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24322 Federal Register / Vol. 72, No.

84 / Wednesday, May 2, 2007 / Notices

and personal information concerning DEPARTMENT OF HEALTH AND is hereby given of the following
individuals associated with the grant HUMAN SERVICES meeting.
applications, the disclosure of which The meeting will be closed to the
would constitute a clearly unwarranted National Institutes of Health public in accordance with the
invasion of personal privacy. provisions set forth in sections
National Institute of Diabetes and 552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
Name of Committee: National Institute of Digestive and Kidney Diseases; Notice as amended. The grant applications and
Dental & Craniofacial Research Special of Closed Meeting the discussions could disclose
Emphasis Panel; 07–48, Review R25s.
Pursuant to section 10(d) of the confidential trade secrets or commercial
Date: June 5, 2007.
Federal Advisory Committee Act, as property such as patentable material,
Time: 2 p.m. to 3 p.m.
amended (5 U.S.C. Appendix 2), notice and personal information concerning
Agenda: To review and evaluate grant
is hereby given of the following individuals associated with the grant
applications.
meeting. applications, the disclosure of which
Place: National Institutes of Health,
would constitute a clearly unwarranted
Natcher Building, 45 Center Drive, Bethesda, The meeting will be closed to the
invasion of personal privacy.
MD 20892 (Telephone Conference Call). public in accordance with the
Contact Person: Sooyoun (Sonia) Kim, MS, provisions set forth in sections Name of Committee: National Institute of
45 Center Dr, 4An 32B, Division of 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., Allergy and Infectious Diseases Special
Extramural Research, National Inst. of Dental as amended. The grant applications and Emphasis Panel; Hematopoietic Cell
& Craniofacial Research, National Institutes Transportation and Immune Tolerance.
the discussions could disclose Date: May 29, 2007.
of Health, Bethesda, MD 20892, (301) 594– confidential trade secrets or commercial Time: 1 p.m. to 4 p.m.
4827, kims@email.nidr.nih.gov. property such as patentable material, Agenda: To review and evaluate grant
Name of Committee: National Institute of and personal information concerning applications.
Dental & Craniofacial Research Special individuals associated with the grant Place: National Institutes of Health,
Emphasis Panel; 07–51, Review R21s PAR– applications, the disclosure of which Rockledge 6700, 6700B Rockledge Drive,
06–556. would constitute a clearly unwarranted Room 3136, Bethesda, MD 20817 (Telephone
Date: June 6, 2007. invasion of personal privacy. Conference Call).
Time: 1 p.m. to 4 p.m. Contact Person: Mercy R. Prabhudas, PhD,
Name of Committee: National Institute of Scientific Review Administrator, Scientific
Agenda: To review and evaluate grant Diabetes and Digestive and Kidney Diseases Review Program, Division of Extramural
applications. Special Emphasis Panel; Digestive Diseases Activities, NIAID/NIH/DHHS, 6700B
Place: National Institutes of Health, Core Centers. Rockledge Drive, MSC 7616, Bethesda, MD
Natcher Building, 45 Center Drive, Bethesda, Date: June 15, 2007. 20892–7616, 301–451–2615,
MD 20892 (Telephone Conference Call). Time: 8 a.m. to 6:30 p.m. mp547nh@nih.gov.
Contact Person: Lynn M. King, PhD, Agenda: To review and evaluate grant
(Catalogue of Federal Domestic Assistance
Scientific Review Administrator, Scientific applications.
Program Nos. 93.855, Allergy, Immunology,
Review Branch, 45 Center Dr., Rm 4AN–32F, Place: Renaissance Mayflower Hotel, 1127
and Transplantation Research; 93.856,
National Inst of Dental & Craniofacial Connecticut Avenue, NW., Washington, DC
Microbiology and Infectious Diseases
20036.
Research, National Institutes of Health, Research, National Institutes of Health, HHS).
Contact Person: Maria E. Davila-Bloom,
Bethesda, MD 20892–6402, 301–594–5006, Dated: April 25, 2007.
PhD, Scientific Review Administrator,
lynn.king@nih.gov. Review Branch, DEA, NIDDK, National Jennifer Spaeth,
Name of Committee: National Institute of Institutes of Health, Room 758, 6707 Director, Office of Federal Advisory
Dental & Craniofacial Research Special Democracy Boulevard, Bethesda, MD 20892– Committee Policy.
Emphasis Panel; 07–52, Review R21s. 5452, (301) 594–7637, davila-
bloomm@extra.niddk.nih.gov. [FR Doc. 07–2151 Filed 5–1–07; 8:45 am]
Date: June 11, 2007.
BILLING CODE 4140–01–M
Time: 12 p.m. to 3 p.m. (Catalogue of Federal Domestic Assistance
Agenda: To review and evaluate grant Program Nos. 93.847, Diabetes,
applications. Endocrinology and Metabolic Research;
93.848, Digestive Diseases and Nutrition DEPARTMENT OF HEALTH AND
Place: National Institutes of Health,
Research; 93.849, Kidney Diseases, Urology HUMAN SERVICES
Natcher Building, 45 Center Drive, Bethesda,
and Hematology Research, National Institutes
MD 20892 (Telephone Conference Call). National Institutes of Health
of Health, HHS)
Contact Person: Lynn M. King, PhD,
Scientific Review Administrator, Scientific Dated: April 25, 2007. Public Teleconference Regarding
Review Branch, 45 Center Dr., Rm 4AN–32F, Jennifer Spaeth, Licensing and Collaborative Research
National Inst of Dental & Craniofacial Director, Office of Federal Advisory Opportunities for: Use of CYP1B1*3
Research, National Institutes of Health, Committee Policy. Genotyping To Predict Overall Survival
Bethesda, MD 20892–6402, 301–594–5006, [FR Doc. 07–2150 Filed 5–1–07; 8:45 am] in Patients With Prostate Cancer Prior
lynn.king@nih.gov. BILLING CODE 4140–01–M to Treatment With Docetaxel; Dr.
(Catalogue of Federal Domestic Assistance William D. Figg et al. (NCI)
Program Nos. 93.121, Oral Diseases and
Disorders Research, National Institutes of DEPARTMENT OF HEALTH AND AGENCY: National Institutes of Health,
Health, HHS) HUMAN SERVICES Public Health Service, HHS.
ACTION: Notice.
Dated: April 25, 2007. National Institutes of Health
Jennifer Spaeth, Technology Summary
ycherry on PROD1PC64 with NOTICES

Director, Office of Federal Advisory National Institute of Allergy and


Infectious Diseases; Notice of Meeting The technology is an exciting
Committee Policy.
discovery in the field of prostate, breast
[FR Doc. 07–2149 Filed 5–1–07; 8:45 am] Pursuant to section 10(d) of the and lung cancer genetic markers having
BILLING CODE 4140–01–M Federal Advisory Committee Act, as profound clinical applications in
amended (5 U.S.C. Appendix 2), notice defining the optimal chemotherapeutic

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Federal Register / Vol. 72, No. 84 / Wednesday, May 2, 2007 / Notices 24323

treatment schedule for each individual commonly recommended for adjuvant effective chemotherapy. Predicting
patient. This genetic marker treatment (given with doxorubicin and survival rate in patients prior to
(CYP1B1*3) can be potentially used as cyclophosphamide) as it has been treatment to asses their propensity to
a prognostic tool to predict survival rate shown to be more successful in response to docetaxel treatment is one
in patients prior to treatment, and to advanced breast cancer patients than of the most important variables.
asses their propensity to respond to paclitaxel, another drug approved by Cytochrome P450 (CYP1B1), up-
docetaxel treatment when being treated FDA to treat advanced breast cancer. regulated in tumor cells, is involved in
not only for androgen-independent Prostate cancer can be treated by the metabolism of steroid hormones,
prostate cancer (AIPC) but also for suppressing or blocking androgens with metabolizing a variety of drugs, and
breast cancer, lung cancer, stomach surgery, radiation therapy, hormone potentially important in prostate tumor
cancer, head and neck cancer. therapy, occasionally chemotherapy, development and progression. Several
high intensity focused ultrasound studies have evaluated the relationship
Description of Technology or Products (HIFU), cryosurgery, or a combination of between CYP1B1 polymorphisms and
Prostate cancer develops most these approaches. When prostate cells, risk of various cancers including two
frequently in men over fifty. Prostate both healthy and cancerous, are common single nucleotide
cancer is the most common type of deprived of androgens, they no longer polymorphisms (SNP). These include
cancer in the United States, and it is proliferate and eventually die. Surgical colorectal, lung, breast, ovarian, and
responsible for more male deaths than removal of the prostate, or prostate cancers. The difference
any other cancer, except lung cancer. prostatectomy, is a common treatment between wild type and variant type
The cancerous cells may spread either for early stage prostate cancer or CYP1B1*3 is a single amino acid change
(metastasize) from the prostate to other for cancer which has failed to respond at position 432 of the expressed protein
parts of the body, especially the bones to radiation therapy. Unfortunately, caused by a single nucleotide change.
and lymph nodes. prostate cancer usually returns within Recent studies have shown that this
Prostate cancer is most often about 18 months after anti-androgen polymorphism is associated with
discovered by physical examination like treatments. In such cases, the condition increased risk of advanced prostate
digital rectal examination or by is referred to as androgen-independent cancer and altered drug metabolism. It
screening PSA level in blood. There is (advanced and metastasized cancer) is known that docetaxel competitively
some current concern about the prostate cancer (AIPC), and the tumors inhibits CYP1B1 mediated processes.
accuracy of the PSA test and its are not responsive to anti-androgen The responsiveness and overall survival
usefulness. PSA levels can change due therapy. Currently, physicians of patients with AIPC that are treated
to factors other than cancer. Two recommend chemotherapy for advanced with docetaxel, can be determined by
common causes of high PSA levels are metastatic prostate cancers that have CYP1B1*3 genotype. In a study of 25
enlargement of the prostate (benign failed to respond to other treatments. patients after docetaxel treatment, those
prostatic hyperplasia or BPH) and However, treatment for AIPC is rapidly with AIPC that are homozygous or
infection in the prostate (prostatitis). evolving. heterozygous for the wild type
Screening for prostate cancer using PSA Chemotherapy with mitoxantrone and CYP1B1*3 exhibited increased (2x)
is controversial because it is not clear if prednisone offers a palliative benefit but mean survival time compared to
the benefits of screening outweigh the no survival advantage. Long-term homozygous variant. Additionally, there
risks of follow-up diagnostic tests and therapy with this regimen is not feasible was a similar difference in overall
cancer treatments. However, prostate due to cumulative dose-related survival observed in 20 men treated
cancer is typically confirmed by biopsy. cardiotoxicity. Single-agent docetaxel with combination estramustine,
Further tests, such as X-rays and bone treatment has shown to be very effective thalidomide, and docetaxel. Others have
scans, may be performed to determine in palliating metastatic prostate cancer found that the CYP1B1*3 allele was the
whether the cancer has spread. and is not associated with cumulative only SNP out of 8 studied variants
Lung cancer is the most lethal of all dose-related toxicities. Currently, within 6 genes of known importance in
cancers worldwide, responsible for 1.2 Docetaxel is one of the most frequently paclitaxel disposition to be associated
million deaths annually. Non-small-cell prescribed anti-cancer agents for the with lower progression free survival
lung cancer (NSCLC) is the most treatment of certain forms of breast following paclitaxel therapy in 93
common lung cancer, accounting for cancer, lung cancer, stomach cancer, patients with breast cancer. Knowledge
about 80% of all lung cancers. head and neck cancer including AIPC. of an individual’s (multiple) phenotypic
Treatment for lung cancer involves Despite the relative success of docetaxel profile will allow physicians to choose
surgical removal of tumor, in treating AIPC, high variability in the safest and most effective therapeutic
chemotherapy, or radiation therapy, clinical response has been observed. agent.
combinations of these methods. The Due to variety of available treatment This technology has potential utility
treatment course depends on the options, choosing the most appropriate as a prognostic tool to identify
localization and the tumor metastasis as treatment can be daunting. Since individuals who may benefit from
well as the overall health status of the prostate cancer is a disease of older men therapy with docetaxel (i.e. patients that
patient. Docetaxel was the first drug who may be frail due to other health are homozygous for the wild type
specifically approved by the FDA for the issues, many patients die of other causes CYP1B1*3 or heterozygous).
second-line treatment of NSCLS. before the prostate cancer can spread or
Breast cancer is the second most fatal cause symptoms. Whether or not to treat Potential Market Size
form of cancer in females, affecting metastasized prostate cancer with Prostate cancer is the most common
approximately one out of thirty-nine in curative intent is a patient’s trade off cancer in America, affecting 1 in 6 men.
the Western world after lung cancer. between the expected beneficial and In 2007, more than 218,000 men will be
ycherry on PROD1PC64 with NOTICES

The mainstay of breast cancer treatment harmful effects in terms of survival time diagnosed with prostate cancer, and
is surgery when the tumor is localized, and quality of life. A number of more than 27,000 men will die from the
with possible adjuvant hormonal important variables in each patient’s disease. In addition to the U.S.,
therapy, chemotherapy, and/or history and previous pattern of response approximately 200,000 men in the EU
radiotherapy. Docetaxel is most must be addressed before choosing and 32,000 men in UK are diagnosed

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24324 Federal Register / Vol. 72, No. 84 / Wednesday, May 2, 2007 / Notices

with prostate cancer each year and the patients with prostate cancer prior to ADDRESSES: Interested persons are
disease accounts for nearly one quarter treatment with docetaxel. Genetic invited to submit comments regarding
of all new cancer diagnoses of all new markers with predictive power to assess this proposal. Comments should refer to
male cancer diagnoses. Worldwide, inter-subject differences resulting in the proposal by name and/or OMB
about 395,000 men are diagnosed with clinical outcome prior to docetaxel Control Number and should be sent to:
prostate cancer each year and the administration have profound clinical Lillian Deitzer, Reports Management
incidence is on the increase. The total importance. Officer, Department of Housing and
direct medical cost of prostate cancer in Urban Development, 451 7th Street,
the U.S. is $ 5 billion per year. It is Intellectual Property Status
SW., Room 4178, Washington, DC
estimated that prostate cancer A PCT patent application was filed 09 20410, or Lillian_L_Deitzer@HUD.gov.
therapeutics in the U.S., Europe and September 2006. FOR FURTHER INFORMATION CONTACT:
Japan will cost $ 7.3 billion in 2011. Willie Spearmon, Director, Office of
The global annual cancer market is Partnering Opportunity
Housing Assistance and Grant
estimated at $35 billion with breast, Licensing opportunities are available. Administration, Department of Housing
lung and prostate cancers being the In addition to licensing, the technology and Urban Development, 451 7th Street,
most significant contributors. is available for further development SW., Washington, DC 20410, telephone
Incidences of lung, breast and stomach through collaborative research (202) 708–3000 (this is not a toll free
cancers were found to be 351,344, opportunities with the inventors. number) for copies of the proposed
220,000, and 25,000 respectively in the Licensing Contact: Mojdeh Bahar; forms and other available information.
U.S. The current market size of drugs (301) 435–2950; baharm@mail.nih.gov.
SUPPLEMENTARY INFORMATION: The
used for the treatment of lung cancer is Collaborative Contact: John D. Hewes,
$ 25 billion, while that of breast cancer Ph.D.; (301) 435–3121; Department is submitting the proposed
is $3.3 billion. hewesj@mail.nih.gov. information collection to OMB for
review, as required by the Paperwork
Current Competitive Product(s) Next Step: Teleconference Reduction Act of 1995 (44 U.S.C.
Currently there are no genetic markers There will be a teleconference where Chapter 35, as amended).
available to assess the responsiveness of the principal investigator will explain This Notice is soliciting comments
an AIPC-patient to therapy before this technology. Licensing and from members of the public and affected
starting the treatment. Knowing collaborative research opportunities will agencies concerning the proposed
CYP1B1*3 genetic status saves time and also be discussed. If you are interested collection of information to: (1) Evaluate
money of patients and prevents in participating in this teleconference whether the proposed collection is
ineffective treatments. please call or email Mojdeh Bahar; (301) necessary for the proper performance of
435–2950; baharm@mail.nih.gov. OTT the functions of the agency, including
Value Proposition whether the information will have
will then email you the date, time and
The FDA approved dose and schedule number for the teleconference. practical utility; (2) Evaluate the
for docetaxel in combination with accuracy of the agency’s estimate of the
prednisone in the treatment of Dated: April 25, 2007. burden of the proposed collection of
androgen-independent (hormone- Steven M. Ferguson, information; (3) Enhance the quality,
refractory) metastatic prostate cancer is Director, Division of Technology Development utility, and clarity of the information to
75 mg/m2 IV infusion for 1 hour every and Transfer, Office of Technology Transfer, be collected; and (4) Minimize the
3 weeks with 5 mg prednisone National Institutes of Health. burden of the collection of information
continuously and average cost per cycle [FR Doc. E7–8355 Filed 5–1–07; 8:45 am] on those who are to respond, including
of therapy is $ 4,298. The use of BILLING CODE 4140–01–P the use of appropriate automated
docetaxel has been recently shown to collection techniques or other forms of
prolong survival and improve rates of information technology, e.g., permitting
response and quality of life, but it is DEPARTMENT OF HOUSING AND electronic submission of responses.
unclear which patient would benefit URBAN DEVELOPMENT This Notice also lists the following
from treatment with this drug given that information:
[Docket No. FR–5121–N–14]
high variability in clinical response has Title of Proposal: Section 202
been observed. A consequence of such Notice of Proposed Information Supportive Housing for the Elderly
variability is that a docetaxal treatment Collection: Comment Request; Section Application Submission Requirement.
may be effective in one subject and 202 Supportive Housing for the Elderly OMB Control Number, if applicable:
ineffective or poorly tolerated in another Application Submission Requirements 2502–0267.
subject. Thus, administration of such a Description of the need for the
drug to a subject in whom the drug AGENCY: Office of the Assistant information and proposed use: The
would be ineffective would result in Secretary for Housing—Federal Housing collection of this information is
wasted cost and time during which the Commissioner, HUD. necessary to the Department to assist
patient’s condition may significantly ACTION: Notice. HUD in determining applicant
worsen. Also, administration of a drug eligibility and ability to develop
to subject in whom the drug would not SUMMARY: The proposed information housing for the elderly within statutory
be tolerated could result in a direct collection requirement described below and program criteria. A thorough
worsening of the patient’s condition and will be submitted to the Office of evaluation of an applicant’s submission
could even result in death. This Management and Budget (OMB) for is necessary to protect the Government’s
technology identifies the polymorphism review, as required by the Paperwork financial interest.
ycherry on PROD1PC64 with NOTICES

of CYP1B1*3 gene which modulates the Reduction Act. The Department is Agency form numbers, if applicable:
therapeutic response to docetaxel soliciting public comments on the HUD–92015–CA, HUD–96010, HUD
treatment. This genetic marker can be subject proposal. 92041, SF–424, SF–424–Supplemental,
measured in DNA obtained from a blood DATES: Comments Due Date: July 2, SF–LLL, HUD–2880, HUD–2990, HUD–
sample to predict overall survival in 2007. 2991, HUD–92042, HUD–96010, HUD

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