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FDAMA STAKEHOLDERS MEETING APRIL
1 FDAMA STAKEHOLDERS MEETING APRIL 28, 1999 Boston, Massachusetts Talking with Stakeholders About FDA Modernization Boston University Medical Keefer Auditorium 715 Albany Street Massachusetts Boston, 10:00 a.m. - 4:15 p.m. LEE A. MARZILLI REGISTERED PROFESSIONAL REPORTER 18 Boulder Road 02420 Lexington, MA (781)862-4829 Schoo 2 INDEX PAGE OPENING REMARKS BY JOHN REMARKS BY DR. REMARKS BY MICHAEL ARAM PRESENTATION BY JANICE PRESENTATION BY LISA 48 RAINES: 64 ANSWERS: 80 PRESENTATION BY CAROLYN FDAMA 16 BOURQUE: BY LISA AND 15 ELENGOLD: PRESENTATION QUESTIONS 8 DONOVAN: BY MARK AND 3 CHOBANIAN: PRESENTATION QUESTIONS MARZILLI: LOPEZ: 97 JONES: 108 ANSWERS: STAKEHOLDERS 127 MEETING, 4/28/99 3 — 1 PRO 2 MS . FAIRFIELD: get started. We’re 4 and we’ll started 5 track. 6 Food 7 to give 8 rooms 9 auditorium. 10 We’re get My name and Drug you are and is Paula just They going will morning 12 and break will be 13 which is just down the 14 across 16 11:45, 17 here 18 signs 19 around 20 that’s in the and up 22 New 23 thank FDAMA to be center, at District you, Rest our third Boardroom, left. the It’s wall. vicinity of the floor 14th there will be to elevators and introduce at our FDA, Marzilli, John Office. Thank everyone, STAKEHOLDERS going Corporation, on you the right. on and to just after in the floor. with the Wilkins clock 14th like to on your to the MR . MARZILLI: and hall directing Director England in the going medical door Genzyme to be on information. a break the I’m we behind, this I’m and people I would District from keep on your from is going and 21 24 hall be to have this Lunch and don’t bit Fairfield. the speaker the try housekeeping outside Why a little Administration, some s morning. running 11 the I NG Good 3 15 — —— C E ED you for MEETING, this time from John? very much, getting 4/28/99 here Paula, this the 4 — — 1 morning. 2 Mass. 3 link 4 crawling 5 our 6 don’t 7 morning 8 it was 9 1’11 -- then along office up traffic I won’t have 12 driving along at But the and 15 by bit 16 have 17 meeting, 18 the 19 industries 20 the I can you’ll over New Food and Food 23 meeting 24 stakeholders are I travel and my Pike and have I’m here some hair to and Boston, security it shows area Drug folks so sure did and coffee out the for day seats people as so I’m coming progresses, fill up for tremendous from a chance bit because registered of people here, we this interest the to meet in biotech with us at Administration. is truly 22 people me, as the these in getting This and you, see England that Pike. a hundred and of to thank assure toll downtown for o’clock Weston of Mass. into to be pulling I want 14 FDAMA 6:00 the the Normally delight director in on Massachusetts, experience the 11 here here. coming a novel as you in Stoneham, the came in on assure to get experience do of you I came I can get 21 if any -- and Pike 10 13 _— 1 know a historic meeting Drug Administration. We are today as an outreach with our across STAKEHOL DERS the country. MEETING, The 4/28/99 for the having meeting this 5 . _—_ 1 kicks 2 with the 3 held across 4 with the 5 District 6 Biologics. 7 have speakers 8 well, folks 9 we’ve had here morning session with Office The 12 the 13 opportunity. day will that New agency, and Modernization our we work 18 to 19 get a chance 20 see where 21 where with interact we 24 often Act to say, there’s an work and “so STAKEHOLDERS a long and room for time always meet with that FDA the and that are together are how as for the from basis, we’ll with to to get for us and of the dear and people have to paraphrase that a chance Ed we Cox, doing?” improvement hear and to and room together. important something where forward hear maybe, something FDAMA us start Center and aspect for will the forward on a daily and can It’s agency, important be from District, look stakeholders, 17 23 we will addressing to come 9:30 folks relationships foremost an that progress near England at meeting from industry we’re and It’s 22 folks working in the from and from morning meetings Our first I of eight country. 11 16 this the here 15 in Boston first 10 14 ———_ off opportunity that we that don’t this MEETING, for get us an to do very Commissioner 4/28/99 as has 6 1 highlighted 2 the 3 So 4 Henney’s, 5 as District 6 District, 7 opportunity reins the 8 _—_ as her of FDA the priority agency that Modernization Act and I can assure Director and As first it’s she with there you all conducted across 10 we’ll be a stakeholders 11 Office of Regulatory 12 meeting in Chicago 13 will 14 veterinary 15 Affairs. food industry; in the medical devices. In San 16 meeting with 17 in Philadelphia, 18 for Drug Paula, meetings? And 21 be meeting with 23 our 24 be Web held. FDAMA with will the also industry. with Francisco be They the San Diego we’ll industry we’ 11 be meeting 20 And meetings area, be as well; with the and Center Evaluation. And, 22 this In Atlanta They drug biologics take meeting City the to other in Kansas 19 be meeting us priority England country. the on board. first New seven the over of you. being with my, for 9 having came in the are taking is Commissioner important to meet I said, here in I’m site And have if I haven’t the sure and I covered world. all seen for STAKEHOLDERS of you where those -- oh, Thank have these of you MEETING, all the in D.C. we’ll you. clicked meetings that 4/28/99 have onto will fellow 7 1 workers that 2 meeting, at 3 and them 4 on www.fda.gov, 5 and 6 simultaneously 7 have 8 at 9 participants tell see the the 10 will 11 and 12 their be couldn’t break they make may click click on our . can Web also the their them computers FDAMA be will Web site other So we’ll be country satellite view call as well. that will the this to our site across receiving onto to broadcast broadcast There it want onto Commissioner’s locations people you can and a satellite eight received with locations downlink it on FDA their that as well, Web sites in offices. 13 This 14 and 15 this 16 get 17 from 18 really 19 together 20 maybe it’s is a first an exciting activity to meet the as folks industry with And that forward all I would part in the country and New England area here, to spending the and I’m day of you. like to thank for 22 today . It was encouraging 23 they 24 in putting FDAMA the take regulate Campus this across to Director, we Medical been as District from 21 have me opportunity it goes with looking for the hosting STAKEHOLDERS this University meeting to work greatest together. Boston with with them, of assistance And MEETING, I’d like 4/28/’99 us and to us to 8 1 welcome 2 Boston 3 the 4 come Aram Chobanian, University School up Medical here and I’d welcome us It’s a pleasure 7 back with 8 years 9 the Cardiorenal Advisory 10 the Orphan Committee 11 feel 12 sponsoring 13 served to have FDA for particularly much, the to the John. I go twenty-two FDA, and quite to today. for Committee, close University 14 University 15 constituents 16 four 17 hospital. 18 Medicine, the 19 of Public Health. 20 who are 21 hospital that 22 together Boston 23 Hospital; and 24 we have Medical chaired was on a while, group here. The living Medical Center At institutions, FDAMA today, time, for of site here to Dean that so we I are today. Boston really a long the the him very all of to ask the you you and like as a consultant Drug Provost to Thank 6 the the Campus of Medicine. DR . CHOBANIAN: 5 . —— Dr. three School is made the three School medical schools schools are in the Boston is a merged City Hospital the School and the those know, that our gone very has now a very unified of School of you we have a University medical 4/28/99 have brought with merger we a merged area that MEETING, of different and as entity Boston campus of Dentistry, In addition, STAKEHOLDERS up and well, and 9 — — 1 campus . 2 — There of research 3 the 4 activity, if you include 5 hospital, exceeds $150 6 it’s 7 which 8 We 9 molecular genetics, 10 medicine, to studying 11 facility, and 12 instrumentation campus. The a broad are total range working range 13 — is a lot from There the are your very fundamental by 16 included 17 specialized center 18 in coronary heart 19 and 20 pulmonary 21 competed 22 Center, 23 in academia 24 industry. some a wide by way devices and some of actually. work, to translational in the animal care clinical nationally most other range disease, and collaborates the those We now country MEETING, a National with where Mass people as well 4/28/99 disease in chronic spectroscopy, the have in hypertension, in asthma, for funded in Parkinson’s in mass successfully STAKEHOLDERS agencies, are of activities. disease, around designated of which of research disease, which year; companies, the thirteen 15 Alzheimer’s the projects, with all and this research on program school million of Excellence, NIH, the here as well. Centers FDAMA sponsored to evaluating 14 the of activity we Spec both as with 10 . We 1 2 that’s 3 the 4 in that 5 Excellence been a Navel very individuals kind 7 now 8 activities 9 some that relates nine-acre 11 plan 12 buildings. 13 second 14 Building, 15 January; 16 is for 17 research 18 third 19 approved by 20 is going to be 21 is currently 22 preliminary 23 that . that’s The of the two, will and first and the be about forty fourth the being planned, STAKEHOLDERS our see, or that building biomedical And we that Group. summer, and the Research of building in the discussions six in December percent middle a master you Medical Planning started In addition, FDAMA includes companies. Master right which in the buildings research of of your that for Vail.eri doing we have purposes, biotech we’re and Evans c)f so forth. really completed commercial for two Bob enterprise, parked approved some a Center to some complex, been with have of what Laboratory I know and BioSquare probably of We Health I think is the and worked setting. part 10 24 that have exciting of you Research successful, here of Blood in Women’s The 6 . have there have has a been A garage and a hotel are some with companies regarding hospital here a very MEETING, 4/28/99 has 1 active 2 City 3 a new ambulatory 4 style of the 5 will 6 fall. 7 here 8 the 9 which is including 10 stone conversions 11 believe 12 now 13 value 14 were 15 now plan. Many Hospital, be will So care other whole going and are about So thank you appreciate 18 you have the all 20 pronounce 21 often 22 want 23 for 24 logistics your the FDAMA thank Dr. name area, of brownAnd came $5,000 and I can’t are coming. here, they and dollars. We to host the $10,000, a million Chobanian, correctly, really this you this STAKEHOLDERS and I want job they Dr. to have meeting. MEETING, I’d having pronounced. wonderful for this and hope day. incorrectly to with increased I first for also condominiums have a half MR . MARZILLI: 19 of condominiums. opportunity a good going the here change number between are a major a large When into this now could and beginning it’s these year, that part that Boston fits residential You they 17 buildings area, to for this that seeing fifty-fold. selling facility we’re prices for. buildings, probably in the the old demolished older I think changes the be constructed, in the 16 of my to name Chobanian, thank done It’s like your for just 4/28/99 I staff all been so the 12 — 1 really great. 2 extend our 3 Administration 4 given really thanks us. And 5 We now Fairfield, our 7 Paula tell 8 this all you I’d 6 will on behalf for Thank want like Public us of the very to thank the Food assistance and and Drug you’ve much. to introduce Affairs a bit you Paula Specialist, about the and logistics for morning. MS . FAIRFIELD: 9 10 going to have 11 Director 12 and 13 left 14 Office for the Center Mark is Steve Masielo, I’d 16 they’d 17 to have 18 Executive 19 James 20 and 21 Senior like come up Strategic Vice After of Vice Policy their short break. 24 presentations. Seated who is the the first stage, Director of the speakers please. We’re by Janice Bourque, the Biotech Mass. from and Genzyme Raines, Corporation. with Taunton-Rigby, MEETING, going Affairs Lisa we’ll continue if Council, Government at Biopure, we’ll Alison STAKEHOLDERS Evaluation to Mark’s three presentations, Then Deputy Biologics President, President 23 FDAMA to the presentations Weston, for the We’ re at CEBER. to ask Director John. from Elengold. of Compliance 15 you, presentations Research, 22 Thank 4/28/99 have a three more President 13 1 and 2 Lopez, 3 Counsel 4 Jones CEO the Aquila Corporate 6 have 7 we’ll 8 the 9 downlink the have 14th the 12 form, 13 that At look out them from 16 you Before the 17 complete la teleconference 19 people out 20 21 22 23 24 the On Mark at that and Carolyn fax day and the note, will the packets, the them up on notice is a If you’d you’d people like that fill faxed will take directly. is over, for I’d the that registration 1’11 then satellite agenda that have leave be you’ll Meeting. evaluation and begin. questions and we’ll answers, which behind we’ll the General finished, o’clock Stakeholders with and will side to headquarters, 15 1:00 in your left-hand FDAMA are break, presentation If you on lunch floor. , Lisa HIMA. of questions our and Corporation, presentations a period 11 President of Haemonetics When 10 Biopharmaceuticals Vice representing 5 __—-_ of turn like FDA with you to video one of our desk. the meeting over to Elengold. MR . MARZILLI: couple I just had to make of announcements. MS . FAIRFIELD: FDAMA Mark, STAKEHOLDERS What did MEETING, I forget? 4/28/99 a 14 1 MR . MARZILLI: 2 to err 3 right? 4 the 6 to 7 chance 8 to 9 putting . earlier, come down all And, the 12 them. 13 day 14 to get 15 our 16 Compliance 17 on 18 commissioned 19 in our 20 you 21 to one 22 get two 24 you the left our any you at the you me, FDAMA a Michael help any to us And I want the she in me, for right answer. so and he picks MEETING, them the down on is a Office. I can be be sure I make up. 4/28/99 expert assure 1’11 1’11 And is a is a biotech have like introduce introduce Ellen So down STAKEHOLDERS of District to come I forget, to I’d during one Branch. John I can Karen and you so flag Archdeacon. with there questions officer, questions door forward I will Investigations What rear have MS . FAIRFIELD: team. get together. Madigan. the in I meant to ask a great is Ellen them out. like Officer all walked he was know, still I’d is Karen of Donovan so later answer. right just You mistake, I didn’t to step ask the but this In case and he because ladies I made earlier lastly, 11 23 him I forgot. is Michael I think introduce no, since of all, house? 10 _- is human, First 5 No, a good waving to 15 1 MR . MARZILLI: 2 And 3 down and 4 help to US. if Michael 5 .—_- drum 7 Donovan. ladies Mike, 9 MR . MARZILLI: 10 himself 11 operation 12 in putting and and us a little meeting together. has already 16 happening around 17 this 18 project 19 right 20 And 21 going 22 that 23 development 24 throughout here I’m not here. have a seeing, the STAKEHOLDERS over delighted there on unprecedented growth is a part around MEETING, of Boston I think, And and 4/28/99 the & Everest. activity. be what BioSquare Hennessey frontier, going to have up This to us of what’s who’s next I’ll to go the in commercial day are on think, area. help remarks in terms Doyle, I the I work Doyle Thompson, about going We’re today. in this My described Kathy the a great introduce a great Welcome. brief. is probably come Michael to bit the Aram FDAMA Mike he was 15 on like because to be very We’re to he was for Mark. on down. here with him Let’s gentlemen, I’d tell 14 with because now ) MR . DONOVAN: group ask introduction, come (Applause. And I will himself the 8 13 —-= here’s roll, a lot. reappears, introduce And 6 Thanks for today Kathy will 16 1 be 2 regarding BioSquare. 3 companies or, 4 FDA , if you’d 5 we’re 6 talk 7 questions 8 later around. doing here, give Thank interrupted, to you 13 of Washington. 14 years 15 been 16 since, 17 this . to be ago for trying I really 18 here. 20 this 21 and 22 particularly to Paula 23 headquarters who 24 Lorrie this facility the FDAMA Mass. Harrison, some STAKEHOLDERS to me to answer or your since I so rudely I always enjoy getting there out to the I get are Dr. and I have field ever meetings like involved Chobanian for Council folks for and John, a lot of MEETING, out everybody the of the a real twenty-seven assignment, available, did talk It’s together: Biotech what Mark? to thank putting the about John. back 19 from you, a two-year want to from again. now, I transferred closest are or presentation Welcome Thank who more glad Elengold. to get so the be information matter, free a tour And MR . ELENGOLD: pleasure of you out feel we’d some that find you. Mark 12 for just and see If any MR . MARZILLI: 11 —.— like and on. probably frankly, to Kathy, 9 10 You’ll folks the other making at Mass. their work back staff 4/28/99 Medic support, on in in it, in our 17 1 Office 2 Assistance. Communications 3 And 4 introduce 5 that 6 don’t 7 embarrassed 8 Steve 9 of the first some are here say relatively 11 our 12 surveillance 13 make 14 and 15 effort. and from unified how Sherman our approach important that right here 17 the 18 Training, 19 created 20 have to assist manufacturers 21 have it in our statutory 22 Gail’s 23 outreach 24 discussing Division FDAMA to give staff that more is the programs, various STAKEHOLDERS and of our we MEETING, That by is a joining to product quality is to in the who’s Assistance former to the works and can with and job fact if we that to compliance front, even John Office folks in my that be introduced formed books things might you compliance emphasis one and products of Manufacturers a division you Quality. was people are Director licensing with they that that is just headquarters Biologics the to do already is the office like who John’s people a more other to them who Manufacturers I’d know about. new staff Gail the so you Compliance 16 of Masielo, show thing anything 10 Training I that we don’t license do. in doing I have do 4/28/99 been to work more 18 1 closely 2 have any ideas 3 Gail and to John 4 we will 5 this New England folks. or needs, continue the And so person to talk and Paula. We’ll our working relationship be if you to back, is and after meeting. 6 Also 7 office. 8 making 9 fares we have Bob sure Bob is the I have to come the you want 11 he’s the guy to talk 12 call the other 13 “Bob show-me-the-money 14 a long 15 before. 18 406(B) 19 over to. and I’d that out of the many meetings never the I was at last for for plane have FDA budget, a conference referred to him as Bob “ I’ve known heard that one way, people budget if you about Miller. and -- how to pay Bob, they time, SO we’ re And our responsible money to talk day from who’s up here. anything 17 Miller one 10 16 let were year? me explain at any Very of few, why the so I’ll go this. 20 _—_ with Part of the 21 a process 22 was 23 twenty-one years, 24 would with that probably meet FDAMA Food in the rougher STAKEHOLDERS Drug Modernization creation than one our and of and raising the steps stakeholders, MEETING, birthing my twins was the 4/28/99 that people Act, of for we who 19 — 1 are affected 2 on what 3 very 4 if anyone 5 on the 6 We heard 7 device 8 we’ll be 9 which is a direct we the priorities quickly a series doubts way FDA the folks year 11 another 12 with 13 attributable at does the they regulate we about our 406(B) exchange region that, wrong. from the and we that meeting and effect Action of what up be in CBER, meetings today Plan, heard we that last had, was and held folks that is directly we did last year was, this on different days 16 of in Washington. 17 second 18 in Oakland, 19 meetings 20 once again, 21 two. I’m 22 our Center 23 San Francisco 24 that were meeting FDAMA clear them set a profound Device outgrowth we to do they’d and with to that. way for different so the chairing later we’re STAKEHOLDERS for only this Director, in CBER the us one today. The doing them MEETING, learn that’s here, is chairing had that to center and and one Dr. a one the that, having Zinner, in difference is simultaneously 4/28/99 it most Washington We believe important we’re year to we had centers, We in addition California. are this had business, 15 them year of meetings that two consult Last loud Pacific The and message industry the do, are. that talking 10 14 by what 20 1 featuring 2 our new 3 had a stint 4 Operations where she was 5 day-to-day operations of 6 operations of 7 newcomer 8 9 as the the of Deputy say Henney, “new, “ but in charge FDA, Center, Dr. Commissioner she’s for of the including so Dr. that whole answered from around what Paula 10 again 11 ivory-colored 12 questions 13 them to 14 them faxed I remind form. the 16 the 17 answered. 18 answered, 19 within 20 your 21 address folks the Henney is not a and a few all that 23 we’ll do 24 brief overview did it this not this if you have them in, they’ll any give get addressed the this year, of what STAKEHOLDERS them. So even is They on if we telecast, and last 1’11 CBER MEETING, during we will be posted questions we and so about put back, are will during way please, aggregate they the country, said teleconference, weeks. question the teleconference. the We’ll is to have addressed, in the questions of process And, like to the course The you you’d Any FDAMA We with to FDA. questions 22 teleconference Commissioner. Part 15 — a video have will be the Web site don’t get to we will try to concerns. year, do is and and I think a hopefully the 4/28/99 directions 21 1 we’re 2 and 3 presentations. 4 one, 5 their 6 ask 7 Then 8 on 9 questions moving what if I’d I’m Then like to do any we correct. my will it up wants to the 10 we’ll take 11 the 12 probably 13 speaker. 14 we’ll 15 the 16 general 17 registered, 18 at 19 adjourn. with we’ll back for teleconference, end. Again people speakers who Otherwise I’ll ask 21 evaluation forms because 22 do least once 23 can 24 appreciated. this give FDAMA at us feedback STAKEHOLDERS who want the repeat or put panel, that with that we’ll comments after upstairs. not Then MEETING, After wrap we’ll up do and the statute and any not to talk, just each finished have to help I will if anybody first to complete a year, on the have it as presentaticjn. comments lunch we’ll you and teleconference. if we questions, their conclude exception and the do floor any panelists, is doing their we’ll have them colleagues on the the they After and to group to the to questions Then come have group. panel, go this to have a break, second is have FDA we open go So after questions floor the we’ll I think presentation, the 20 in. says anything us will 4/28/99 be we’ll you 22 — Okay, 1 let’s see, 2 administrative notes 3 start slides. 4 and 5 facility. with the 6 the audiovisual This is our you who 8 the comments 9 statement, we 10 devices regulate. 11 right 12 administrative 13 statement 14 slide you 15 shows we 16 commitment 17 we now This of over on the we’re in our learned, have of mission medical process our right “and we of internal revising adding one the in the BU those that the can amazing and address of my thank year, So we’re measure to last properly through we is an statement, was all I guess I want meeting didn’t got mission side of devices. listened, that ‘~ That and our . are 18 regulate. 19 we 20 wasn’t 21 which 22 related and 23 other. Again 24 left the We used adding big kind corner, FDAMA received have These kept we see and folks. this And I’ve Again at of going . done, mission 7 were I think spectrum to do products enough, of this to so we tend you’ll we’ve STAKEHOLDERS to that flow notice inserted MEETING, we as a rainbow, it and went illustrates do of products to the the our rainbow circle, products from one down at between 4/28/99 but to the are the lower Tissues and 23 1 Whole 2 of what 3 — Blood we’ve These Devices, are the tools Olympics 5 systems 6 surveillance, policy, 7 attitude compliance 8 would rather 9 reach a point and we 10 the 11 Cosmetic 12 take do our have that full and in your are the our so biologics 17 actually 18 Center 19 of Biologic Standards 20 of Health. It was 21 and 22 if you 23 important, 24 guiding FDAMA It just see is the the I’m have resort. but possible, Drug Health we an We if we have and Service Biologics was the last our statements. not scheme Food that last Food, Public the the We negotiation; going reflects regulatory added the interlocking compliance. vision 16 then enter Act to action. much before to both are that’ s not 15 for recognition research, through handouts, time. use They and of both regulatory These job. where tools we of review, work Act “ again heard. 4 13 . “Medical of the of statement regulatory to FDA FD MEETING, of and the the the Division Institutes in 1972, & C Act. is the mission principle. STAKEHOLDERS too started National the spend Act, originally transferred tools was Drug the are history that and to They 4/28/99 most is our And 24 —— — 1 What our 2 first goal, 3 which is managed 4 through 5 from 6 put 7 approved, 8 then strategic and day that in clinical integrated depending A high contributes 11 Over 12 research 13 mission. To give 14 recently a magazine 15 vaccine 16 adjuvant, squalene 17 director, and 18 develop a new 19 quickly screen 20 to parts per 21 have research 22 pronounce 23 MNR . 24 And This they FDAMA hopefully that has you an in a lab, or of product, and . for of an an able regulatory very illegal they we Our illegal to go were to our able lab to unexisting, illegal And core this, previously this ingredient had to be to down able to tools available. I can’t them, but multi-toff using four STAKEHOLDERS our that with billion. of at a week mission. misunderstood. idea I was which regulatory alleged method, tried seamless licensed program been aimed within was type to the manufactured many it to be identified research is directly was discovery surveillance. directly years is the process from want on the quality 10 the We trials, Well, regulatory product postmarketing the goals? a high-quality postmarketing. the 9 .—— are we have electro-spray or five MEETING, ionizing methods 4/28/99 they even MNR. came up 25 — 1 with in a week. 2 we’re 3 Without 4 trying 5 the now that the research for A high totally to run to disprove need 6 this our information 8 resources. That’s 9 because Bob won’t 10 exactly what we need what are Henney will be Dr. 13 during the 14 pretty much 15 reform. 16 Federal 17 adopting 18 milestone the Register we were have performance 21 doesn’t 22 Fee us our about the and exceed Just acronym, priorities priorities one, to do are implement in and and FDAMA that was a we met. PDUFA in case FDA the under the do Well, our notice to Bob. her guidances, required partner money we published or that’s leveraging and Okay, Number standards. know out priorities? week to meet So be force, enough talking CDRH still and go a required specific 20 we to do. same. last work systems, teleconference, Just We 19 FY99 anybody Prescription Drug User Act. Take 23 24 give and program. where Okay, 12 we would diverse interactive it, samples. allegation. research quality validated regulatory base, 7 11 — able They assure FDAMA the whatever safety STAKEHOLDERS actions of and are public MEETING, necessary confidence 4/28/99 to in the 26 1 nation’s 2 what 3 blood supply 4 okay. That 5 realized 6 voluntarily 7 sanctions 8 Again, 9 measures 10 supply. percentage, Steve? shows percent decree? a few years about so we now have of what they resort of the 60 some, ago, not a last we to court-imposed are after doing. voluntary failed. Facilitate significant 12 products. 13 of our 14 Director 15 then 16 developers 17 vaccine. 18 to actually 19 with 20 Health 21 development the Just center, it came the So we And Parkman, have develop industry where we 23 directly 24 regulation, and are and the Myer, were the first rubella of working and and that evaluation covered 4/28/99 of the seamless. in research MEETING, work Institutes to assure already his actual the National located of history and history is as quick I’ve the therapeutics the to the STAKE~OLDERS was measles, excellence targeted to Hank a proud the process pursue in, approval therapeutic back who German and and going person Paul of blood again the after the development vaccine, Deputy, FDAMA some approximately was review was now, consent industry and 50 that comply, that Right is under the 11 22 — blood that is of that, I 27 1 hope . 2 Improve 3 can’t do 4 don’t think 5 the era 6 and tracking 7 might 8 have 9 hours, 11 any want e-mail, of our to, for but you 13 against 14 Drug 15 sword 16 the 17 products. One 18 however, is that 19 appropriated 20 to 21 over 22 has 23 involves a basic 24 salaries and If you User Fee for us. FDA spend, the FDAMA to I get of data to systems, some home the I to go back Well, to support work gives . computers. like things. You of us tonight and I office for 24 efforts for a high know. diverse This support. automated out continue quality, without when being I don’t been today system of us would before And 12 automated anything 140 10 our force. an look Act idea over has here, really It provided speed the of of what past few receive years, flat-lined decrease costs STAKEHOLDERS -- the PDUFA, level don’t user as our -- and of if we the budget share MEETING, of And overall budget increased of what 4/28/99 of continue fees. a flat-line because to covered a base that prescription resources requirements resources, don’t of up a two-edge additive we maintain we the been approval the we’re we’ve had 28 1 available 2 this 3 ask why 4 the medical 5 this 6 funds 7 see 8 increasing, 9 leveraging little the this and organizations, 11 institutions, 12 NIST 13 characterization 14 partnering 15 the has because getting grants with fund people in to keep our appropriated You can also constant we’ve or turned to outside from research agreements some is could because been with and as we somewhere. 1 regulate So when spend working of our and regulatory either early with NIH and product development phase by industry or see our or NIST. Interestingly 17 workload has 18 new area. 19 investigational 20 the level, aside 21 and if you plot 22 those of you 23 pretty much 24 stocks -- has drug FDAMA it’s interagency to try NIH there. to CRADA that’s we as much have it from IAG 10 down area, we and products doing device take that dot not here, and other blue we’re area 16 —— for you enough, been in the In our IND, case, biologics. from the in the tracks been STAKEHOLDERS a dip stocks can or investigational it’s really And you can for a few of biotech industry declines increasing MEETING, that know that in the see years 4/28/99 -- companies, that biotech again. that And, 29 — 1 importantly, 2 up percentage of biotech is really there. 3 These are 4 shows that 5 in as INDs, 6 applications. 7 development 8 they 9 — the 10 there 11 goals, 12 them. 13 numbers while many very few move from User fee That’s read 15 performance 16 you have are And 18 improving 19 improve 20 proud 21 worked 22 vaccines. Again, 23 management back 24 developed of Dr. history FDAMA with of Dr. the the when rubella STAKEHOLDERS can see we’re met all up our to meet slide. just shows I can’t our review percentages, and again packets. key and and goal Again, Our Sabin people I first vaccine. MEETING, priorities our base. research. Salk as licensure. Henney’s science to handle We’ve and coming of product to continue in general, CBER’S phase you This in your 17 FDA into are It to actual up horrible in numbers one next gearing going here. those products percent. a really it from the research interesting. leading performance, we are the are we’re at a hundred 14 of That’s , and and which is we is to have predecessors on who the are joined And 4/28/99 a have original our the center over the past 30 1 few years 2 now in the 3 necessary 4 judgments. 5 And 6 ourselves 7 bringing 8 rapidly 9 efficacy. 10 an science process these bad 13 them. products while out the there associated with 16 a hearing tomorrow 17 things have 18 decision 19 risk/benefit 20 that 21 judgment 22 the 23 they that both to stress in general need FDAMA these are is on are STAKEHOLDERS the risks the the of 4/28/99 for the is no medical a important when that side, and information evaluation. strategies: MEETING, one very benefit have ready is not approved correct the reducing There it’s a to and And the available House, that even of of having getting is: or users, to make costs of market approval not even the of and I’m made products prescribers, And in the it is mission rapid mission products. judgment. the not are for to safety from are is ever the product, the set realize long-term we regulatory we’ve their and it because technology or unsafe to realize we To benefits because eroded, fast goals ensuring 15 24 the of new Nobody product has and in science: And 14 good are ineffective 12 base of rebuilding to make sponsor, — our Research, 31 —. 1 standards 2 development 3 industry. 4 this, 5 is very and heavily premarket 6 enhancing 7 seminars 8 the 9 short on cash, 10 reduce travel 11 expensive and 12 investment . 13 eroded 14 get 15 consult 16 the arc. 17 our folks’ 18 meetings. our federal our databases. meetings point the because when thing science you physicians 21 clinics, mainly free 22 clinics, a few hours 23 skills 24 standard. We’re FDAMA STAKEHOLDERS for they are goals patient clinics can’t not is at to and state of increase scientific of worked our in or volunteer a week to keep treatment enhancing that’s results many time on scientists in major a long is you a return their development, 20 do in running things If our of our participation and start the present so one and is extremely of base. colleagues, have like seminars, demonstrate is one Professional the traditionally you travel can’t That The first to meetings, and meetings these you with review. because And interactive outreach, government, with standards scientifically, is a key out Again, SUrVeillaIICe, Training 19 — development. ideas that MEETING, by their up to getting 4/28/99 medical the some 32 1 of our 2 chemists 3 universities 4 weeks, 5 world 6 — research , working to get is developing 8 center. And 10 equipment 11 state of 12 means that 13 replaced was the And getting some one informed 18 our 19 goes 20 yelling about 21 and the 22 information 23 public public health decisions. traditional at health FDA, people that the that who process years our It wasn’t has of lab up benefits next at of Y2K to be year, those just I can is needed real the few work and I need the within many old. night o’clock the group in previous repeat: needs And Friday 9:00 in the covered I’ll two age. equipment so it will The 17 of in every on what are very that I’ve Anticipate FDAMA of key hours for One I think 16 And we standards art. slides. get and infrastructure, just off four day our laboratories experience testing, 15 24 some a new 9 microbiologists, in research in today’s 7 our part-time, Product 14 types, and way, support when we have and my pager crisis my wife pick can up starts the give to make the phone the right choice. I think I’ve STAKEHOLDERS covered MEETING, those. 4/28/99 We’ll just 33 — 1 shoot through 2 Major 3 years 4 confidence 5 the Blood 6 and project 7 to move ago 8 9 those. initiatives we in the blood supply, Plan. of been action We 12 yesterday 13 Status of Application 14 review officers 15 all 16 senior 17 make FDAMA/PDUFA meetings. ago 21 been 22 budget 23 24 here we that and up can been we several accountability. missed our listen, I left quarterly where gives are able have unfortunately and they developed fast. for have of resources have very meetings, gets management each the of status working on; provide input, of additional resources our of and the and or is needed. to give very us Team questions Plan, we a basic successful problems FDAMA We we putting approach II. applications Strategic 20 it, In fact, to come assignments by Two crisis and forward plan 11 19 to them. plans: the so successful things : whatever And things 10 the action with management the have of read faced Action It has can were a lot adopted You developed ten-year what Biologics, I’m that. STAKEHOLDERS we need sure That MEETING, four strategy. in anticipating and about that to do there was both will a way 4/28/99 to ye(ars It has our focus. be some to bring 34 — 1 our inspection 2 with 3 after 4 business 5 inspection 6 headquarters, 7 and the ..% biologics of our was 11 ORA some 12 Biologics. 13 minutes CBER that in the I’ll over GMP of attitudes line. cutting really inspectional and of the scientists together, go out of did edge needed approach. we developed it in a couple So Team of . Tissue 15 action 16 regulate 17 talking 18 yet 19 it will 20 been 21 tissue 22 resources. Regulatory plan that’s about so, be Blood of without Action the has statutes. unfunded to come any Plan for to years They should been have it be so we to grips with additional Action 4/28/99 not done, have the funding I mentioned MEETING, an mandate, Xenotransplant STAKEHOLDERS that’s strategies anticipate on how issues granddaddy we another working The Congress enacting and Framework, developing tissues. done FDAMA because our our were still Our out believed line years we way. conducted activities got in FDA, different and into Twenty-five absorbed was involved and activities FDA. program technology, to be 24 the in a major 10 23 of We believe 14 — rest compliance 8 9 compliance was or the Plan. 35 1 That came to light 2 blood 3 we needed to get 4 There companies 5 pig 6 porcine endogenous retrovirus, 7 genetic codes viruses 8 porcine tissue. 9 assist marrow are implant organs. lab 11 were 12 noninfectious, 13 The 14 investigate 15 change 16 the was able a few own and hold The when the for on 19 single group 20 around the 21 of we 24 and then FDAMA were some this was that’s embedded INDs for in liver discovered, find therefore an didn’t but out informed consent, pose we were our they a risk. able to decision, and move on. Again, into detail program. so that the requirements to go industry comply has a with world. changes year or PER, ICH, law 23 decided discovered we’ll Action device lab Plan, Device 22 We human-gene-based Action the baboon proactive. research, a research and his nonreplicating, reach Device and ago. be that minimal, informed 18 that, very it, the need 17 was and we had nonreproducing, and years research And to do Getty developing from devices, Jeff together Our 10 with heard again Plan, included -- 1 heard in Irvine. STAKEHOLDERS in part spurred in FDAMA. it in Oakland, We MEETING, had by And last in D.C., a meeting 4/28/99 the back 36 — 1 in December 2 what 3 consistency, 4 transparent process 5 facilitated reviews, 6 communication. industry 7 So we 8 Action 9 Performance, has have set up Mary 12 Communications 13 is 14 get 15 stakeholders in the 16 with employees 17 what’s going 18 to the always Myers, of, who and is the of. message own And and on. The Intercenter 21 years 22 of 23 implementing the 24 just I am. the original how FDAMA old hear Team device may why my ’76 drug which we which Office of Assistance, to both of our as well not the as deal understand added the inreach outreach. are gray InterCenter STAKEHOLDERS our messages a bunch We Biologics, of area, who from of Review is designed the Agreements Aside as part Manufacturers traditional 20 and Outreach/Inreach, that has a understand, director That’s Coordination old. the is CDRH, teams and And provide Coordination, Training in charge can four Compliance 11 our don’t guidance, CBER/CDRH chair in Bethesda. with they I’m our we harmonization Plan: the this said 10 19 . to discuss of action now many, hair, my Agreements amendments realize MEETING, that 4/28/99 items. many memories and reminds me technologies 37 — 1 and products 2 weren’t 3 of 4 and, 5 starting have even those as thought agreements, a matter with 7 successfully set 8 working with them 9 that don’t we 10 We’ve 12 FDAMA training 14 and in fact, 15 are attending 16 the Device on Web site, you 18 don’t have 19 again a direct 20 meetings. And 21 many, issues 22 now The Commitment 24 a timely FDAMA : have manner CDRH we’re that was lessons FR Notice last our so we’ re learned so of Friday. people CDRH are reviewers the if you the we are look devices outgrowth The with CDRH get, reviewers training. separately, so you year’s 406(B) guidances on last to medical commitment STAKEHOLDERS Web of preparing the our the Coordination using at through relating CBER/CDRH 23 time wheel. products to go hunting many their that page, 17 the Burlington, at CDRH, some our Group it was training but that agreement. the the at working CDER, Bruce to get I think attending are Work up by pipeline imagined CBER/CDRH published 13 or fact, reinvent Concurrence. the so we of the down of A Re-engineering 6 11 come MEETING, devices. Outcomes, to review same material, devices standards 4/28/99 as in 38 — 1 CDRH . 2 communication, 3 those 4 can Review 6 in the 7 We 8 The 9 providing again were at that that is exactly area that, people the is, and who do 11 supply. 12 and 13 reducing 14 We 15 of Blood, and that 16 attention and control. 17 Set on Compliance saw the in that amount a proposed Review Process. 19 process 20 extending 21 That is where 22 They covered 23 where 24 called to we can the slide, come we first, products. will give Implement developed FDAMA the out walls. re-engineer process our that. review lie are process. business We’re that Managed PDUFA. blood now We we’re Office more a managed and blood keep to other hopefully in those in our we mapped 2-B involved nation’s to poc)r. funding. reorganization to include three very of of have Objectives, We hearcl. been the available implement that have of one we frankly, support issues year performance a result 60 percent last what review quite that I believe meeting our scientific injunctions Review the it’s 10 as you cooperation, consistency. Performance, realize have them, who device same with and of you testify 5 . Coordination rules. looking have working to something on, and I FDAMA STAKEHOLDERS MEETING, 4/28/99 39 1 that 2 up is almost on our 3 4 And process, 7 time 8 review 9 poor Targeted in specific define Again, getting Compliance 12 group. Review the sure 14 except 15 product 16 lowering standards, 17 where can 18 are 19 them, 20 as well 21 are the different, both our 23 done 24 the own managecl priorities, and maintain the one benefits from meet a with I said, policies, the CDRH and people, training make policies, from the an exception. We will not be the ones we will identify that, going own to people and where clearly and guidance, and we will in CBER, program, STAKEHOLDERS I risk but of as to they explain the industry, as why. traditionally FDAMA and Biologics, evaluate to our specific the we’re Training 22 nature and for closely inspection conforming justifies we no Team device 13 where be approved. and that they again deadlines, quality. chair it will areas. expectations and product it is, Guidance Performance, frames 10 When site. Develop Review 6 11 Web products 5 finalized. hold we will be doing and after a similar MEETING, be 4/28/99 training what we’ve developing program 40 1 available to 2 words investigators 3 — the industry Develop 4 word 5 inspectional 6 IVDS . 7 last 8 CDRH, 9 be got off there, is an issue and we have CBER and ORA, 10 standards 11 ORA 12 process, 13 walks 14 Team 15 going up with are, team, handling 21 Team 22 one 23 coordinate 24 number things that FDAMA the will the different, why. inspectional investigator investigator know what compliance heard to thirty they or are East our of people that years different Coast, actions now. two one . area the So we MEETING, it, and 4/28/99 heard that we’re is part West have Over districts way compliance on to oversee I’ve The biologics We have STAKEHOLDERS approach, In fact, in the Biologics. on that of doing. differently. close CBER composed of what our the frequently people, are you’ll for that’s a district we have 20 up it’s years, for field if they a consistent 19 a group our And do came when to be 18 that that whether same the guidance just Biologics the GMP a transparent one the I guess for coordination, in, 17 stability, an explanation and hear guidance and year, coming 16 and program, can hear. sterility left That so they of officers, Coast, reduced so we to the get a 41 1 consistent approach. Outreach/inreach, 2 3 talked about 4 there, or actually 5 to explain The 21st Century left the Center 7 Biologics about 8 conversation 9 reality-based check, 10 difference?” And 11 blood 12 gene 13 antibodies, 14 talking 15 the evening 16 one of 17 that 18 ours.” Drugs and my mother, and and other She has now clear is in the the going 22 technologies, 23 issues. I remember a happy 24 FDA we used say when FDAMA to deal the with? safety to STAKEHOLDERS what time biologics of to her that things like I was by she watching hears ask “Yes, me, about “Is that’s of biomedical So what area. New time are we biomedical those, ethics MEETING, a long monoclinal future 21 to have biotech I say, science to llwhat~ s the she’ll 20 I said, learned every yours?” that I had when my idea products, I saw over here. who’s therapy, no that ago, I doing doing to explain had new doing came she I tried be Products, and she news these are years cellular about. It’s we strategies we’ll Biologic eleven vaccines therapy, 19 for with thing what what 6 and developing ethical in my weren’t 4/28/99 youth really at our 42 — 1 issue; 2 themselves 3 anymore 4 particularly 5 where 6 benefit-to-risk 7 of 8 more that was the and . We the the things affecting ethical issue remember telling 11 the particularly: 12 in economics. 13 effectiveness. 14 environment, 15 equation. A technology 16 better costs 17 worth 18 discussions, 19 FDA investigators, 20 was, inspectors, 21 rat 22 adulterated, 23 we’re 24 product but it? pellets FDAMA people, We deal that’s or with FDA, but I of the You care risk/benefit times into more, dealt started You dealt with more 4/28/99 as when with unsafe, drugs. change: times it out called superpotent incremental is these were easy. MEETING, involved is inclemently they was on and managed of us who a thousand STAKEHOLDERS within safety get or harmonization get or as sub- the world. that in flour. the doesn’t a thousand life of line, “FDA is part those germ people that for involved, telling with you true and In today’s when not environment. ” And involved the care 10 the both around health to get And standards, institutions That’s is part equation. Changing the companies. do have importantly, Hill and really regulatory 9 IRB’s Now Is a expensive, I 43 — 1 that gives 2 at 3 that 4 really 5 how 6 approval 7 cost. a better one a one outcome, person, strange you make you those is worth Again, about clearance we 11 That 12 Department 13 given 14 civilian 15 devices 16 that 17 facilitating 18 another 19 amount 20 Bob’s 21 year’s 22 some , but 23 civilian 24 their and is an think it the try and I know is. that stay ago I have important part of of Health and Human for use are of drugs, the development thing that resources, benefit, budget. was has stockpile STAKEHOLDERS Secret want to. life. Services biologics, are The has to purchase been a and involved been taking 1’11 funded say in next as MEETING, that, up enormous this again in this year important as well with we thing advising actions. FDAMA nothing department, Hopefully it is a very it. a Top We with increased I knew in dealing and not of I ever in terrorism. a the or today’s of money advising it’s involved risk out than amount And gets chance if you’re on whether years Now thousand Well, increased two stockpile of it? more a large and worth decisions bioterrorism. 10 in one discussion Bioterrorism, 8 9 a person 4/28/99 for current will get for the DOD on 44 Y2K 1 You 2 today without 3 whole world 4 my 5 know 6 survivalist 7 foods. You 8 enough, back 9 fallout shelters. local for is going twenty years She . rational 12 the 13 involved with 14 with department. 15 group . Those 16 getting a letter 17 done 18 working 19 our normal 20 the products 21 Again, 22 one’s 24 And . with working another our bottom we FDAMA to big this have a Y2K to regulate that I’ve has reduced very working soon what We which the working will submit be you have have been in addition makes will old fairly industry, our plan, job is with operations, we with something preparedness. shortage that ’50s of us So we’re us on a shortage dried the I think I a raging those in industry from Y2K into is reading neighborhood public. We of you your I was me, given paper 1, the generators, and and hype of the In closing, time ’60s the January turned more years the confidence has Now , this 11 up in my it reminds in the twenty that somebody has know, pick to collapse. and known the out paper, for can’t finding 10 23 -. Issues. be sure to that there. is unfunded, and this the last line. I don’t want communicate. In my STAKEHOLDERS MEETING, this last to be job, 4/28/99 I was 45 1 — 1 pretty proud 2 set 3 last 4 Internet-challenged 5 has 6 That’s 7 in general, you 8 and from 9 Training up. of I always because the and 11 it. 12 of we Questions 13 purpose of this 14 Register Notice, 15 speakers to address. 16 slides, 17 well: they “What 18 take 20 state-of-the-art 21 decision to expand And on actions those do you our for were everyone Web site. a question e-mail will person box, who was is what aside can propose we’ve to Federal asked being sheets the answer is the in the from question into either this This capability science we Communications as Agency incorporate its actions do you exchange and integration 23 the 24 information to better STAKEHOLDERS propose risk/benefit enable MEETING, of FDA to facilitate scientific to meet 4/28/99 the in the making? “What FDAMA have Assistance this about large Stakeholders, and are 19 22 Office meeting. slide it to that it to the for just if you e-mail Manufacturers it or get now that at meetings a fairly And our this people But have can systems to keep the . address. someone answer information used most access, 10 the its 46 1 public 2 product’s 3 health life “What 4 the 5 against 6 making? about the do you the benefits ~’What actions 8 and 9 areas its product And, 11 enhancing 12 ongoing 13 modernization 14 happy 16 them 17 said, 18 listening risk decision to enable focus resources public do you risks for that evaluation on health?” propose processes FDA of allow for our efforts?” it for to answer any after I thank the the slide questions or you speakers. everybody for talk. I’d can Anyone? their be save That patience being in to me. 19 (Applause. 20 And I want ) to thank the that together. 21 office 22 are 23 colleagues -- I know some 24 people have the that put interested FDAMA educating health to the and/or that’s for for propose to communications And the of balancing in public actions feedback 15 concept centers “What propose do you of greatest 10 throughout cycle? actions public 7 responsibilities who one in sharing left STAKEHOLDERS folks these back MEETING, the If any of you with companies, FDA, at require 4/28/99 I hear you from guys to 47 — 1 make out 2 have been 3 yesterday. 4 can attach 5 can just 6 and you 7 briefings 8 The 9 — Device reports posted Dr. 11 It was 12 have 13 we 14 are 15 plan 16 there 17 dates, get within other Henney only enough be in that that Plan, 20 friend 21 and to get 22 company 23 and 24 come up want to do it out you and as well. we didn’t real sure whether here. And if you want tracks the by there Friday, specific first last Raines here John. you to see of what goals the I had and the exact up due there. Director Lisa if you is posted able the you in Powerpoint, signed we weren’t our from was and the that, of yesterday, time that’s Executive as last and that company. which sector like are approved with Okay, own Friday, in color stuff set slides since them entire is, These site They thing follows but and your last Web it. the things. want to e-mails can 19 on our download would and So if you Action 10 18 — trip Mass. year, from in the And panel, just Janice Biotech Jim Northeast. go Council; Weston Genzyme, ahead. Bourque, from a very And Do another Biopure; well-known there’s you want Steve to here? I FDAMA STAKEHOLDERS MEETING, 4/28/99 48 — 1 2 MS . BOURQUE: We’re going to use the overhead. 3 Okay, 4 speak 5 Washington, 6 Boston. 7 Dr. 8 Biotech 9 so we were well, again D.C. We’ve with 11 some of her 12 worked her 13 I’ll 14 on a pilot 15 has point 19 performance 20 and 21 about 22 Lisa 23 biologics 24 with and how and the myself, going and we that was as Jim as well, concerns And FDA have to and we what have office, worked very in Mass. opportunity and together successful I mentioned, Weston, panels. FDA Jim and to speak pediatric to orphan STAKEHOLDERS and a little lines, risk/benefit is going the as well. local were with Council the well to talk time visited to to visit of our are we so welcome Device some us and ongoing. we have, advisory FDAMA and the allowing a recent to have program regards had came with out Today year, concerns continued I’m mentioned, about closely And was pleased talk 18 As last She 10 speakers, for also Council 17 you today. Henney. 16 thank Lisa bit consumer meeting training, is going education, fast-track exclusivity biologics. MEETING, Raines. about reviewer Weston about three 4/28/99 to talk and generic extensions 49 Just 1 2 the 3 companies 4 small 5 from 6 to three 7 manufacturing Mass. 9 — Biotech here fifteen size, stage and we to has years, been anywhere from several 11 choose to remain small or become 12 companies, reach their full 13 Last 14 White Paper 15 tried to come 16 actually 17 the 18 documents 19 write. It’s 20 FDA for 21 that the 22 move forward. 23 mission 24 new carry regulation and . and have It’s one another industry and they integrated together and input into for the that for the to ensure legislation very supportive there’s prompt MEETING, write to I think, reflect to guidance Congress our FDA actually and together And an on how to work therapies. STAKEHOLDERS whether implementation challenge, that to potential. put thing So we’re to ensure is recommendations the about fully to FDAMA out regulations drugs FDAMA up with for companies, in response thousands. mission that had two commercial primary MBC 250 mainly of ensure the are anywhere in operation biotech at about They 10 all us range with our about represent full-scale and year bit they companies companies MBC a little in Massachusetts. people The know Council, to medium early 8 —_ so you’ll of 4/28/99 this approval primary and goal of 50 1 for 2 ensure 3 therapies 4 as quickly the 5 — that we know, these and some 7 submitting 8 think 9 will copies of have I’ll 10 second 11 go 12 that will 13 site as well 14 to White industry access to get is to to these them the We will be document to May 14, White detail to them the actual from these supplied first like 17 about 18 recommendations 19 meeting 20 guidance document has 21 guidance document we 22 recommendations 23 asked 24 corrections goals, last like meeting. We in our been noted on dispute to the STAKEHOLDERS be FDA it It will be text be up to of fifteen MEETING, our FDA Web and briefly up with regarding then a And had resolution, able on the released. we will that. since that a and the come Paper and that slides, speak had White goals, sponsor to I And on meeting I’d performance the a copy section FDA. Paper. as directly would the have I think. It will performance that slides. with 16 our today, available. who For do to our Paper be we to about further anyone FDAMA able mention these similar into the have we’re an actual we be for patients that thing 6 and as possible. One 15 — FDA, in this made and some we had to provide days 4/28/99 from receipt 51 1 of minutes 2 FDA 3 days 4 sponsor. We 5 have firm time 6 documents, and 7 there. 8 clear 9 within provides from the And from think 11 position 12 discussion, 13 able 14 line. where we debate, a sense with 16 performance 17 meetings 18 meetings, we wanted 19 scheduled within 20 the 21 meeting actually 22 receipt of 23 was noted 24 guidance goals, that we regards fourteen And the then occur sponsor’s or given document, STAKEHOLDERS and we been to up for the time the fast-track fast-track to be of also requested the thirty request, MEETING, a being days we’re I to moving meetings firm operating necessarily are in very us to meeting within put are it’s regards those we necessary. where not with not leads sponsor-requested sponsor. has again, and the that were that’s now fifteen from expectations who the guidance those time are sponsor important the just it open, Secondly, FDAMA very the sides in return to the within way that correction we believe to leave not it’s response and back lines that to have and of the think both the FDA, response receipt 10 15 — from time request that days that lines in 4/28/99 that the of and hoping by again the there’ s 52 — 1 still 2 that an opportunity guidance 3 With Dr. 5 three 6 actually 7 second 8 FDA , and 9 issues, and 10 focuses that Henney 11 — was areas the third she 13 been 14 a model 15 manufacturing 16 been 17 program, and 18 with local 19 for 20 government 21 expertise. 22 that 23 training. program able the we that we FDA the we’d develop STAKEHOLDERS on the was The at the safety primary the science questions I mentioned have earlier, has in the success area local office, we’ve Al won it. like a model reviewers MEETING, to in conjunction Hammer Award reinvent So we to of pilot Gore’s on helping streamline know of her actually office So what we base a preinspection program and of John’s to develop could Now, With One real to building as were to us. experience . a model three some when implementation. science addressed MBC, her, addressing were I know the the there with FDAMA was regards base, asked, in training, indicated concern out those which expectations reviewer she on building So with FDAMA here, of great 12 24 to FDA carrying was those document. regards 4 to put have recommend program already 4/28/99 for that is FDA receive a 53 1 great degree 2 together 3 develop 4 we 5 seminar-type 6 technology 7 presented 8 this 9 present with 11 present science we could would by the reviewers the by work are creates 14 gain an 15 talk about 16 there. It’s 17 stay to date on all 18 being developed, so we 19 real up any “in” We 22 to do 23 facility, 24 comes could do a possible FDAMA for us can the STAKEHOLDERS on who could t.o questions, an the MEETING, to to are right industry to that’s it’s a as well, or solution. location. Biologics of is really envision reviewer It’s to hope technology suggestion purview in technology as only in Massachusetts. Mass. COUICI be leaders reviewers of the it in a neutral the that synergy. This so the the a researcher FDA. a challenge it here under the for ask so what edge And edge to help doing. or science challenge 21 company with the I have 20 one create a certain not And going to come, that able industry, cutting they be cutting that’s 13 for is maybe in which of think further. be presented. type It really 12 do research this we we might academia, of but base format field allow training, industry, that thought 10 of There We’d is a facility, University 4/28/99 love which of now 54 1 Massachusetts. 2 well 3 suggested 4 have conducted 5 CDC alternative 6 have 7 rooms that 9 . not this FDA so that shortcomings 12 or 13 are 14 ineffective, we 15 to also seminars 16 better. 17 opportunity 18 there may 19 don’t want 20 associated 21 be 22 whatever 24 things in terms give So we The advisory FDAMA of certainly to say with to see this include panels. STAKEHOLDERS the why I already it is a probably presentation the industry as In our make the can an do there are FDA that interactive We And certainly something maybe this could I mean, there. has earlier MEETING, that program. but see FDA, ways we has interact welcome products. I’ll the in how this and to do, would developed FDA with is just we be the similar. Biologics, point they ability a model things opportunities last its to us really some ways continually to develop be expanded are discussions we and could between if there that they as this. seminars 11 the there, and to do or have reason equipment industry. report But know reciprocal So facility so we similarly, it’s another is because training site, in order be of. facility necessary And, may aware 10 23 _- I’m the 8 There to do with White 4/28/99 Paper, the we 55 — 1 did ask 2 divisions. 3 a great 4 submit 5 documents; and 6 review give 7 it goes 8 important 9 that harmonization Currently operating to the and back was CBER sponsor that comments incorrectly The correct it before it’s 12 deal time 13 something 14 ahead 15 advisory 16 what 11 of that of simply so that panel meeting, Right CDER 19 policy 20 think 21 advisory 22 originally and we would harmonized there’s And briefly FDAMA a real panel in the before some very point over a chance been at really a to a great going you’re you’re just and panel when does was spent have to That’s has actually and FDA confusion sponsor could time, now there advisory crucial that, 24 the is really 18 23 at then to the or is panel panel. say believe actually a sponsor advisory two we they draft back let’s the what where allows point. particular has their to the made between policy, because 10 17 — .- for over clarified the focusing on important. not do really carried that, like over opportunity capacity rarely to see into CBER’S CDER. to use that does the they were intended. with that a little in mind, bit STAKEHOLDERS about also the MEETING, I want role 4/28/99 at to talk the We 56 1 Advisory Panel. 2 Advisory Panel 3 the 4 role 5 third-party 6 particularly 7 or 8 challenging. 9 the impact 10 the industry. 11 They 12 individuals, 13 greatly 14 dollars. 15 the 16 that 17 30 percent 18 important 19 say What -- and documentation of the some Advisory these with are with ability even if you we a positive we’re panels 22 they are 23 just to endorse 24 third-party are now used that great very being too these has on they research approval in we’ll stock. from see So panels, stock, 20 or it’s what they impact. concerned used. frequently what the evaluators. STAKEHOLDERS the note of fluctuations result, on FDA and to raise see really meetings. a variety an a advice, the public get the for meetings investors, our of of controversies that open some that’s Panel the really for scientific filled to note 21 FDAMA mechanism fluctuation do has But It was Advisory Panel, at Panel. including And of description technology They role looking It is important impact and the to the regarding often even see I was evaluation Advisory 20 as cutting-edge are we about We how think and they the that are FDA already used, And so what we’d MEETING, 4/28/99 perhaps used not as like to 57 — 1 recommend 2 safety 3 feels 4 Advisory 5 just 6 Advisory efficacy Panel for 8 public 9 that forums, these we closed 10 discussion really 11 investors, the 12 really really process, and really because asking that not the FDA so that the need to be a scientific it’s 15 really 16 meetings. Certainly the 17 there they is important 18 but 19 that limit who feel exactly Essentially also we’d 20 some 21 the 22 various 23 advisory panels really 24 both benefit for conformity advisory the FDAMA or best panels. experiences STAKEHOLDERS to be like I think operated, the FDA MEETING, Panel have anyone to be there, in that and room. have evaluated for 4/28/99 by have well, they if to companies worked room there, to maybe practices on what that in the to be could open outside Advisory FDA the consider discussion, closed ought are not; individuals necessarily having the or what don’t use these affect market through issues. also, does FDA an go of having consider into but 14 going go the process, forums, stock instead not proven that controversial we’re be has extent to maybe review Panel company to the is necessary, Additionally who — and if the a rapid-approval 7 — is that how felt, the some to company, 58 —._ 1 as well as a third 2 did operate 3 opportunities 4 practices 5 I’m not and others as well, and that to develop to address going 6 talk 7 and 8 questions. about then 9 party consumer we’ll MR . WESTON: 10 Elengold 11 marketplace 12 two 13 really 14 also 15 at 16 known or unknown 17 often weigh 18 these products, 19 information. know least 20 On that some 21 asked 22 actions 23 about 24 benefits us for FDAMA and often side the that effects. benefits and to address responses propose concept in the to the for public STAKEHOLDERS health MEETING, lives. rarely can We without result before in must using incomplete issue, the question: educating of balancing have they Consumers with this that risks American ones, improve risk and Mark in the however, oftentimes do you the users and As know up take medical we are, come we’ll products side, be risk/benefit, Janice. one they might or best now and Then probably Panel. Weston especially risk, In order Lisa. most really, benefit Jim Thanks, mentioned, facets. Advisory education have there conformity the to have that risks decision 4/28/99 FDA What the public against making? 59 . 1 We know that 2 public 3 reviewing 4 appropriate 5 products 6 for 7 addressed the 8 the Act, health clinical They action and 11 patients 12 inspections 13 ensuring 14 expertise. clarity 15 on Compliance and FDA’s access talk to 16 these. 17 and 18 risks 19 decision-making process 20 several expanded 21 implemented 22 other 23 of 24 discussions ability against new about benefits and by FDA, governmental risk/benefit FDAMA to and were the for agreements and health with developed patient the be expanded the 4/28/99 and groups, First, between MEETING, education enhanced concepts should of of balancing public be technical some concepts sponsors, and and public could of implementing about in the 406 availability consumers improve the which stated. monitoring, bit Plan in Section agencies. STAKEHOLDERS FDA’s scientific analyses regulated November, products, a little understanding last Maximizing postmarked of Under set information the taking objectives new to promote marketing of several of The and requirements regarding Let’s the is efficiently manner. included: 10 and research in a timely FDAMA mission by promptly Statutory 9 FDA’s and concepts FDA in and 60 _ 1 sponsors 2 process. 3 management 4 FDA and 5 its July 6 consider 7 document 8 proposals which 9 should during throughout FDAMA the and 11 benefits. 12 development 13 of an 14 approval MBC, the between Mass. Paper relative to the each made FDA if a product at 17 approval 18 sponsor 19 risks/benefits of 20 developing development 21 presented 22 agreements the as well Secondly, 23 presenting 24 consumer FDAMA Committee process, the the needs of both the as basis overall have process agency’s the regarding which MEETING, of its FDA and the in be review. criteria all discussed occurred should information to incorporate STAKEHOLDERS as well as part a balanced well-balanced there decisions is to be opinions drug for the meeting a summary and those criteria form of that process. 16 an Advisory will in of upon, the as part development of meeting discuss risk Furthermore, some the to section to risks that and points agreed relative agreements and and the Council, meeting critical should acceptable Biotech with we made for sponsors provided In accordance agreements development a guideline 18 White . be entire provided of meetings 10 15 the for to aspects 4/28/99 the of the 61 1 health care 2 provided 3 distribution 4 also 5 products, 6 provided 7 dispensed. 8 this 9 public in the of most and 11 either 12 all inserts ads a patient when for and this regarding information overlooked or insert product of often It’s is often is the complex nature the general lack the development is often can accompany products. package because knowledge which is prescription a prescription But information prescription with information process, Risk/benefit package associated 10 13 system. not of of read, be misinterpreted is if at read. While other forms of communications are 14 becoming available 15 the information 16 different manner. 17 concern, we would 18 programs with 19 risks/benefits of prescription products, 20 primary contact giving 21 prescription 22 physicians 23 the 24 to understand same -- for is often In order propose effective public the FDA the is, __ just a this explore pilot regarding the background and with the out prescribing pharmacists. risks/benefits sites in to address that that Web provided persons or dispensing with on education medicines; individuals example, These and who are training can --l FDAMA STAKEHOLDERS MEETING, 4/28/99 62 —-_ 1 directly 2 risks 3 program 4 particularly 5 are and would 8 expansion. 9 system, of risks does it’s have and 11 cooperative 12 parties 13 FDA , the 14 health 15 information likely 18 other 19 media, peers, the Third, to be 21 information 22 findings of drugs 23 expanded. This 24 information regarding and its health care time purpose. be the all sponsors, the all and to provide benefit often this to patients. stakeholders the a between pharmacists, able is Thus reached patient dissemination “scientifically -- i.e., groups, biologics on unapproved the new MEETING, of current sound” potentially includes STAKEHOLDERS of there -- is encouraged. timely cutting-edge where insufficient to give agencies and type Education encourage systems, with 20 products must consumers, the This the beneficial, this the in time federal FDAMA for physicians, care products. managed care Collaboration the we agreement in health understand a Pharmacist that or allowed best involved. In today’s allotted 17 the fast-track Program, 10 16 patients extremely for FDA Outreach be high The 7 that benefits often 6 — assure new should uses be dissemination uses and 4/28/99 and of timely and 63 1 information 2 of new 3 — regarding and FDA existing and postmarketing products. sponsors need 4 to develop 5 a two-way communication 6 process. Information 7 “scientifically 8 uses 9 health the should care 10 manner. 11 updated 12 should 13 Information 14 System 15 be full be sound” of as this approved and on unapproved to consumers safety and freely Adverse FDA profiles regarding on and products the Events be promptly the Internet in an effective available lastly, new available information also the as part manner, FDA’s cooperatively information readily from should And, tool of regarding In a similar also to work potential professionals safety surveillance Internet. Reporting posted. in order to communicate 16 effectively with 17 enhance expand 18 with 19 academia, 20 information 21 important interchanges regarding key information, 22 including risk/benefit analyses, can occur. 23 strongly encourage to expand its interactions 24 with NIH, Institutes of Health, and industry, the FDAMA and consumers the other needs collaborations governmental agencies, groups. exchange, STAKEHOLDERS patients, agency’s patient the and In this scientific FDA National MEETING, manner, expertise, 4/28/99 and We to 64 1 regarding the 2 education process. 3 And 4 MS . RAINES : arrangements 6 Janice 8 three 9 and is being I didn’t very each 11 minute 12 opportunity to offer 13 some issues 14 we’ve shorthand two the had The some first the 17 excited about, 18 discuss with 19 for close 20 let me 21 track, 22 Fast to help time, patient issue Track and to be I’d to Program which in fact had Henney to an hour when just she that the is a on that industry. about we’re is very opportunity visited weeks to Genzyme ago. And of fast by which was developed in collaboration between FDA, the Congress, and the industry, 23 to at best practices that FDA had 24 adopted through the Accelerated in raised talk the a few complex, begin look saying to address comments in the like here. the Elengold on so addressed take personal Dr. out if there I may that me fairly And some overheads, going is manner. discussions Dr. I’m is going remaining, 16 new kind of which a fairly of and advance to do my of which 10 or make somebody remaining issues, so each expertise Raines? for In the 15 —— Lisa 5 7 science-based concept Approval was already Program, —. FDAMA STAKEHOLDERS MEETING, 4/28/99 65 — 1 or through 2 where 3 extraordinary 4 the pipeline 5 see if we 6 institutionalizing 7 what — we 8 already individual we 9 what sometimes reviewers initiative viewed come and products some broadening as best works, “ taken effective up with and “skunk practices through way, and way of the scope that FDA to of had implemented. I think to a significant 10 recognize 11 existing 12 put 13 statute 14 think 15 industry. It recognizes 16 may be accelerated 17 on an approval on either 18 a short-term 19 regular 20 rule 21 focus on 22 think that 23 with 24 broadest out that fast track accelerated the guidance a few it’s either months been very clinical approval, and review the which FDAMA had to move in a rapid could call there’s knowledge, STAKEHOLDERS all builds regulations. document required ago, and by well received that by got case. approval approval broadest on MEETING, I the products end based point it may be or a the advantage of But I’m to side side is experience the the products or the FDA by fast-track point, on large, a surrogate you’ve both and approval in either regular we approval accelerated the initially end and extent part 4/28/99 going because the and of the I area 66 1 industry and 2 approval side 3 clarity 4 system. 5 —_ the agency, where that we As most of you largely in response 7 adopted an accelerated 8 recognized 9 respect which the there 11 required 12 another 13 regulation 14 accelerated 15 absence 16 irreversible 17 could 18 short-term 19 likely was a greater headache degree could This 21 questions. 22 that 23 validity 24 or mortality; of of an end but STAKEHOLDERS regulation end when than developed that provided point that was a couple an or effect a reasonably take of of than .05 proves as in affecting you a in the if an sort point disease, benefit. raises less with need, so FDA end point clinical that analysis or mortality, Scientists a P value FDA on morbidity, on a surrogate provision crisis, indicated be the 1992, flexibility they of effect to predict in medical And which clinical 20 AIDS of of in life-threatening morbidity shown a lot know, an unmet approval of proof be or accelerated injected risk/benefit remedy. under be approval to a serious for FDAMA could to the the still probably 6 10 at there’s think that and talk MEETING, about 4/28/99 a given the morbidity something 67 — 1 being reasonably 2 proving 3 much 4 chosen 5 a clinical 6 there — validity. data 8 AIDS, 9 with And do you end need outcome? is consistency look I think, which products and 11 namely, CD4 12 through showing 13 who 14 there 15 the 16 getting 17 was 18 cell 19 you 20 wasn’t 21 actually 22 approved, 23 major 24 consensus take immune cell could clarity approved eventually and that improve make people until gotten and scientific that the STAKEHOLDERS in the long end selected MEETING, -- validated for under this people regime, a reduction in to people And after last have so increase system, But people end one most point spans could the the the been longer. drugs over and dying. after past, example, immune conferences the point. led if you live these really this that eventually to predict on now life system a particular that surrogate -- has How sure experience counts than not examples showing proven FDAMA or the is: likely we’re evidence and that And most less question a brilliant products hypothesized clearly to prove increased sicker count so the the being where the was at there’s 10 that’s is reasonably point If you 7 likely, they points 4/28/99 that that that had were year, come it where to a were 68 1 validated. 2 for 3 between morbidity 4 system, that 5 would in fact 6 proven to be But expecting 7 But 8 and we 9 cancer are 10 accelerated 11 great 12 show 13 reasonably more that 14 that the the 16 for 17 essentially 18 validated looked two 19 proven . debate 20 we do need 21 by the 22 short 23 data 24 of and immune system that’ s now but used -- we case the on a postapproval there can adequate benefit. of these is a phase chosen benefit ultimately, full But as the be be yes, approved product validating how confidence MEETING, is point approve basis. neec~ to which outcome the and found you of all end AIDS point clinical clinical we data end is that collect STAKEHOLDERS where clinical ultimate to prove -- and requirement, that products areas products, concept and non-AIDS much chosen in the that provides been to predict requires that close immune products as to how study product, FDAMA other has approval So the in the span, principal approval postapproval that at at noncancer and so basis case. likely accelerated was in the life a particular 15 scientific correlation a decline improve the a good improvement Now , remember, of was and an as we look there 4/28/99 much for FDA short to 69 1 believe 2 and there’s substantial of safety efficacy? These 3 4 to ask 5 believe 6 be 7 questions, 8 place 9 but are and some we that the the 11 to do, 12 cell counts 13 There are 14 that 15 chosen 16 the 17 required 18 and for ad hoc basis aren’t general drug example, was but now must not some not an Remember AIDS also show show that potential to meet an unmet 21 we’re talking about 22 flexibility 23 compelling The FDAMA diseases second were increase able in CD4 in mortality. who believe an improvement in the the improvement all which are where was for the medical having it’s question, STAKEHOLDERS product, principles. in CBER in those that by these 20 case product taken not cases. life-threatening except has stage, 19 not should these I think an show to a normal in the of like We agencies manufacturers reviewers but would for. improvement only surrogate, up that AIDS we the on a discussion there What that an answer a discussion where way have industry on a very you questions don’t collaborating 10 24 evidence drug has need. So this cases serious MEETING, where there’s is a really 4/28/99 the greater needed. which or a 70 — — 1 difficult one 2 do you in the 3 diseases? 4 for 5 an 6 about 7 most common of about 8 same type. There 9 regarding do one My of the the 11 develop 12 short-term 13 little 14 where the 15 it’s almost 16 results 17 everybody 18 clinical 19 United 20 these 21 from 22 these trial States very here FDAMA pathology end points control data population so end requires in the diseases. in a way that to be to just document STAKEHOLDERS these to or there’s very and small that valid that could patient trial How makes point You every the there statistically a surrogate that of available, is to get is the then when is are out of surrogate is appropriate? rare I want data is it possible to enroll products guidance and little there There disorders impossible agrees . 40 genetic reliable with which Serozyme How patient a product patients. history historical for What rare sells serozyme is very clinical very diseases U.S. reasonably addresses: Genzyme, product, disorders. even with, of very, rarest a thousand other 24 case company, FDA-approved 10 23 to grapple do you for do a in the some get it possible of there for developed? remark does that discuss MEETING, FDA’s fast in a footnote 4/28/99 track the 71 — 1 use of 2 the basis 3 reviewers 4 clinical 5 accelerated 6 _— short-term end misunderstanding 8 points? 9 might There serve as 10 what extent 11 think, excellent 12 design of 13 confirmation 14 short-term 15 increases 16 get 17 where 18 particular? 19 that 20 handout 24 response serve serve There as are short-term as the were the we type some of basis of or are we of look at an your end the level is a very And end these mentioned, And for that to and, deals point level I with the crossand a overall but doesn’t statistical small that previous look point of given that to confidence end approval. document trials clinical short-term examples basis FDA issue, of a surrogate to the quite significance, patient population are really the and they now to the let me begin with Dr. are two in points in your . I’m that the clinical I just 23 said an education can there generic to approval. have can points approval. 7 22 who points is this you end of an accelerated in CBER So 21 clinical going to move biologics, we were very to the and pleased Senate indicating issue by of saying Henney’s that she had —. FDAMA STAKEHOLDERS MEETING, 4/28/99 no 72 1 plans 2 system. 3 was up 4 MBC where 5 indicated 6 intent 7 would 8 approach create And here a few she would do biologic further weeks ago elaborated on that she need that. amendments 11 don’t address 12 basis for 13 approval 14 reasons And 15 macromolecules 16 simpler 17 most aside to the meeting when she with the that response that Congressional demonstrated from and before that’s look and to go there at FDA a wise through that tend no Act legal sound scientific complex way to be than the the basis of approvals. we do have a concern 19 that 20 think 21 lipoproteins, are sometimes 22 Some are products 23 Intercenter 24 divvied products that of as biologics, these up 1994 a generic some large the Cosmetic there’s are these that and in a different However, some fact Drug biologics process, drug the Food, molecules FDAMA and I think biologics to of encouraged believed to be approval to take. 10 18 a generic we were I think 9 — to most of us recombinant that in which jurisdiction over MEETING, fact staff proteins, as drugs. predated CBER these the non-FDA regulated Agreement STAKEHOLDERS with and type 4/28/99 the CDER of 73 1 products. 2 center 3 of disputes 4 would 5 protein. Some or the get other within 7 for 8 consistency 9 create kinds scientific a result 10 generic 11 wouldn’t, 12 agency. at some The 14 developed 15 particular 16 based on a very 17 quote directly 18 I’m sure 19 it, and 20 very 21 whichever 22 based 23 materials, 24 What on health future based on was a seen, STAKEHOLDERS other convenience which of the agencies, two and a this familiar it seems that this the appropriate MEETING, is a with concept product to put characteristics, however, is Agreement. very put the was are it’s go over or pharmacologic we’ve and the as not dispute basically physical opinion, as well Intercenter people face our should concept, the recombinant might the between elegant You its on center product Agreement, from center point aware which reasons one to one we’re in in which CBER simple: over reasons, there its agency and fairness product the then, assigned a particular Intercenter when been of discussions, merely 13 FDAMA the public and have since to regulate Those 6 of them in it in source properties. is that 4/28/99 when you is 74 1 actually 2 combination 3 interests 4 inconsistent 5 examples 6 specifically 7 Agreement 8 For 9 that centers, are principles historic you these real-life get are some just examples in the in jurisdictional that And stated or a few that are Intercenter . certain kinds a product 11 Polynucleotide 12 made 13 biologics. 14 extracted 15 would 16 for 17 molecular 18 composition. 19 determines, as a drug using The exact tissue And for DNA, same or 21 for 22 manufacturing 23 product 24 drug, other the It may the it is method is a hormone, if they regulated molecule, if And have is there yet the it may have MEETING, same method it a biologic? are other is irrelevant. matter the be same Agreement it gets as it was manufacturing or are synthesized, It may mere hand, it doesn’t whether chemically Intercenter STAKEHOLDERS are disease. is it a drug the you example, as a drug. same how or as a biologic. exact weight. and determines recombinant regulated which of products, products, from be FDAMA these results. regulated On the of both 10 the to apply with manufacture 20 — try says If your regulated if it’s 4/28/99 produc:ts as a a recombinant 75 —. 1 product 2 Similarly, 3 regulated 4 are product. allergenic with products regard manufacturing 6 is: 7 didn’t 8 differentiating 9 products It depends see on any the to how clear the these general historically CDER 11 antibiotics, and 12 authority 13 that . 14 our 15 jurisdiction, expertise, 16 considerations . over And are they Again, the take 19 CDER. If you 20 a lot of blood 21 much a product same take and 23 is derived 24 then the FDAMA it which from has had authority exceptions which presumably and second-generation STAKEHOLDERS has regulated regulated recombinant MEETING, to If yOU regulated 4/28/99 by contains pretty as if a first-generation tissue at historical matter. tissue, it’s ancl other it’s from of that with materials blood, product, Furthermore, out I for hormones to conform source from except statutory and And classes CBER to carve principles 18 the had two done historically and answer rationale rule, always blood, so we general has The of product. scientific between and matter? kind 10 22 — and as biologics So does 17 . vaccines synthesized made. 5 — or a chemically a drug. product as a drug, product