[Federal Register Volume 79, Number 157 (Thursday, August 14, 2014)]
[Notices]
[Pages 47650-47651]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-19264]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-N-1108]


Revised Draft Guidance for Industry on Clinical Pharmacology 
Labeling for Human Prescription Drug and Biological Products--
Considerations, Content, and Format; 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availability of a revised draft guidance for industry entitled 
``Clinical Pharmacology Labeling for Human Prescription Drug and 
Biological Products--Considerations, Content, and Format.'' This draft 
guidance is one of a series of guidance documents intended to assist 
applicants in complying with FDA regulations on the content and format 
of labeling for human prescription drug and biological products. The 
guidance describes the recommended information to include in the 
Clinical Pharmacology section of labeling that pertains to the safe and 
effective use of human prescription drug and biological products. This 
revised draft guidance replaces the 2009 draft guidance for industry 
entitled ``Clinical Pharmacology Section of Labeling for Human 
Prescription Drug and Biological Products--Content and Format.''

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by October 14, 2014.

ADDRESSES: Submit written requests for single copies of the draft 
guidance to the Division of Drug Information, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 2201, Silver Spring, MD 20993-0002 or 
Office of Communication, Outreach, and Development, Center for 
Biologics Evaluation and Research, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.
    Submit electronic comments on the draft guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Lei Zhang, Office of Clinical 
Pharmacology, Office of Translational Sciences, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 3177, Silver Spring, MD 20993-0002, 301-
796-5008 or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION: 

I. Background

    In the Federal Register of January 24, 2006 (71 FR 3922), FDA 
published a final rule entitled ``Requirements on Content and Format of 
Labeling for Human Prescription Drug and Biological Products'' to 
revise the Agency's previous regulations on labeling (effective June 
30, 2006). The final rule, commonly referred to as the Physician 
Labeling Rule (PLR), is designed to make information in prescription 
drug labeling easier for health care practitioners to access, read, and 
use, thereby increasing the extent to which practitioners rely on 
labeling for prescribing decisions. In the Federal Register of March 3, 
2009 (74 FR 9250), FDA announced the availability of a draft guidance 
for industry entitled ``Clinical Pharmacology Section of Labeling for 
Human Prescription Drug and Biological Products--Content and Format'' 
as one of a series of guidance documents intended to assist applicants 
in complying with FDA regulations on the content and format of labeling 
for human prescription drug and biological

[[Page 47651]]

products. The 2009 draft guidance provided guidance on the Clinical 
Pharmacology section of the prescription drug labeling under the PLR.

II. Revised Draft Guidance

    FDA is announcing the availability of a draft guidance entitled 
``Clinical Pharmacology Labeling for Human Prescription Drug and 
Biological Products--Considerations, Content, and Format,'' which is a 
revision of the 2009 draft guidance. The revised draft guidance 
provides clarifications of recommendations in the 2009 draft guidance 
based on consideration of public comments on the 2009 draft guidance 
and the Agency's increased regulatory experience implementing the PLR. 
This draft guidance provides clarity on the information that should be 
included in section 12 Clinical Pharmacology and provides guidance on 
the inclusion of clinical recommendations based on clinical 
pharmacology findings in other sections of the labeling.

A. Clinical Pharmacology Section of Labeling

    The draft guidance is intended to assist applicants in preparing 
the Clinical Pharmacology section of product labeling to meet the 
requirements of FDA regulations (21 CFR 201.57(c)(13)). The draft 
guidance is also intended to ensure consistency, as appropriate, in 
labeling of the Clinical Pharmacology section for all prescription drug 
products approved by FDA.
    The draft guidance outlines the use of subsections, headings, and 
subheadings to provide organization to the Clinical Pharmacology 
section. The draft guidance also emphasizes the importance of providing 
variability measures related to pharmacokinetic measures and 
parameters, pharmacodynamic measures, and other clinical pharmacology 
study results.
    This draft guidance provides a general framework and set of 
recommendations that should be adapted to specific drugs and their 
conditions of use. Not all of the information identified in this draft 
guidance for inclusion in the Clinical Pharmacology section of product 
labeling will be applicable for every drug. For the purposes of this 
notice, all references to drugs include both human drugs and biological 
products unless otherwise specified.

B. Cross-Referencing of Clinical Pharmacology Information

    Detailed information on clinical pharmacology topics is included in 
the Clinical Pharmacology section, while other sections of labeling 
contain summary information and clinical recommendations that may be 
related to clinical pharmacology information. Optimal pharmacotherapy 
is driven by an understanding of a drug product's clinical pharmacology 
as well as the clinical context in which the drug will be used. 
Important clinical pharmacology attributes to consider in therapeutic 
decisionmaking include, but are not limited to, drug mechanism of 
action, pharmacodynamic effects (e.g., on target, on pathway, and off 
target/pathway), and pharmacokinetic properties in a variety of 
settings and specific populations. Clinical pharmacology information 
collected throughout a drug product's life can contribute to the 
product's labeling. Specifically, FDA considers what clinical 
pharmacology information can be directly translated to patient care 
management and provides specific recommendations that should be 
included in relevant sections of the labeling. Examples include 
strategies for dose selection, therapeutic individualization, and 
adverse reaction risk minimization. In these cases, supportive 
information (i.e., the clinical pharmacology basis for the specific 
recommendation) is expected to be concise to enable unambiguous 
application to patient care. Occasionally, depending on the complexity 
of the patient care recommendations, it can be appropriate to provide 
expanded versions of this supportive information in the labeling. The 
reason for including this information is to provide sufficient detail 
for the health care provider to determine the relevance of the 
information for a given patient or clinical scenario; this information 
is typically included in the Clinical Pharmacology section of product 
labeling and is the main focus of the guidance.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the Agency's current thinking on inclusion of 
clinical pharmacology information in section 12 Clinical Pharmacology 
of product labeling. 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 
requirement of the applicable statutes and regulations.

III. Paperwork Reduction Act of 1995

    This revised draft guidance refers to previously approved 
collections of information that are subject to review by the Office of 
Management and Budget (OMB) under the Paperwork Reduction Act of 1995 
(44 U.S.C. 3501-3520). The collections of information in 21 CFR 201.56 
and 201.57 have been approved under OMB control number 0910-0572; the 
collections of information related to pharmacogenomic data have been 
approved under OMB control number 0910-0557.

IV. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments 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, and will be posted to the docket at http://www.regulations.gov.

V. Electronic Access

    Persons with access to the Internet may obtain the document at 
either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances, http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm, or http://www.regulations.gov.

    Dated August 8, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014-19264 Filed 8-13-14; 8:45 am]
BILLING CODE 4164-01-P