[Federal Register Volume 71, Number 106 (Friday, June 2, 2006)]
[Notices]
[Page 32105]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-8572]



[[Page 32105]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. 2000D-1318]


Guidance for Industry on Chronic Cutaneous Ulcer and Burn 
Wounds--Developing Products for Treatment; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of a guidance for industry entitled ``Chronic Cutaneous 
Ulcer and Burn Wounds--Developing Products for Treatment.'' This 
document provides recommendations on developing products for the 
treatment of chronic cutaneous ulcer and burn wounds. It includes 
general guidance on clinical trial design as well as preclinical and 
manufacturing considerations. This guidance finalizes the draft 
guidance published on June 28, 2000.

DATES: Submit written or electronic comments on agency guidances at any 
time.

ADDRESSES: Submit written requests for single copies of this guidance 
to the Division of Drug Information (HFD-240), Center for Drug 
Evaluation and Research, Food and Drug Administration, 5600 Fishers 
Lane, Rockville, MD 20857, or the Office of Communication, Training, 
and Manufacturers Assistance (HFM-40), Center for Biologics Evaluation 
and Research, Food and Drug Administration, 1401 Rockville Pike, suite 
200N, Rockville, MD 20852-1448. Send one self-addressed adhesive label 
to assist that office in processing your requests. The guidance may 
also be obtained by mail by calling CBER at 1-800-835-4709 or 301-827-
1800. Submit written comments on the guidance to the Division of 
Dockets Management (HFA-305), Food and Drug Administration, 5630 
Fishers Lane, rm. 1061, Rockville, MD 20852. Submit electronic comments 
to http://www.fda.gov/dockets/ecomments. See the SUPPLEMENTARY 
INFORMATION section for electronic access to the guidance document.

FOR FURTHER INFORMATION CONTACT:
     Elektra Papadopoulos, Center for Drug Evaluation and Research, 
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, rm. 
5189, Silver Spring, MD 20993-0002, 301-796-2110; or
    Susan Leibenhaut, Center for Biologics Evaluation and Research 
(HFM-755), Food and Drug Administration, 1401 Rockville Pike, 
Rockville, MD 20852, 301-827-6536; or
    Charles N. Durfor, Center for Devices and Radiological Health (HFZ-
410), Food and Drug Administration, 9200 Corporate Blvd., Rockville, MD 
20850, 301-594-3090.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Chronic Cutaneous Ulcer and Burn Wounds--Developing Products 
for Treatment.'' On June 28, 2000 (65 FR 39912), FDA published for 
comment in the Federal Register a draft of this guidance. The guidance 
addresses the development of drugs, biological products, and medical 
devices for the treatment of burn wounds and chronic cutaneous ulcers, 
including venous stasis ulcers, diabetic foot ulcers, and pressure 
ulcers. Included are recommendations for trial design, labeling claims, 
outcome measures, and special considerations for preclinical 
development, as well as for manufacturing.
    Comments received from industry, professional societies, and 
consumer groups on the draft guidance have been taken into 
consideration by FDA in finalizing this guidance and some of the 
changes are summarized here. The accelerated wound closure section has 
been modified and now indicates that if claims are sought for both 
increased incidence of wound closure and accelerated healing, then the 
study should be designed to detect both effects. The section on 
debridement outcomes has been clarified and indicates clinically 
relevant endpoints for debriding agents. Newly addressed are wound pain 
amelioration outcomes, outcomes for temporary dressings, and 
recommendations for choosing lesions for evaluation of efficacy 
outcomes (e.g., target lesion or complete healing of all lesions 
reported per patient).
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). This guidance represents the 
agency's current thinking on developing products for the treatment of 
chronic cutaneous ulcer and burn wounds. It does not create or confer 
any rights for or on any person and does not operate to bind FDA or the 
public. An alternative approach may be used if such approach satisfies 
the requirements of the applicable statutes and regulations.

II. Comments

    Interested persons may submit to the Division of Dockets Management 
(see ADDRESSES) written or electronic comments regarding this document. 
Submit a single copy of electronic comments or two paper copies of any 
mailed comments, except that individuals may submit one paper copy. 
Comments are to be identified with the docket number found in brackets 
in the heading of this document. Received comments may be seen in the 
Division of Dockets Management between 9 a.m. and 4 p.m., Monday 
through Friday.

III. Electronic Access

    Persons with access to the Internet may obtain the document at 
either http://www.fda.gov/cder/guidance/index.htm, http://www.fda.gov/cber/guidelines.htm, or http://www.fda.gov/ohrms/dockets/default.htm.

    Dated: May 23, 2006.
Jeffrey Shuren,
Assistant Commissioner for Policy.
[FR Doc. E6-8572 Filed 6-1-06; 8:45 am]
BILLING CODE 4160-01-S