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FDA Announces Draft Guidances on Medical Product Communications

Guidances provide agency recommendations on labeling, as well as unapproved uses of approved or cleared medical products. Commissioner Robert Califf, M.D., notes reopened comment period extending to April 19, 2017.

Guidances provide agency recommendations on labeling, as well as unapproved uses of approved or cleared medical products. Commissioner Robert Califf, M.D., notes reopened comment period extending to April 19, 2017.
Guidances provide agency recommendations on labeling, as well as unapproved uses of approved or cleared medical products. Commissioner Robert Califf, M.D., notes reopened comment period extending to April 19, 2017.

The U.S. FDA on Jan. 18 released two separate draft guidances that will each help provide clarity for medical product companies, as well as other interested parties, on FDA’s current thinking and recommendations for a few different types of communications about medical products.

The first draft guidance, “Drug and Device Manufacturer Communications with Payors, Formulary Committees, and Similar Entities,” explains the agency’s current thinking and recommendations on firms’ communication of health care economic information (HCEI) about approved drugs under section 502(a) of the FD&C Act, which was recently amended by the 21st Century Cures Act. It also answers common questions and provides the FDA’s recommendations regarding firms’ communications to payors about investigational drugs and devices that are not yet approved or cleared for any use.

The second draft guidance, “Medical Product Communications That Are Consistent With the FDA-Required Labeling,” explains FDA’s current thinking about firms’ medical product communications that include data and information that are not contained in their products’ FDA-required labeling, but that concern the approved or cleared uses of their products.

FDA opened a public comment period for each draft guidance, noting that it looks forward to receiving input from a broad range of stakeholders. The agency also seeks stakeholder input on unapproved uses of approved or cleared medical products. The FDA held a Part 15 hearing in November 2016 to listen to a range of stakeholders regarding this topic.

FDA says it has now reopened the comment period for the docket opened in connection with that public hearing for an additional 90 days (until April 19, 2017) to allow interested parties an opportunity to review the two draft guidances before submitting comments to any of the relevant dockets.

The agency also added a document to the docket for the public hearing titled, “Memorandum: Public Health Interests and First Amendment Considerations Related to Manufacturer Communications Regarding Unapproved Uses of Approved or Cleared Medical Products,” which provides additional background on the issues the FDA is considering as part of a comprehensive review of its rules and policies relating to firm communications regarding unapproved uses of approved or cleared medical products, including a discussion of First Amendment considerations. FDA requests input on the Memorandum as it relates to the questions set forth in the initial notice of public hearing.

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