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16 th Annual NIH SBIR/STTR Conference. F unctional D own-to-Earth A dvice for understanding the FDA Chris Sasiela, PhD, RAC NHLBI Office of Translational Alliances and Coordination. Learning Objectives. How the FDA is organized How drugs, biologics, and medical devices are regulated
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16th Annual NIH SBIR/STTR Conference Functional Down-to-Earth Advice for understanding the FDA Chris Sasiela, PhD, RAC NHLBI Office of Translational Alliances and Coordination
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
FDA Organization http://www.fda.gov/downloads/AboutFDA/CentersOffices/OrganizationCharts/UCM291886.pdf
Center for Biologics Evaluation and Research http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CBER/ucm123224.htm
Practical CBER for biomedical innovators Organized by therapeutic modality
De-coding Biologics http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CBER/ucm133072.htm
Center for Drug Evaluation and Research http://www.fda.gov/AboutFDA/CentersOffices/OrganizationCharts/ucm403687.htm
Practical CDER for biomedical innovators Organized (generally) by disorder or organ system
Center for Devices and Radiological Health http://www.fda.gov/aboutfda/centersoffices/officeofmedicalproductsandtobacco/cdrh/cdrhoffices/ucm127854.htm CDRH Management Directory by Organization This information is current as of August 20, 2014. Office of the Center Director Office of Communication and Education Office of Compliance Office of Device Evaluation Office of In Vitro Diagnostics and Radiological Health Office of Management Operations Office of Science and Engineering Laboratories Office of Surveillance and Biometrics
Practical CDRH for biomedical innovators Organized (generally) by disorder or organ system
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
Biologics Regulation • Regulated under the Public Health Service Act • IND for clinical development • Biologics License for marketing allowance • Co-regulate many medical devices • specifically related to blood products • ‘Biological Product'' • a virus, therapeutic serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or analogous product, or arsphenamine or derivative of arsphenamine (or any other trivalent organic arsenic compound), applicable to the prevention, treatment, or cure of a disease or condition of human beings.
Drug Regulation • Federal Food, Drug, and Cosmetic Act • as amended • Orphan Drug Act (1983) • Drug Price Competition and Patent Term Restoration Act (1984) • Best Pharmaceuticals for Children Act (2002) • Pediatric Research Equity Act (2003) • Food and Drug Administration Amendments Act (2007) • Food and Drug Administration Safety and Innovation Act (2012)
Device Regulation • FD&C Act Medical Device Amendments • May 28, 1976 • Title 21 Code of Federal Regulations Parts 800-1299 • Classification based on risk • Class I Low Risk (General Controls) • Class II Medium Risk (General Controls and Special Controls) • Class III High Risk (General Controls and Premarket Approval) • Market allowance based on risk plus legislation • Exempt,510(k), PMA • Tracking • Establishment Registration • Medical Device Listing • Unique Device Identification
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
FOIA Electronic Reading Rooms • CBER • http://www.fda.gov/aboutfda/centersoffices/officeofmedicalproductsandtobacco/cber/ucm129132.htm • CDER • http://www.fda.gov/drugs/guidancecomplianceregulatoryinformation/ucm113237.htm • CDRH • http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHFOIAElectronicReadingRoom/default.htm
CBER Product Approval Information Biologics Products & Establishments Licensed Biological Products with Supporting Documents Substantially Equivalent 510(k) Device Information Premarket Approvals (PMAs) and Humanitarian Device Exemptions (HDEs) New Drug Applications (NDAs) Postmarketing Requirements and Commitments: Introduction Transfer of Therapeutic Products to the Center for Drug Evaluation and Research
Licensed Biological Products with Supporting Documents ALPROLIX (Biogen Idec)
Types of Supporting Information/Documents BL 125444 Most current approval letter Rationale for approval In depth approval information!!
Understanding CBER Licensing Applications Redacteddocuments How do reviewers think? How did the company present their product? (not all trials go into a license application) What was the company’s pre-clinical and clinical strategy?
CDER Product Approval Information • Product Approval Information • Drugs @ FDA
Basic Information ND 205434 In depth approval information!!
What about the reviews? This product was approved on July 23, 2014. This screenshot was taken August 20, 2014. Redaction and uploading of review information takes time!
510(k) Database K140582
510(K) Summary Comparison to Predicate- Basis of SE determination Predicate Identification Device Description Sponsor Conclusions Intended Use
FDA Educational Resources • CBER OCTGT Learn • http://www.fda.gov/biologicsbloodvaccines/newsevents/ucm232821.htm • CDER Learn • http://www.fda.gov/Training/ForHealthProfessionals/default.htm • CDRH Learn • http://www.fda.gov/Training/CDRHLearn/default.htm
General Websites of Interest • FDA Small Business Guide • http://www.fda.gov/downloads/forindustry/smallbusinessassistance/smallbusinessguidetofda/ucm081030.pdf • FDA Small Business Contacts • http://www.fda.gov/forindustry/smallbusinessassistance/smallbusinessrepresentatives/ • FDA Information update request page • http://www.fda.gov/AboutFDA/ContactFDA/StayInformed/GetEmailUpdates/default.htm#top
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
Small Business Assistance Offices • CDER Small Business and Industry Assistance • CDERSmallBusiness@fda.hhs.gov (866) 405-5367 or (301) 796-6707 • CBER Office of Communication, Outreach, and Development • Industry.Biologics@fda.hhs.gov (800) 835-4709 or (301) 827-1800 • CDRH Division of Industry and Consumer Education • DICE@fda.hhs.gov (800) 638-2041 or (301) 796-7100
Center Contact Information • CBER Contacts • http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CBER/ucm123224.htm • CDER Contacts • http://www.fda.gov/aboutfda/centersoffices/officeofmedicalproductsandtobacco/cder/ucm075128.htm • CDRH Contacts • http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHOffices/ucm127854.htm
Learning Objectives How the FDA is organized How drugs, biologics, and medical devices are regulated Where to start Where to go for help Office of Special Medical Programs
Office of Combination Products • Guidance Documents • Early Development Considerations for Innovative Combination Products (09/2006) • How to Write a Request for Designation (04/2011) • Classification of Products as Drugs and Devices and Additional Product Classification Issues (Draft - 06/2011) combination@fda.hhs.gov 301-796-8930
Orphan Product Development Programs • Designation Programs • Orphan Drug designation • including exclusivity • HUD Designation • Rare Pediatric Disease Designation • for Priority Review Voucher Program • Grants • Orphan Products Grants Program • Pediatric Device Consortia Grants Program • Outreach Program • Patient-related Topics
Office of Orphan Product Development For (non-oncology) Orphan Drug Designations: Jeff.Fritsch@fda.hhs.gov For (oncology) Orphan Drug Designations, Devices, and Rare Pediatric Disease Designations: James.Bona@fda.hhs.gov For Orphan Grants: Mary.Limon@fda.hhs.gov For Pediatric Device Consortia Grants: Linda.Ulrich@fda.hhs.gov (301) 796-8660
Office of Pediatric Therapeutics • Scientific Activities Program • Clinical protocol design/conduct/lessons-learned • Ethics Program • Necessity of proposed pediatric studies • Safety Program • Coordinate Pediatric Advisory Committee • International Program • Collaborate with other regulatory agencies OPT@fda.hhs.gov 301-796-8659