; this received on a draft export guidance
Proposed § 312.110(b)(2) would letter can be found in FDA Docket No. document that appeared in the Federal
represent the second mechanism for 1998N–0583). We subsequently issued Register of June 12, 1998 (63 FR
investigational new drug exports and an advance notice of proposed 32219).) We noted that section 802(c) of
would implement section 802(b)(1) of rulemaking regarding the issues raised the act is silent with respect to
the act with respect to exports of by the petitioner (see 69 FR 30842, June transshipment, and a more reasonable
unapproved new drugs for 1, 2004) and are continuing to evaluate interpretation is that the provision does
investigational use (although section the comments. We are continuing to not allow transshipments. We added
802(b)(1) of the act has been in effect exercise enforcement discretion that interpreting section 802(c) of the act
since April 1996). Under the proposal, regarding § 1.101(b)(2), but we remind to allow transshipment would be
if a drug product that is not approved would-be exporters that they must inconsistent with our traditional
for use in the United States has valid continue to comply with the statutory practice under § 312.110 and would
marketing authorization in Australia, requirement in section 801(e)(1)(B) of presume, in the absence of any
Canada, Israel, Japan, New Zealand, the act and the remaining provisions in supporting language in the statute or its
Switzerland, South Africa, or in any § 1.101. legislative history, that the listed
country in the EU or the EEA, the drug countries may serve as mere transfer
may be exported for any use, including D. Can Investigational New Drugs Be
points or conduits for investigational
investigational use, to any country, Exported Directly to Certain Countries
new drugs and devices destined for
provided that the export complies with Without FDA Approval?
unlisted countries (67 FR 41642 at
all applicable requirements pertaining Proposed § 312.110(b)(3), the third 41643).
to exports. Prior FDA approval to export mechanism for investigational new drug Nevertheless, because we knew that
the drug would not be required, nor exports, would implement section some firms insisted that section 802(c)
would proposed § 312.110(b)(2) require 802(c) of the act with respect to exports of the act allows transshipment, the
the drug to be the subject of an IND. The of unapproved new drugs for preamble to the proposed rule stated
exporter and the exported products, investigational use (although section that we would interpret section 802(c)
however, would have to comply with 802(c) of the act has been in effect since of the act as permitting investigational
the foreign country’s laws and with April 1996). In brief, under proposed new drugs to be sent to principal
requirements in section 802(f) and (g) of § 312.110(b)(3), if an unapproved drug is investigators in a listed country who
the act. The proposal would also require to be exported for investigational use to then use the investigational new drug in
compliance with the export notification any listed country in accordance with an unlisted country, provided that the
and recordkeeping requirements § 1.101. the laws of that country, then no prior principal investigator conducts the
We received no comments on this FDA authorization would be required. clinical investigations in accordance
provision and have finalized it without Exports of a drug for investigational use with the requirements of both the listed
change. under proposed § 312.110(b)(3) would country and the unlisted country where
However, regarding the export have to comply with the foreign the investigation is conducted. For
notification and recordkeeping country’s laws and the applicable example, if firm A exported an
requirements at § 1.101, we note that we statutory requirements in section 802(c), investigational new drug to principal
received a petition for reconsideration (f), and (g) of the act. Proposed investigator X in Norway (a listed
that challenges, among other things, the § 312.110(b)(3) would also require country), we stated that we would
recordkeeping requirement at compliance with the relevant interpret section 802(c) of the act as
§ 1.101(b)(2). Section 1.101(b)(2) recordkeeping requirements at § 1.101. permitting exportation of the
describes the records that may be kept Proposed § 312.110(b)(3) would add investigational new drug, without prior
to show that an export does not conflict that investigational new drugs that are FDA authorization, as long as firm A
with a foreign country’s laws, as not under an IND and are exported and the exported drug met all other
required by section 801(e)(1)(B) of the under section 802(c) of the act do not statutory conditions pertaining to the
act. Section 1.101(b)(2) states that the have to bear a label stating, ‘‘Caution: exportation. Principal investigator X
records may consist of a letter from an New Drug-Limited by Federal (or United could then administer the
appropriate foreign government agency States) law to investigational use.’’ This investigational new drug in an unlisted
stating that the product has marketing proposed requirement reflected the fact country so long as principal investigator
approval from the foreign government or that the label statement is required X conducted the clinical investigation
does not conflict with the foreign under section 505(i) of the act, and that, in accordance with Norwegian
country’s laws or a notarized absent an IND, drugs exported under requirements and any requirements in
certification by a responsible company section 802(c) of the act are not subject the unlisted country where the
official in the United States that the to section 505(i) of the act. investigational new drug is
product does not conflict with the The preamble to the proposed rule administered.
foreign country’s laws. In a letter dated discussed our interpretation of section (Comment 1) Three comments
July 22, 2002, we informed the 802(c) of the act and the issue of disagreed with this limited
petitioner that we would exercise ‘‘transshipment.’’ ‘‘Transshipment’’ transshipment position. The comments
enforcement discretion regarding the refers to the practice of shipping a acknowledged that the law is subject to

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Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations 70723

various interpretations, but argued § 312.110(b)(4) would modify the 312 to retain records showing its compliance
against allowing transshipment from program by eliminating the requirement with the provision’s requirements.
listed countries to unlisted countries. of prior FDA authorization. The (Comment 2) Several comments
The comments explained that a clinical proposal would require a person seeking expressed strong support for
investigator may have little ability to to export an unapproved new drug for streamlining the 312 program. For
control how a drug is moved, stored, or investigational use without an IND to example, one comment called the
used ‘‘if he or she is not supported by send a written certification to us. The proposal a ‘‘bold but considered move’’
the laws of the land’’ and so expecting certification would be submitted at the that would reduce administrative
the clinical investigator ‘‘to enforce the time the drug is first exported and burdens on FDA and sponsors without
laws, regulations and practices of the would describe the drug being exported waiving any significant obligations.
listed country in the unlisted country (i.e., trade name (if any), generic name, Three comments questioned why
(even assuming there are no and dosage form), identify the country proposed § 312.110(b)(4)(xii) would
contradictions between them) is, we or countries to which it is being require the exporter to certify that the
believe, quite unrealistic and exposes exported, and affirm that various investigational new drug ‘‘is promoted
the investigator, the sponsor and, not conditions or criteria had been met, in accordance with its labeling.’’ The
least, the patients to significant risks.’’ such as: comments said that the requirement is
Consequently, two comments • The drug is intended for export; unnecessary because investigational
recommended that we not allow • The drug is intended for new drugs are not the subject of
transshipment from listed countries to investigational use in a foreign country; promotion and requested that we clarify
unlisted countries. Another comment • The drug meets the foreign or delete the requirement.
stated that we should not allow purchaser’s or consignee’s (Response) We agree with the
transshipment from listed countries to specifications; comments that investigational new
unlisted countries, but then stated that • The drug is not in conflict with the drugs are not to be promoted, and we
transshipment of investigational new importing country’s laws; have deleted the language regarding
drugs should be ‘‘the responsibility of • The outer shipping package is promotion from § 312.110(b)(4).
the sponsor alone.’’ labeled to show that the package is However, one comment’s claim that
(Response) We have reconsidered our intended for export from the United proposed § 312.110(b)(4) would reduce
interpretation of section 802(c) of the act States; administrative burdens without waiving
and agree that transshipment should not • The drug is not sold or offered for any significant obligations prompted us
be permitted under section 802(c) of the sale in the United States; to consider whether a person exporting
act. Although our limited transshipment • The clinical investigation will be a drug under § 312.110(b)(4) should be
policy was intended to accommodate conducted in accordance with able to export an investigational new
the industry, we agree with the § 312.120; drug in an emergency without satisfying
pharmaceutical industry comments that • The drug is manufactured, certain criteria. For example, in recent
a clinical investigator’s ability to apply processed, packaged, and held in years, we have seen growing concern
a listed country’s laws and regulations substantial conformity with CGMPs; over the possible use of biological,
in an unlisted country may be difficult • The drug is not adulterated within chemical, or other weapons in a terrorist
at best. Therefore, we do not interpret the meaning of section 501(a)(1), attack. These concerns have prompted
section 802(c) of the act or (a)(2)(A), (a)(3), (c), or (d) of the act; interest by some foreign countries in
§ 312.110(b)(3) as allowing • The drug does not present an stockpiling drugs and biological
transshipment from listed countries to imminent hazard to public health, either products for possible use if such an
unlisted countries. in the United States if the drug were to attack occurs. We have also seen the
Furthermore, we do not agree that be reimported or in the foreign country; sudden emergence of new diseases,
transshipment should be the sponsor’s • The drug is labeled in accordance such as Severe Acute Respiratory
responsibility alone because that would with the foreign country’s laws; and Syndrome (SARS), and can foresee
mean that a sponsor could consider • The drug is promoted in accordance situations where a foreign country might
itself free to transship an investigational with its labeling. seek importation of an investigational
new drug regardless of our The preamble to the proposed rule new drug to respond to a sudden and
interpretation of section 802(c) of the explained that we were proposing to immediate disease outbreak. In such
act. accept certifications because our situations, the need to stockpile drugs or
As for proposed § 312.110(b)(3) itself, experience with the 312 program to provide potentially helpful treatment
we received no comments on the indicated that very few investigational quickly to a large number of patients
provision and have finalized it without new drug exports under the existing may be incompatible with certain
change. program raise any public health criteria in § 312.110(b)(4).
concerns. The certification would Therefore, the final rule includes a
E. What Changes Are Being Made to the eliminate the requirement of prior FDA new § 312.110(b)(5) to address the
‘‘312 Program?’’ authorization of a request to export a exportation of investigational new drugs
Proposed § 312.110(b)(4) would drug for investigational use (67 FR due to a national emergency in a foreign
represent the fourth mechanism for 41642 at 41644). Additionally, by country. New § 312.110(b)(5)
exporting an investigational new drug conditioning exports to unlisted contemplates two different national
and would pertain to unapproved new countries under the 312 program on the emergency scenarios. The first scenario,
drugs exported to any country for conduct of clinical investigations in at § 312.110(b)(5)(i), provides for
investigational use without an IND, and accordance with § 312.120, the use of exportation of an investigational new
we expected that the provision would investigational new drugs under the 312 drug in a foreign country to be stored for
be used by persons who intend to export program would be subject to possible use if and when a national
a drug that does not have valid internationally recognized requirements emergency in that foreign country
marketing authorization from a listed for clinical investigations (id. at 41645). arises. Under § 312.110(b)(5)(i), a person
country for investigational use to an The proposal would also require the may export the investigational new drug
unlisted country. Proposed exporter of the investigational new drug under § 312.110(b)(4) and may exclude

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70724 Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations

from its certification an affirmation with not proceed without prior FDA exportation of the investigational new
respect to any one or more of paragraphs authorization. We decided to require drug is necessary.
(b)(4)(i), (b)(4)(iv), (b)(4)(vi), (b)(4)(vii), FDA authorization to ensure that We decided that, in the case of a
(b)(4)(viii), and/or (b)(4)(ix), provided exportation of a drug based on this sudden and immediate national
that he or she: scenario is limited to the requirements emergency in a foreign country, the
• Provides a written statement, under set out in § 312.110(b)(5)(i) and not used exporter’s certification may omit an
§ 312.110(b)(5)(i)(A)(1), explaining why for other situations for which other affirmation addressing paragraphs
compliance with each such paragraph is regulatory requirements apply. (b)(4)(i), (b)(4)(iv), (b)(4)(v), (b)(4)(vi),
not feasible or is contrary to the best The second national emergency (b)(4)(vii), (b)(4)(viii), (b)(4)(ix) and/or
interests of the individuals who may scenario is at § 312.110(b)(5)(ii). This (b)(4)(xi) if, due to the sudden and
receive the investigational new drug; provision would apply where the immediate national emergency,
• Provides a written statement from national emergency is both sudden and compliance with that paragraph or
an authorized official of the importing immediate. For example, paragraphs are infeasible or contrary to
country’s government. The statement § 312.110(b)(5)(ii) could be used when a the best interests of the individuals who
must attest that the official agrees with bioterrorist attack has occurred in a may receive the investigational new
the exporter’s statement made under foreign country and has created an drug. For example, it would not be
§ 312.110(b)(5)(i)(A)(1); explain that the immediate need to export an necessary to insist that the exported
drug is to be stockpiled solely for use of investigational new drug for use in the drug be labeled in accordance with the
the importing country in a national foreign country. It could also apply foreign country’s laws where the foreign
emergency; and describe the potential where the national emergency is country itself had agreed that
national emergency that warrants imminent, but has not yet occurred. For compliance with its labeling
exportation of the investigational new example, § 312.110(b)(5)(ii) might be requirements was unnecessary during
drug under this provision; and applicable where a foreign government the national emergency.
• Provides a written statement has evidence showing that a particular Additionally, in contrast to the
showing that the Secretary of Health novel disease outbreak is about to occur ‘‘stockpiling’’ scenario in
and Human Services (the Secretary), or and that prompt administration of an § 312.110(b)(5)(i), exportation to meet a
his or her designee, agrees with the investigational new drug is needed to sudden and immediate national
findings of the authorized official of the treat or immunize its citizens before the emergency may not proceed until the
importing country’s government. disease assumes epidemic proportions. Secretary has decided whether a
We decided that in a national Thus, in these examples, the words national emergency has developed or is
emergency, ‘‘stockpiling’’ scenario, ‘‘sudden’’ and ‘‘immediate’’ are meant developing in the importing country,
exporters should be able to drop the to convey a sense that the national whether the investigational new drug
affirmations in paragraphs (b)(4)(i), emergency resulted from unforeseen will be used solely for that national
(b)(4)(iv), (b)(4)(vi), (b)(4)(vii), circumstances and that the exported emergency, and whether prompt
(b)(4)(viii), and/or (b)(4)(ix) from their drug is needed quickly in order to exportation of the investigational new
certifications if, due to the potential address the national emergency, and we drug is necessary. We reiterate that,
national emergency for which the drug expect § 312.110(b)(5)(ii) to be used in given its reference to a ‘‘sudden and
is being stockpiled, compliance with very rare circumstances. In other words, immediate’’ national emergency,
that paragraph is infeasible or contrary § 312.110(b)(5)(ii) should not be used in § 312.110(b)(5)(ii) should be very rarely
to the best interests of the individuals situations where a person simply wants used.
who may receive the investigational to export a drug to address longstanding Persons who wish to obtain a written
new drug. For example, several foreign public health concerns (such as a statement from the Secretary under
governments have asked for our help in disease which is and has been prevalent § 312.110(b)(5)(i) or to request that the
exporting investigational vaccines to in the foreign country for years). Secretary make the determinations
their countries to reduce their citizens’ Under § 312.110(b)(5)(ii), a person under § 312.110(b)(5)(ii) should direct
vulnerability to a certain pathogen. may export an investigational new drug their requests to: Secretary’s Operations
Vaccine production is very complex, so under § 312.110(b)(4) and exclude from Center, Office of Emergency Operations
it is unlikely that a manufacturer could its certification an affirmation with and Security Programs, Office of Public
respond quickly to a large-scale national respect to any one or more of paragraphs Health Emergency Preparedness, Office
emergency in a foreign country. Thus, if (b)(4)(i), (b)(4)(iv), (b)(4)(v), (b)(4)(vi), of the Secretary, Department of Health
we were to insist that all investigational (b)(4)(vii), (b)(4)(viii), (b)(4)(ix), and/or and Human Services, 200 Independence
vaccines exported in a national (b)(4)(xi), provided that he or she: Ave. SW., Washington, DC 20201.
emergency scenario be ‘‘intended for • Provides a written statement, under Requests may be also be sent by FAX:
export’’ (as otherwise required by § 312.110(b)(5)(ii)(A)(1), explaining why 202–619–7870 or by e-mail:
§ 312.110(b)(4)(i)), vaccines that had compliance with each such paragraph is HHS.SOC@hhs.gov.
been intended for domestic use could not feasible or is contrary to the best To complement these changes, we
not be exported to address a national interests of the individuals who are have revised § 312.110(c)(4) to state that
emergency in a foreign country because expected to receive the investigational exportation is not allowed under
those vaccines would not have been new drug; and § 312.110(b)(4) if the conditions
‘‘intended for export’’ when they were • Provides sufficient information underlying the certification or the
first made. Providing for the deletion of from an authorized official of the statements submitted under
the ‘‘intended for export’’ requirement importing country’s government to § 312.110(b)(5) are no longer met.
in a national emergency, stockpiling enable the Secretary, or his or her (Comment 3) One comment appeared
scenario makes it possible to export designee, to decide whether a national to inquire whether transshipment could
products originally intended for emergency has developed or is occur under the 312 program. The
domestic use to meet a more important developing in the importing country, comment suggested that transshipment
foreign need. whether the investigational new drug should be allowed if the sponsor
In the national emergency, will be used solely for that national amended its ‘‘certification’’ requesting
‘‘stockpiling’’ scenario, exportation may emergency, and whether prompt shipment of an investigational new drug

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Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations 70725

from either a listed or unlisted country • The drug does not present an ‘‘* * *approved or authorized for
to another unlisted country ‘‘where the imminent hazard to the public health in export under section 802 of the act
protocol is unchanged and all the foreign country. * * * or section 351(h)(1)(A) of the
applicable laws are met.’’ The comment Given these concerns, we decline to Public Health Service Act’’ because the
added that only products under the revise the rule to allow amended FDA Export Reform and Enhancement
sponsor’s direct control would be certifications under § 312.110(b)(4) that Act eliminated most FDA approval
permitted for transshipment. would enable sponsors to transship requirements for exported drugs. As for
(Response) The comment may have investigational new drugs without section 351(h) of the Public Health
misinterpreted the rule. Exports of an observing several important obligations Service Act, it pertains to exports of
investigational new drug to a listed in § 312.110(b)(4) itself. partially processed biological products
country fall within section 802(c) of the F. Are There Any Restrictions on that are: (1) Not in a form applicable to
act and § 312.110(b)(3), and no Investigational New Drug Exports? the prevention, treatment, or cure of
certification is required. Consequently, diseases or injuries of man; (2) not
Proposed § 312.110(c) would prohibit intended for sale in the United States;
if an investigational new drug is exports under certain conditions. For
exported to a listed country under and (3) intended for further manufacture
example, for drugs under an IND that into final dosage form outside the
section 802(c) of the act, there is no are exported under proposed
‘‘certification’’ to amend, and, as our United States. Thus, partially processed
312.110(b)(1), exportation would not be biological products exported under
response to comment 1 of this document allowed if the IND is no longer in effect.
stated, we will not interpret section section 351(h) of the Public Health
For drugs exported under proposed Service Act are not exported for
802(c) of the act as allowing § 312.110(b)(2), (b)(3), or (b)(4),
transshipment from a listed country to investigational use, so they do not have
exportation would not be allowed if the to be mentioned in § 312.110. We also
an unlisted country. requisite conditions underlying or noted that the FDA Export Reform and
As for exports under the 312 program authorizing the exportation are no Enhancement Act of 1996 revised and
and § 312.110(b)(4), we concede that our longer met. For all investigational new renumbered section 351(h) of the Public
proposed revision of the 312 program drugs exported under proposed Health Service Act, and so the revised
did not prohibit its use for exports to § 312.110, exportation would not be section no longer contains a paragraph
listed countries. However, if a sponsor allowed if the drug no longer complied (h)(1)(A) (see 67 FR 41642 at 41645).
decided to use § 312.110(b)(4) to export with the laws of the importing country. • Amend the authority citation for
an investigational new drug to a listed We received no comments on this part 312 to reflect additional statutory
country, it would create unnecessary provision. However, as explained in provisions, such as sections 801, 802,
work for itself because, under section II.E of this document, we have 803, and 903 of the act (21 U.S.C. 381,
§ 312.110(b)(3), it could export the created a § 312.110(b)(5) to address 382, 383, and 393), that affect
investigational new drug to the listed exportation of investigational new drugs investigational new drug exports, FDA’s
country without providing any to meet national emergencies in a international activities, and rulemaking.
documentation to us. foreign country. This new provision • Remove the text at § 312.110(b)(3)
If the comment sought to use establishes new conditions on the stating that the export requirements in
§ 312.110(b)(4) to export an export requirements under § 312.110(b) apply only where the drug
investigational new drug to an unlisted § 312.110(b)(4) in such national is to be used for the purpose of a clinical
country and then transship that drug to emergencies. Consequently, we have investigation. We proposed to delete
another unlisted country, we would revised § 312.110(c)(4) to state that this language because the proposed rule
agree that § 312.110(b)(4) could be used, exportation is not allowed under expressly refers to exports of
but only if both unlisted countries are § 312.110(b)(4) if the conditions investigational new drugs for use in
identified in the original certification to underlying the certification or the clinical investigations.
us. In other words, the original statements submitted under We received no comments on these
certification would have to state that the § 312.110(b)(5) are no longer met. provisions or changes and have
investigational new drug is being sent to finalized them without change.
G. What Other Changes Did FDA
one unlisted country and then shipped Propose? H. What Other Comments Did FDA
to another unlisted country. We do not Receive?
intend to permit sponsors to use The proposed rule would also make
§ 312.110(b)(4) to ship investigational several minor amendments to reflect or Several comments responded to
new drugs to an unlisted country and, update statutory requirements and to specific questions we had presented in
at some later, unspecified date, amend redesignate paragraphs (to accommodate the preamble to the proposed rule or
the certification in the manner other proposed changes). In brief, the discussed other issues related to the
described by the comment. We are proposal would: export of investigational new drugs or
concerned that allowing amendments to • Redesignate § 312.110(b)(4) as new the conduct of foreign clinical trials.
§ 312.110(d) to state that the export The preamble to the proposed rule
certifications that would change the
requirements in § 312.110 do not apply noted that section 402(j) of the Public
country receiving the exported drug
to insulin or to antibiotic drug products Health Service Act (42 U.S.C. 282(j))
would enable an unscrupulous person
exported for investigational use. This directs the Secretary to establish,
to avoid several critical obligations,
provision would reflect section 802(i) of maintain, and operate a data bank of
particularly those that are specific to the
the act which provides that insulin and information on clinical trials for drugs
receiving country, such as ensuring that:
antibiotics may be exported in for serious or life-threatening diseases
• The clinical investigation will be accordance with the export and conditions (67 FR 41642 at 41645).
conducted in accordance with requirements in section 801(e)(1) of the We invited comment on whether we
§ 312.120; act without complying with section 802 should make available information on
• The drug meets the foreign of the act. clinical trials involving investigational
purchaser’s or consignee’s • Eliminate a potentially confusing new drugs exported under proposed
specifications; and and incorrect reference to new drugs § 312.110(b)(4).

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70726 Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations

(Comment 4) Some comments First, several of the cited statutory countries and add them to the listed
opposed making information on drugs provisions contain cross-references countries.’’
exported under proposed § 312.110(b)(4) themselves. Section 802(f) of the act, (Response) We interpret the
publicly available. The comments which is mentioned in § 312.110(b)(2), comments’ suggestion of ‘‘adding’’
argued that section 402(j) of the Public (b)(3), (c)(2), and (c)(3), refers to certain countries as referring to section
Health Service Act was intended to adulteration provisions in section 501 of 802(b)(1)(B) of the act, which states that
provide clinical trial information to the act and to export requirements at the Secretary ‘‘may designate an
American patients and that we had no section 801(e)(1) of the act. Thus, additional country to be included in the
legal authority to collect or disclose inserting statutory language into the rule list of countries described in [section
information on foreign clinical trials. would still result in cross-references to 802(b)(1)(A) of the act]’’ if certain
(Response) We agree with the other statutory provisions. Second, if we requirements are met. However, section
comments that section 402(j) of the were to use statutory language in the 802(b)(1)(B) of the act also states that the
Public Health Service Act does not rule and if Congress amended that authority to add countries to the list
apply to exports under § 312.110(b)(4), particular statute later, we would be cannot be delegated. As a result, FDA
but disagree as to the rationale. Section obliged to begin new rulemaking to has no authority or ability to add
402(j) of the Public Health Service Act reflect the new statutory language, even countries to the list.
refers to ‘‘clinical trials’’ without any if the revised statutory language had no We note that, since the FDA Export
express requirement that the clinical significant impact on the rule itself. Reform and Enhancement Act became
trials be conducted in the United States. Otherwise, the regulation would be law in 1996, we have not received any
However, we believe that this provision inconsistent with the act, and substantive inquiries about adding a
only applies to clinical trials conducted differences between the act and the particular country to the group of listed
under an IND. regulatory language could result in countries. We are not aware of any
The Senate Committee on Labor and needless disagreements or disputes. similar inquiries to the Department of
Human Resources’ report on the ‘‘Food Third, inserting statutory language into Health and Human Services.
and Drug Administration Modernization a rule would make the rule much longer
and Accountability Act of 1997’’ and have limited value because a firm III. Description of the Final Rule
describes the data bank as requiring should be conscious of both statutory The final rule is substantially similar
sponsors of clinical trials to provide and regulatory requirements. In general, to the proposed rule as it describes four
certain clinical trial information to the we may issue a regulation to describe mechanisms for exporting a drug,
National Institutes of Health ‘‘not later our interpretation of a particular including a biological product, for
than 21 days after the approval by the statutory requirement and to create a investigational use. The four
FDA’’ (see S. Rept. 105–43, ‘‘Food and consistent, enforceable obligation on mechanisms are: (1) Exporting an
Drug Administration Modernization and affected parties and on the agency itself. investigational new drug under an IND,
Accountability Act of 1997,’’ 105th If a particular statutory provision is self- where the foreign clinical trial is
Cong., 1st sess. at p. 99 (July 1, 1997)). executing or self-explanatory, we may covered in the IND; (2) exporting an
The report apparently meant not later feel that no regulation is necessary. investigational new drug that has valid
than 21 days after the IND goes into Given these considerations, we decline marketing authorization from a ‘‘listed
effect since, strictly speaking, FDA does to insert the statutory language into the country’’ identified in section
not ‘‘approve’’ clinical trials or INDs. rule. 802(b)(1)(A) of the act; (3) exporting an
Rather, an IND goes into effect after 30 (Comment 6) One comment opposed
days if FDA does not notify the sponsor investigational new drug to a listed
the rule entirely. The comment
that the trials are subject to a clinical country; or (4) providing a certification
questioned why a foreign country would
hold before then, or earlier than 30 days to FDA and exporting the
accept a drug that could not be used in
if FDA so notifies the sponsor that the investigational new drug under a
the United States and alleged that
trials may begin. Nonetheless, this modified ‘‘312 program.’’ In the latter
companies exported investigational new
statement strongly suggests that only case, the final rule also identifies the
drugs to avoid breaking U.S. law and to
trials that are conducted under an IND certification criteria that must be
‘‘exploit people in other countries.’’ The
are to be included in the data bank. comment suggested that companies followed if the export is to occur under
Therefore, based on this legislative supporting the proposed rule ‘‘should the 312 program.
history, we do not interpret section be investigated for unethical conduct.’’ To recap the principal features of each
402(j) of the Public Health Service Act (Response) We disagree with the export mechanism,
as applying to exports under comment. The mechanisms for 1. Section 312.110(b)(1) could be used
§ 312.110(b)(4). exporting an investigational new drug where the foreign clinical trial is the
(Comment 5) One comment focused reflect statutory provisions in sections subject of an IND.
on the proposed rule’s cross-references 505(i), 802(b)(1), and 802(c) of the act. 2. Section 312.110(b)(2) could be used
to statutory provisions. The comment As a result, contrary to the comment’s where the investigational new drug has
said that the cross-references ‘‘greatly assertion, firms exporting a drug for received market authorization in any
complicate the reading and practical investigational use in a foreign country ‘‘listed country’’ and complies with the
understanding of the regulation’’ and in accordance with this rule would be laws of the country to which it is being
suggested that we incorporate the acting in compliance with the act. Given exported.
statutory language directly into the rule. that fact, we have no basis for 3. Section 312.110(b)(3) could be used
(Response) We decline to amend the attributing an improper or unethical when the investigational new drug is to
rule as suggested by the comment. motive to those who would export such be used in a clinical investigation in a
While we understand that cross- products or those who support this ‘‘listed country.’’
references in a regulation can make it rulemaking. 4. Section 312.110(b)(4) could be used
more difficult to read and to understand (Comment 7) Several comments, in in situations not covered by
a particular requirement, there are discussing their position against § 312.110(b)(1), (b)(2), or (b)(3), and the
several practical reasons for not transshipment, recommended that we requirements in § 312.110(b)(4) may be
inserting statutory language into a rule. ‘‘work diligently to approve unlisted streamlined or modified in the event of

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Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations 70727

a national emergency in a foreign stated earlier, section 802(c) of the act distribution of power and
country (see § 312.110(b)(5)). permits the export of a drug or device responsibilities among the various
Please note that the export intended for investigational use to levels of government. Accordingly, the
mechanisms are not mutually exclusive. Australia, Canada, Israel, Japan, New agency has concluded that the rule does
For example, if a sponsor obtains an Zealand, Switzerland, South Africa, or not contain policies that have
IND for a clinical investigation in a any country in the EU or EEA in federalism implications as defined in
listed country, the sponsor is not accordance with the laws of the the Executive order and, consequently,
obliged to export the investigational importing country. No prior FDA a federalism summary impact statement
new drug under § 312.110(b)(2) or (b)(3). authorization is required, and exports is not required.
The final rule also describes the under section 802(c) of the act are also
conditions under which exportation VII. Paperwork Reduction Act of 1995
exempt from regulation under section
may not occur. In general, these 505(i) of the act. However, section 802(f) This final rule contains information
conditions are: (1) When the export no of the act prohibits export of a drug if collection provisions requirements that
longer complies with the statutory certain conditions are not met (such as are subject to review by the Office of
requirements that would allow the drug conformity with CGMPs, compliance Management and Budget (OMB) under
to be exported; (2) when the conditions with requirements contained in section the Paperwork Reduction Act of 1995
underlying the certification in the 312 801(e)(1) of the act, and not being (44 U.S.C. 3501–3520). A description of
program are no longer met; or (3) when adulterated under certain provisions of these provisions is given below with an
the exported investigational new drug section 501 of the act). Section estimate of the annual reporting and
no longer complies with the foreign 312.110(b)(3) pertains to exports of recordkeeping burden. Included in the
country’s laws. investigational new drugs to listed
The final rule also states that insulin estimate is the time for reviewing
countries, under section 802(c) of the instructions, searching existing data
and antibiotics may be exported for act. Additionally, § 312.110(b)(2)
investigational use in accordance with sources, gathering and maintaining the
pertains to drugs exported under section data needed, and completing and
section 801(e)(1) of the act. The act 802(b) of the act and requires that such
specifically states that exports of insulin reviewing each collection of
exports comply with section 802(f) of information.
and antibiotics that are not approved for
the act. Title: Investigational New Drug
use by FDA are subject only to section
Authority to issue regulations to Applications: Export Requirements for
801(e)(1) of the act.
implement section 802 of the act, and Unapproved New Drug Products.
IV. Legal Authority for the efficient enforcement of the act
generally, is contained in section 701(a) Description: The final rule provides
Section 505(i) of the act authorizes the four different mechanisms for exporting
agency to issue regulations pertaining to of the act (21 U.S.C. 371(a)). Section 903
of the act also provides general powers an investigational new drug. First, an
drugs intended solely for investigational investigational new drug may be
use by experts qualified by scientific for implementing policies respecting
FDA programs and activities. Thus, the exported under an IND to any country
training and experience to investigate if the IND covers the foreign clinical
the safety and effectiveness of drugs. final rule implements sections 505(i)
and 802 of the act. Furthermore, it is trial. Second, an investigational new
Under this authority, FDA has, for many drug that has received valid marketing
years, approved the export of certain also authorized under our rulemaking
authorities at sections 505(i) and 701(a) authorization from a listed country may
unapproved new drugs for
of the act, and FDA’s general authority be exported for investigational use in
investigational use in one or more
at section 903 of the act. any country subject to certain
foreign countries. Additionally, FDA
conditions (such as being in substantial
can, under its general authority over V. Environmental Impact conformity with CGMPs). Third, an
investigational new drugs, terminate an
FDA has determined under 21 CFR investigational new drug may be
IND under certain conditions.
The final rule is consistent with 25.30(h) and (i), and 25.31(e) that this exported to any listed country without
section 505(i) of the act insofar as action is of a type that does not prior FDA authorization for use in a
§ 312.110(b)(1) pertains to drugs that are individually or cumulatively have a clinical investigation, but would be
the subject of an IND and § 312.110(b)(4) significant effect on the human subject to certain conditions (such as
requires clinical investigations environment. Therefore, neither an being in substantial conformity with
involving an investigational new drug environmental assessment nor an CGMPs). Fourth, an investigational new
without an IND that is exported to a environmental impact statement is drug may be exported provided that the
foreign country to be conducted in required. sponsor submits a certification that the
accordance with § 312.120. Section drug meets certain export criteria at the
VI. Federalism time the drug is exported. The final rule
505(i) of the act also gives FDA express
authority to issue regulations pertaining FDA has analyzed this final rule in also requires persons exporting an
to investigational new drugs. accordance with the principles set forth investigational new drug under either
The final rule also implements section in Executive Order 13132. FDA has the second, third, or fourth mechanisms
802 of the act, which applies to determined that the rule does not to maintain records documenting their
unapproved drug products intended for contain policies that have substantial compliance with statutory and
export. Section 802(c) of the act applies direct effects on the States, on the regulatory requirements.
to exports of unapproved drug products relationship between the National Description of Respondents:
intended for investigational use. As Government and the States, or on the Businesses.

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70728 Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations

TABLE 1.—ESTIMATED ANNUAL RECORDKEEPING BURDEN1


No. of Annual Frequency Total Annual Hours per
21 CFR Section Total Hours
Recordkeepers per Recordkeeping Records Recordkeeper

312.110(b)(2) and (b)(3) 370 1 370 3 1,110

312.110(b)(4) 200 1 200 1 200

Total 1,310
1There are no capital costs or operating and maintenance costs associated with this collection of information.

TABLE 2.—ESTIMATED ANNUAL REPORTING BURDEN1


No. of Annual Frequency Total Annual Hours per
21 CFR Section Total Hours
Respondents per Response Responses Response

312.110(b)(4) 200 1 200 12 2,400

Total 2,400
1There are no capital costs or operating and maintenance costs associated with this collection of information.

The estimates are based on average the 312 program) and that the reporting that agencies prepare a written
export submissions in previous years burden remains constant at statement, which includes an
and on information supplied by approximately 12 hours per response, assessment of anticipated costs and
industry sources. For the recordkeeping the total burden under § 312.110(b)(4) benefits, before proposing ‘‘any rule that
requirement in § 312.110(b)(2) and would be 2,400 hours. The reporting includes any Federal mandate that may
(b)(3), FDA used the average annual burden would be a regulatory (rather result in the expenditure by State, local,
number of export requests in previous than statutory) burden. and tribal governments, in the aggregate,
years before enactment of the FDA In compliance with the Paperwork or by the private sector, of $100,000,000
Export Reform and Enhancement Act Reduction Act of 1995 (44 U.S.C. or more (adjusted annually for inflation)
(approximately 570) and subtracted the 3507(d)), the agency has submitted the in any one year.’’ The current threshold
number of export requests that it information collection provisions of this after adjustment for inflation is $115
currently receives under the 312 final rule to OMB for review. Prior to million, using the most current (2003)
program (200) to obtain an estimated the effective date of this final rule, FDA Implicit Price Deflator for the Gross
370 recordkeepers. These records, in will publish a notice in the Federal Domestic Product. FDA does not expect
general, would be subject to § 1.101 (66 Register announcing OMB’s decision to this final rule to result in any 1-year
FR 65429), and the estimated burden approve, modify, or disapprove the expenditure that would meet or exceed
hours for the relevant parts of § 1.101 information collection provisions in this this amount.
total 3 hours. Thus, the total record final rule. An agency may not conduct The agency has reviewed this final
burden hours for § 312.110(b)(2) and or sponsor, and a person is not required rule and determined that it is consistent
(b)(3) would be 1,110 hours (370 records to respond to, a collection of with the regulatory philosophy and the
multiplied by 3 hours per record). information unless it displays a principles identified in the Executive
For § 312.110(b)(4), industry sources currently valid OMB control number. Order 12866 and these two statutes, as
indicated that most firms already VIII. Analysis of Impacts it will not result in an expenditure of
maintain records to demonstrate their FDA has examined the impacts of the $100 million or more in any one year.
compliance with export requirements, final rule under Executive Order 12866 Because the rule raises novel policy
so the agency assigned a value of 1 hour and the Regulatory Flexibility Act (5 issues, OMB has determined that this
for each response. The total U.S.C. 601–612), and the Unfunded final rule is a significant regulatory
recordkeeping burden for Mandates Reform Act of 1995 (Public action as defined under paragraph 4 of
§ 312.110(b)(4), therefore, is 200 hours Law 104–4). Executive Order 12866 section 3(f) of Executive Order 12866.
(200 records multiplied by 1 hour per directs agencies to assess all costs and The final rule facilitates exports of
record). benefits of available regulatory unapproved new drug products for use
Thus, the total recordkeeping burden alternatives and, when regulation is in clinical investigations in foreign
would be 1,310 hours (1,110 + 200 = necessary, to select regulatory countries by eliminating the need to
1,310). Of this recordkeeping burden, approaches that maximize net benefits submit requests for permission to export
1,110 hours would be a statutory burden (including potential economic, the drugs and to receive FDA
(because section 802(g) of the act environmental, public health and safety, authorization. This change reduces the
requires persons exporting drugs under and other advantages; distributive cost to the affected small firms. Thus,
section 802 of the act to maintain impacts; and equity). Under the the agency certifies that this final rule
records of alldrugs exported and the Regulatory Flexibility Act, unless an does not have a significant economic
countries to which they were exported). agency certifies that a rule will not have impact on a substantial number of small
For the reporting requirement in a significant impact on small entities, entities. Therefore, under the Regulatory
§ 312.110(b)(4), FDA’s experience under the agency must analyze regulatory Flexibility Act, no further analysis is
the 312 program suggests that extremely options that would minimize the impact required.
few reports would be submitted. of the rule on small entities. Because the final rule does not
Assuming that 200 requests are received Section 202(a) of the Unfunded impose any mandates on State, local, or
(the current number of requests under Mandates Reform Act of 1995 requires tribal governments, or the private sector

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Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations 70729

that will result in an expenditure of International Programs (HFG–1), Food contrary to the best interests of the
$100 million or more in any one year, and Drug Administration, 5600 Fishers individuals who may receive the
FDA is not required to perform a cost- Lane, Rockville, MD 20857, at the time investigational new drug;
benefit analysis under the Unfunded the drug is first exported and maintains (2) Provides a written statement from
Mandates Reform Act of 1995. records documenting compliance with an authorized official of the importing
this paragraph. The certification shall country’s government. The statement
List of Subjects in 21 CFR Part 312 must attest that the official agrees with
describe the drug that is to be exported
Drugs, Exports, Imports, (i.e., trade name (if any), generic name, the exporter’s statement made under
Investigations, Labeling, Medical and dosage form), identify the country paragraph (b)(5)(i)(A)(1) of this section;
research, Reporting and recordkeeping or countries to which the drug is to be explain that the drug is to be stockpiled
requirements, Safety. exported, and affirm that: solely for use of the importing country
■ Therefore, under the Federal Food, (i) The drug is intended for export; in a national emergency; and describe
Drug, and Cosmetic Act and under (ii) The drug is intended for the potential national emergency that
authority delegated to the Commissioner investigational use in a foreign country; warrants exportation of the
of Food and Drugs, 21 CFR part 312 is (iii) The drug meets the foreign investigational new drug under this
amended as follows: purchaser’s or consignee’s provision; and
specifications; (3) Provides a written statement
PART 312—INVESTIGATIONAL NEW (iv) The drug is not in conflict with showing that the Secretary of Health
DRUG APPLICATION the importing country’s laws; and Human Services (the Secretary), or
(v) The outer shipping package is his or her designee, agrees with the
■ 1. The authority citation for 21 CFR labeled to show that the package is findings of the authorized official of the
part 312 is revised to read as follows: intended for export from the United importing country’s government.
Authority: 21 U.S.C. 321, 331, 351, 352, States; Persons who wish to obtain a written
353, 355, 356, 371, 381, 382, 383, 393; 42 (vi) The drug is not sold or offered for statement from the Secretary should
U.S.C. 262. sale in the United States; direct their requests to Secretary’s
■ 2. Section 312.110 is amended by (vii) The clinical investigation will be Operations Center, Office of Emergency
revising paragraph (b) and by adding conducted in accordance with Operations and Security Programs,
paragraphs (c) and (d) to read as follows: § 312.120; Office of Public Health Emergency
(viii) The drug is manufactured, Preparedness, Office of the Secretary,
§ 312.110 Import and export requirements. processed, packaged, and held in Department of Health and Human
* * * * * substantial conformity with current Services, 200 Independence Ave. SW.,
(b) Exports. An investigational new good manufacturing practices; Washington, DC 20201. Requests may be
drug may be exported from the United (ix) The drug is not adulterated within also be sent by FAX: 202–619–7870 or
States for use in a clinical investigation the meaning of section 501(a)(1), by e-mail: HHS.SOC@hhs.gov.
under any of the following conditions: (a)(2)(A), (a)(3), (c), or (d) of the act; (B) Exportation may not proceed until
(1) An IND is in effect for the drug (x) The drug does not present an FDA has authorized exportation of the
under § 312.40, the drug complies with imminent hazard to public health, either investigational new drug. FDA may
the laws of the country to which it is in the United States, if the drug were to deny authorization if the statements
being exported, and each person who be reimported, or in the foreign country; provided under paragraphs
receives the drug is an investigator in a and (b)(5)(i)(A)(1) or (b)(5)(i)(A)(2) of this
study submitted to and allowed to (xi) The drug is labeled in accordance section are inadequate or if exportation
proceed under the IND; or with the foreign country’s laws. is contrary to public health.
(2) The drug has valid marketing (5) In the event of a national (ii) Situations where the
authorization in Australia, Canada, emergency in a foreign country, where investigational new drug is to be used
Israel, Japan, New Zealand, Switzerland, the national emergency necessitates for a sudden and immediate national
South Africa, or in any country in the exportation of an investigational new emergency. There may be instances
European Union or the European drug, the requirements in paragraph where exportation of an investigational
Economic Area, and complies with the (b)(4) of this section apply as follows: new drug is needed so that the drug may
laws of the country to which it is being (i) Situations where the be used in a sudden and immediate
exported, section 802(b)(1)(A), (f), and investigational new drug is to be national emergency that has developed
(g) of the act, and § 1.101 of this chapter; stockpiled in anticipation of a national or is developing. In such cases:
or emergency. There may be instances (A) A person may export an
(3) The drug is being exported to where exportation of an investigational investigational new drug under
Australia, Canada, Israel, Japan, New new drug is needed so that the drug may paragraph (b)(4) of this section without
Zealand, Switzerland, South Africa, or be stockpiled and made available for use making an affirmation with respect to
to any country in the European Union by the importing country if and when a any one or more of paragraphs (b)(4)(i),
or the European Economic Area, and national emergency arises. In such (b)(4)(iv), (b)(4)(v), (b)(4)(vi), (b)(4)(vii),
complies with the laws of the country cases: (b)(4)(viii), (b)(4)(ix), and/or (b)(4)(xi),
to which it is being exported, the (A) A person may export an provided that he or she:
applicable provisions of section 802(c), investigational new drug under (1) Provides a written statement
(f), and (g) of the act, and § 1.101 of this paragraph (b)(4) of this section without explaining why compliance with each
chapter. Drugs exported under this making an affirmation with respect to such paragraph is not feasible or is
paragraph that are not the subject of an any one or more of paragraphs (b)(4)(i), contrary to the best interests of the
IND are exempt from the label (b)(4)(iv), (b)(4)(vi), (b)(4)(vii), individuals who are expected to receive
requirement in § 312.6(a); or (b)(4)(viii), and/or (b)(4)(ix) of this the investigational new drug and
(4) Except as provided in paragraph section, provided that he or she: (2) Provides sufficient information
(b)(5) of this section, the person (1) Provides a written statement from an authorized official of the
exporting the drug sends a written explaining why compliance with each importing country’s government to
certification to the Office of such paragraph is not feasible or is enable the Secretary, or his or her

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70730 Federal Register / Vol. 70, No. 225 / Wednesday, November 23, 2005 / Rules and Regulations

designee, to decide whether a national DEPARTMENT OF HOMELAND could be issued, and delay the rule’s
emergency has developed or is SECURITY effective date, is contrary to the public
developing in the importing country, interest because immediate action is
whether the investigational new drug Coast Guard necessary to protect the public and
will be used solely for that national waters of the United States.
emergency, and whether prompt 33 CFR Part 165 For the same reasons, under 5 U.S.C.
exportation of the investigational new 553(d)(3), the Coast Guard finds that
[COTP Jacksonville 05–154]
drug is necessary. Persons who wish to good cause exists for making this rule
RIN 1625–AA87 effective less than 30 days after
obtain a determination from the
publication in the Federal Register. The
Secretary should direct their requests to Security Zone; St. John’s River, Coast Guard will issue a broadcast
Secretary’s Operations Center, Office of Jacksonville, FL to Ribault Bay notice to mariners and will place Coast
Emergency Operations and Security Guard vessels in the vicinity of this
Programs, Office of Public Health AGENCY: Coast Guard, DHS.
ACTION: Temporary final rule. zone to advise mariners of the
Emergency Preparedness, Office of the restrictions.
Secretary, Department of Health and SUMMARY: The Coast Guard is
Human Services, 200 Independence Background and Purpose
establishing a temporary moving
Ave. SW., Washington, DC 20201. security zone around foreign naval This rule is needed to protect foreign
Requests may be also be sent by FAX: submarines in transit within the area navy submarines from damage or injury
202–619–7870 or by e-mail: between 12 nautical miles seaward from from sabotage or other subversive acts,
HHS.SOC@hhs.gov. the baseline at the mouth of the St. accidents or other causes of a similar
John’s River to Ribault Bay. The security nature, or to secure the observance of
(B) Exportation may proceed without
zone includes all waters within 500 rights and obligations of the United
prior FDA authorization.
yards in any direction of the submarine. States. Although this rule is effective
(c) Limitations. Exportation under This rule prohibits entry into the from 8 a.m. on November 9, 2005, until
paragraph (b) of this section may not security zone without the permission of 11:59 p.m. on December 1, 2005, the
occur if: the Captain of the Port (COTP) Coast Guard will only enforce this rule
(1) For drugs exported under Jacksonville or his designated when a foreign navy submarine is
paragraph (b)(1) of this section, the IND representative. Persons or vessels that transiting within the area between 12
pertaining to the clinical investigation is receive permission to enter the security nautical miles seaward from the
no longer in effect; zone must proceed at a minimum safe baseline at the mouth of the St. John’s
speed, must comply with all orders River to Ribault Bay. Anchoring,
(2) For drugs exported under mooring, or transiting within this zone
issued by the COTP or his designated
paragraph (b)(2) of this section, the is prohibited, unless authorized by the
representative, and must not proceed
requirements in section 802(b)(1), (f), or Captain of the Port, Jacksonville,
any closer than 100 yards, in any
(g) of the act are no longer met; Florida, or his designated
direction, to the submarine. This
(3) For drugs exported under security zone is needed to ensure public representative. The temporary security
paragraph (b)(3) of this section, the safety and to prevent sabotage or zone encompasses all waters within 500
requirements in section 802(c), (f), or (g) terrorist acts against the submarine. yards around the foreign naval
of the act are no longer met; DATES: This rule is effective from 8 a.m.
submarine. Vessels or persons
on November 9, 2005, until 11:59 p.m. authorized to enter the zone must
(4) For drugs exported under proceed at a minimum safe speed, must
paragraph (b)(4) of this section, the on December 1, 2005.
comply with all orders issued by the
conditions underlying the certification ADDRESSES: Documents mentioned in
COTP or his designated representative,
or the statements submitted under this preamble as being available in the
and must not proceed any closer than
paragraph (b)(5) of this section are no docket are part of docket [COTP
100 yards, in any direction, to the
longer met; or Jacksonville 05–154] and are available
submarine.
for inspection and copying at Coast
(5) For any investigational new drugs Guard Sector Jacksonville Prevention Regulatory Evaluation
under this section, the drug no longer Department, 7820 Arlington
complies with the laws of the importing This regulation is not a significant
Expressway, Suite 400, Jacksonville, regulatory action under section 3(f) of
country. Florida 32211, between 8 a.m. and 4 Executive Order 12866, Regulatory
(d) Insulin and antibiotics. New p.m., Monday through Friday, except Planning and Review, and does not
insulin and antibiotic drug products Federal holidays. require an assessment of potential cost
may be exported for investigational use FOR FURTHER INFORMATION CONTACT: and benefits under section 6(a)(3) of that
in accordance with section 801(e)(1) of Ensign Kira Peterson at Coast Guard Order. The Office of Management and
the act without complying with this Sector Jacksonville Prevention Budget has not reviewed it under the
section. Department, Florida telephone: (904) order. It is not ‘‘significant’’ under the
232–2640, ext. 108. regulatory policies and procedures of
Dated: November 16, 2005.
SUPPLEMENTARY INFORMATION: the Department of Homeland Security
Jeffrey Shuren,
(DHS) because these regulations will
Assistant Commissioner for Policy. Regulatory Information
only be in effect for a short period of
[FR Doc. 05–23120 Filed 11–22–05; 8:45 am] We did not publish a notice of time and the impact on routine
BILLING CODE 4160–01–S proposed rulemaking (NPRM) for this navigation is expected to be minimal.
regulation. Under 5 U.S.C. 553(b)(B), the
Coast Guard finds that good cause exists Small Entities
for not publishing a NRPM. Publishing Under the Regulatory Flexibility Act
a NPRM, which would incorporate a (5 U.S.C. 601–612), we considered
comment period before a final rule whether this rule would have a

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