Professional Documents
Culture Documents
Unsafe Condition (l) For lists identifying engines within the the Department of Health and Human
(d) This AD results from reports of No. 3 engine SN range of V10600 to V11365 Services, Office of the Inspector General
bearing failures that caused in-flight inclusive, known to have had P/N 2A1165
shutdown (IFSD) and smoke in the cockpit installed, you must use Appendix 1, Tables
(OIG) issued several reports on
and cabin. We are issuing this AD to prevent 1 and 2 of IAE SB V–2500–ENG–72–0452, institutional review boards (IRBs). The
failure of the No. 3 bearing, which could Revision 3, dated March 4, 2005, and IAE SB OIG sought to identify the challenges
result in an IFSD and smoke in the cockpit V–2500–ENG–72–0459, Revision 2, dated facing IRBs and to make
and cabin. March 4, 2005. recommendations on improving Federal
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2494 Federal Register / Vol. 71, No. 10 / Tuesday, January 17, 2006 / Proposed Rules
oversight of IRBs. One recommendation The Office for Human Research industry entitled ‘‘INDs—Approaches to
was that sponsors and clinical Protections (OHRP) also informed FDA Complying With CGMP During Phase 1’’
investigators be required to notify IRBs that it considered the OIG’s to provide further guidance on the
of any prior review (see OIG, recommendation to require sponsors subject.
Department of Health and Human and investigators to notify IRBs of any DATES: Submit written or electronic
Services, ‘‘Institutional Review Boards: prior IRB review of a research plan. comments by April 3, 2006.
A Time for Reform,’’ p. 14, June 1998; OHRP concluded that it had no reason ADDRESSES: Submit written comments
http://oig.hhs.gov/oei/reports/oei–01– to believe that IRB shopping was to the Division of Dockets Management
97–00193.pdf). The OIG report stated occurring with any regularity in the (HFA–305), Food and Drug
that the OIG had: review of HHS conducted or supported
* * * heard of a few situations where
Administration, 5630 Fishers Lane, rm.
human subjects research. 1061, Rockville, MD 20852. Submit
sponsors and/or research investigators who Based on these reasons, FDA
were unhappy with one IRB’s reviews electronic comments to http://
switched to another without the new IRB
concluded that IRB shopping either www.fda.gov/dockets/comments.
being aware of the other’s prior involvement. does not occur or does not present a
FOR FURTHER INFORMATION CONTACT:
This kind of IRB shopping deprives the new problem to an extent that would warrant
Monica Caphart, Center for Drug
IRB of information that it should have and rulemaking at this time. Evaluation and Research (HFD–320),
that can be important in protecting human In a letter dated February 26, 2005, Food and Drug Administration, 5600
subjects. The ground rules should be changed FDA advised the OIG of these findings
so that sponsors and investigators have the Fishers Lane, Rockville, MD 20857,
and conclusions. FDA is now 301–827–9047; or Christopher Joneckis,
clear obligation to inform an IRB of any prior
withdrawing this ANPRM. A Center for Biologics Evaluation and
reviews (footnote omitted). The obligation
should be applied to all those conducting withdrawal does not prevent the agency Research (HFM–1), Food and Drug
research funded by HHS or carried out on from taking action in the future. Should Administration, 1401 Rockville Pike,
FDA-regulated products. It will have FDA decide to undertake rulemaking Rockville, MD 20852, 301–435–5681.
particular importance for those sponsors and sometime in the future, the agency will
investigators working with independent SUPPLEMENTARY INFORMATION:
provide new opportunities for comment.
IRBs. I. Background
Id. Dated: January 4, 2006.
After reviewing the OIG’s Jeffrey Shuren, As described more fully in the related
recommendation, FDA published an Assistant Commissioner for Policy. direct final rule, a Phase 1 clinical trial
ANPRM on March 6, 2002 (67 FR [FR Doc. E6–357 Filed 1–13–06; 8:45 am] includes the initial introduction of an
10115) (see http://www.fda.gov/ BILLING CODE 4160–01–S
investigational new drug into humans.
OHRMS/DOCKETS/98fr/030602a.pdf) Such studies are aimed at establishing
announcing it was considering whether basic safety and are designed to
to amend its IRB regulations to require DEPARTMENT OF HEALTH AND determine the metabolism and
sponsors and investigators to inform HUMAN SERVICES pharmacologic actions of the drug in
IRBs about any prior IRB review humans. The total number of subjects in
decisions. We invited public comments Food and Drug Administration a Phase 1 study is limited—generally no
on: (1) The frequency of IRB shopping more than 80 subjects. This is in
and under what circumstances IRB 21 CFR Part 210 contrast to Phase 2 and Phase 3 trials,
shopping has occurred; (2) what which may involve substantially greater
[Docket No. 2005N–0285]
information about prior IRB review numbers of subjects, exposing more
should be disclosed, where should it be Current Good Manufacturing Practice subjects to the drug product, and which
disclosed, and who should disclose it; Regulation and Investigational New aim to test the effectiveness of the drug
and (3) what methods, other than Drugs; Companion Document to Direct product.
disclosure of prior IRB reviews, might Final Rule For several reasons, we believe that
prove to be valuable for dealing with production of human drug products,
IRB shopping. AGENCY: Food and Drug Administration, including biological drug products,
In response to this ANPRM, FDA HHS. intended for use in Phase 1 clinical
received 55 comments. The majority of ACTION: Proposed rule. trials should be exempted from
the comments reported they had little or complying with the specific regulatory
no first hand knowledge of instances of SUMMARY: The Food and Drug requirements set forth in parts 210 and
IRB shopping, and did not believe IRB Administration (FDA) is publishing this 211 (21 CFR parts 210 and 211). First,
shopping presented a significant companion proposed rule to the direct even if exempted from the requirements
problem. Many comments expressed final rule, published elsewhere in this of our CGMP regulations in parts 210
concern about the logistics of issue of the Federal Register, which is and 211, investigational drugs remain
maintaining a system that would enable intended to amend our current good subject to the statutory provisions that
the exchange of information among manufacturing practice (CGMP) deem a drug adulterated for failure to
IRBs, especially when studies involved regulations for human drugs, including comply with CGMPs (21 U.S.C.
multiple study sites. There was concern biological products, to exempt most 351(a)(2)(B)).
that maintaining such a system would investigational ‘‘Phase 1’’ drugs from Second, we oversee drugs for use in
substantially increase the IRBs’ complying with the regulatory Phase 1 trials through our existing IND
workload and not provide any requirements. We will instead exercise authority. Every IND must contain,
cprice-sewell on PROD1PC66 with PROPOSALS
additional human subject protection. oversight of production of these drugs among other things, a section on
There was also concern that waiting for under the agency’s general statutory chemistry, manufacturing, and control
information from other IRBs prior to the CGMP authority and investigational information that describes the
review of research proposals within a new drug application (IND) authority. composition, manufacture, and control
particular institution might contribute Elsewhere in this issue of the Federal of the investigational drug product (21
to delays in the review of these Register, FDA is announcing the CFR 312.23(a)(7)). This information
proposals. availability of a draft guidance for should suffice to enable us to
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