Document ID: FDA-2019-D-3614-7168
Agency: fda
Document Type: Notice
Title: Recommendations for Sponsors of Medically Important Antimicrobial Drugs Approved for Use in Animals to
Voluntarily Bring Under Veterinary Oversight All Products That Continue to be Available as Over-the-Counter;
Guidance for Industry; Availability
Posted Date: 2021-06-11T04:00Z

[Federal Register Volume 86, Number 111 (Friday, June 11, 2021)]
[Notices]
[Pages 31317-31318]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-12297]

[[Page 31317]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2019-D-3614]

Recommendations for Sponsors of Medically Important Antimicrobial 
Drugs Approved for Use in Animals to Voluntarily Bring Under Veterinary 
Oversight All Products That Continue to be Available as Over-the-
Counter; Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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SUMMARY: The Food and Drug Administration (FDA, we, or Agency) is 
announcing the availability of a final guidance for industry (GFI) #263 
entitled ``Recommendations for Sponsors of Medically Important 
Antimicrobial Drugs Approved for Use in Animals to Voluntarily Bring 
Under Veterinary Oversight All Products That Continue to Be Available 
as Over-the-Counter.'' This guidance document provides information to 
sponsors of medically important antimicrobial new animal drug products 
who are interested in changing the approved marketing status of these 
products from over-the-counter (OTC) to by veterinary prescription (Rx) 
consistent with FDA's recommendation that the use of such drugs in 
animals be limited to uses that include veterinary oversight to 
mitigate development of antimicrobial resistance. It also establishes 
timelines for stakeholders wishing to comply voluntarily with this 
guidance.

DATES: The announcement of the guidance is published in the Federal 
Register on June 11, 2021.

ADDRESSES: You may submit either electronic or written comments on 
Agency guidance at any time as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2019-D-3614 for ``Recommendations for Sponsors of Medically 
Important Antimicrobial Drugs Approved for Use in Animals to 
Voluntarily Bring Under Veterinary Oversight All Products That Continue 
to Be Available as Over-the-Counter.'' Received comments will be placed 
in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at https://www.regulations.gov or at 
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through 
Friday, 240-402-7500.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of the guidance to the 
Policy and Regulations Staff (HFV-6), Center for Veterinary Medicine, 
Food and Drug Administration, 7500 Standish Pl., Rockville, MD 20855. 
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.

FOR FURTHER INFORMATION CONTACT: John M. Mussman, Center for Veterinary 
Medicine (HFV-133), Food and Drug Administration, 7500 Standish Pl., 
Rockville, MD 20855, 240-402-0589, email: john.mussman@fda.hhs.gov.

SUPPLEMENTARY INFORMATION:

I. Background

    In the Federal Register of September 25, 2019 (84 FR 50456), FDA 
published a notice of availability of a draft guidance entitled 
``Recommendations for Sponsors of Medically Important Antimicrobial 
Drugs Approved for Use in Animals to Voluntarily Bring Under Veterinary 
Oversight All Products That Continue to Be Available Over-the-Counter'' 
giving interested persons until December 24, 2019, to comment on the 
draft guidance. FDA received comments on the draft guidance, which were 
considered as the guidance was finalized. Some comments addressed the 
process outlined in the draft guidance, specifically the proposed 
timeframe for sponsors to facilitate voluntary changes to the approved 
conditions of use of these drugs to prescription marketing status. 
Further, FDA notes that, in general, many of the comments received did 
not address the

[[Page 31318]]

specific process outlined in the draft guidance, but rather addressed 
support for, or concerns with, the underlying policy of judicious use 
of medically important antimicrobials in animals, specifically the 
principle of limiting medically important antimicrobial drugs to uses 
in animals that include veterinary oversight or consultation. As 
described in FDA GFI #209, ``The Judicious Use of Medically Important 
Antimicrobial Drugs in Food-Producing Animals'' (77 FR 22328, April 13, 
2012), the development of resistance to this important class of drugs, 
and the resulting loss of their effectiveness as antimicrobial 
therapies, poses a serious public health threat. Developing strategies 
to reduce antimicrobial resistance is critically important for 
protecting both public and animal health. This guidance is an extension 
of FDA's ongoing efforts to promote the appropriate or judicious use of 
medically important antimicrobial drugs in animals.
    This guidance provides information to sponsors of new animal drug 
products containing antimicrobials of human medical importance who are 
interested in changing the approved marketing status of these products 
from OTC to Rx with specific recommendations on submission of revised 
labeling. Such changes are consistent with FDA's recommendation that 
the use of such antimicrobial drugs in animals include veterinary 
oversight in order to mitigate development of antimicrobial resistance 
and thereby preserve the effectiveness of these drugs for use as 
therapies to treat infections in humans and animals. The guidance also 
identifies timelines for stakeholders wishing to comply voluntarily 
with this guidance; these timelines remain as outlined in the draft 
guidance. In the final guidance, editorial changes were made to improve 
clarity.
    This level 1 guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The guidance represents 
the current thinking of FDA on recommendations for drug sponsors for 
voluntarily bringing under veterinary oversight all medically important 
antimicrobial drugs approved for use in animals that continue to be 
available as OTC products. It does not establish any rights for any 
person and is not binding on FDA or the public. You can use an 
alternative approach if it satisfies the requirements of the applicable 
statutes and regulations.

II. Paperwork Reduction Act of 1995

    While this guidance contains no collection of information, it does 
refer to previously approved FDA collections of information. Therefore, 
clearance by the Office of Management and Budget (OMB) under the 
Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3521) is not 
required for this guidance. The previously approved collections of 
information are subject to review by OMB under the PRA. The collections 
of information in section 512(n)(1) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 360b(n)(1)) have been approved under OMB 
control number 0910-0669; the collections of information in 21 CFR part 
514 have been approved under OMB control number 0910-0032.

III. Electronic Access

    Persons with access to the internet may obtain the guidance at 
either https://www.fda.gov/animal-veterinary/guidance-regulations/guidance-industry or https://www.regulations.gov.

    Dated: June 7, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for Policy.
[FR Doc. 2021-12297 Filed 6-10-21; 8:45 am]
BILLING CODE 4164-01-P