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Federal Register / Vol. 72, No.

102 / Tuesday, May 29, 2007 / Notices 29519

or in combination with other active C. Discontinued Products DEPARTMENT OF HEALTH AND


ingredients, that are not currently HUMAN SERVICES
marketed products on the effective date Some firms may have previously
of this notice must, as of this date, have discontinued the manufacturing or Food and Drug Administration
approved applications prior to their distribution of products covered by this
[Docket No. 2007N–0204]
shipment in interstate commerce. notice without removing them from the
However, for unapproved timed-release listing of their products under section Joint Meeting of the Gastrointestinal
guaifenesin products that are currently 510(j) of the act. Other firms may Drugs Advisory Committee and the
marketed as of the date of this notice discontinue manufacturing or marketing Drug Safety and Risk Management
(i.e., timed-release guaifenesin products listed products in response to this Advisory Committee; Notice of Meeting
that are not approved but have an NDC notice. Firms that wish to notify the
number that is listed with the agency on agency of product discontinuation AGENCY: Food and Drug Administration,
the effective date of this notice), the should send a letter, signed by the firm’s HHS.
agency intends to exercise its chief executive officer, fully identifying ACTION: Notice.
enforcement discretion to permit the the discontinued product(s), including
products marketed with those NDC This notice announces a forthcoming
its NDC number(s), and stating that the meeting of a public advisory committee
numbers a period of continued product(s) has (have) been discontinued
marketing after May 29, 2007 as follows. of the Food and Drug Administration
and will not be marketed again without (FDA). The meeting will be open to the
FDA does not intend to initiate
FDA approval, to Sakineh Walther (see public.
enforcement actions against firms that
ADDRESSES). Firms should also update Name of Committees: Gastrointestinal
are manufacturing currently marketed
products unless those firms are still the listing of their products under Drugs Advisory Committee and the Drug
manufacturing the products on or after section 510(j) of the act to reflect Safety and Risk Management Advisory
August 27, 2007. Further, FDA does not discontinuation of unapproved timed- Committee.
intend to initiate enforcement actions release products containing guaifenesin. General Function of the Committees:
related to the shipment in interstate FDA plans to rely on its existing To provide advice and
commerce of currently marketed records, the results of a subsequent recommendations to the agency on
products made by such firms unless inspection, or other available FDA’s regulatory issues.
they are still being shipped on or after information when it initiates Date and Time: The meeting will be
November 26, 2007.2 The agency, enforcement action. held on July 31, 2007, from 8 a.m. to 5
however, does not intend to exercise its p.m.
enforcement discretion as outlined in D. Reformulated Products Addresses: Electronic comments
this paragraph if: (1) A manufacturer or should be submitted to http://
In addition to discontinuing the www.fda.gov/dockets/ecomments.
distributor of an unapproved product manufacturing of products covered by
covered by this notice is violating other Select ‘‘2007— Efficacy and Safety of
this notice, FDA cautions firms against TYSABRI (natalizumab) for Patients
provisions of the act or (2) it appears
reformulating their products into With Moderately to Severely Active
that a firm, in response to this notice,
guaifenesin-free unapproved new drugs Crohn’s Disease’’ and follow the
increases its manufacture or interstate
shipment of drug products covered by that are marketed under the same name prompts to submit your statement.
this notice above its usual volume or substantially the same name Written comments should be submitted
during these periods. (including a new name that contains the to the Division of Dockets Management
Drug manufacturers and distributors old name). In the Marketed Unapproved (HFA–305), Food and Drug
should be aware that the agency is Drugs CPG, FDA states that it intends to Administration, 5630 Fishers Lane, rm.
exercising its enforcement discretion as give higher priority to enforcement 1061, Rockville, MD 20852. All
described previously only in regard to actions involving unapproved drugs that comments received will be posted
timed-release drug products containing are reformulated to evade an FDA without change, including any personal
guaifenesin that are marketed under an enforcement action. In addition, information provided. Comments
NDC number listed with the agency on reformulated products marketed under a received on or before July 24, 2007, will
the effective date of this notice. Such name previously identified with a be provided to the committee before the
unapproved drug products that are not different active ingredient or meeting.
currently marketed and listed with the combination of active ingredients have Location: Holiday Inn, The Ballrooms,
agency on the effective date of this the potential to confuse health care Two Montgomery Village Ave.,
notice must, as of the effective date of practitioners and harm patients. Gaithersburg, MD.
this notice, have approved applications Depending on the circumstances, these Contact Person: Victoria Ferretti-
prior to their shipment in interstate Aceto, Center for Drug Evaluation and
products may be considered misbranded
commerce. Moreover, submission of an Research (HFD–21), Food and Drug
under section 502(a) or (i) of the act (21
application does not excuse timely Administration, 5600 Fishers Lane (for
U.S.C. 352(a) and (i)).
compliance with this notice. express delivery, 5630 Fishers Lane, rm.
This notice is issued under the act 1093), Rockville, MD 20857, 301–827–
2 If a firm continues to manufacture or market a (sections 502 and 505) and under 7001, FAX: 301–827–6776, e-mail:
product covered by this notice after the applicable authority delegated to the Deputy Victoria.FerrettiAceto@fda.hhs.gov, or
enforcement date has passed, to preserve limited Commissioner for Policy under section FDA Advisory Committee Information
agency resources, FDA may take enforcement action
relating to all of the firm’s unapproved drugs that
1410.10 of the FDA Staff Manual Guide. Line, 1–800–741–8138 (301–443–0572)
in the Washington, DC area), codes 301–
sroberts on PROD1PC70 with NOTICES

require applications at the same time (see, e.g., Dated: May 15, 2007.
United States v. Sage Pharmaceuticals, 210 F.3d 451–2538 and 301–451–2535. Please
475, 479–480 (5th Cir. 2000) (permitting the agency Jeffrey Shuren,
call the Information Line for up-to-date
to combine all violations of the act in one Assistant Commissioner for Policy.
proceeding, rather than taking action against a firm
information on this meeting. A notice in
with multiple violations of the act in ‘‘piecemeal
[FR Doc. E7–10266 Filed 5–25–07; 8:45 am] the Federal Register about last minute
fashion’’)). BILLING CODE 4160–01–S modifications that impact a previously

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29520 Federal Register / Vol. 72, No. 102 / Tuesday, May 29, 2007 / Notices

announced advisory committee meeting notify interested persons regarding their that impact a previously announced
cannot always be published quickly request to speak by July 11, 2007. advisory committee meeting cannot
enough to provide timely notice. Persons attending FDA’s advisory always be published quickly enough to
Therefore, you should always check the committee meetings are advised that the provide timely notice. Therefore, you
agency’s Web site and call the agency is not responsible for providing should always check the agency’s Web
appropriate advisory committee hot access to electrical outlets. site and call the appropriate advisory
line/phone line to learn about possible FDA welcomes the attendance of the committee hot line/phone line to learn
modifications before coming to the public at its advisory committee about possible modifications before
meeting. meetings and will make every effort to coming to the meeting.
Agenda: The committee will discuss accommodate persons with physical Agenda: The committee will discuss,
TYSABRI (natalizumab) biologic license disabilities or special needs. If you make recommendations, and vote on a
application (BLA) 125104/33, Biogen require special accommodations due to premarket approval application for the
Idec, Inc., for the proposed indication of a disability, please contact Victoria Bryan Total Cervical Disc Prosthesis,
inducing and maintaining sustained Ferretti-Aceto at least 7 days in advance sponsored by Medtronic Sofamor
response and remission, and eliminating of the meeting. Danek, Inc. This device is indicated in
corticosteroid use in patients with Notice of this meeting is given under skeletally mature patients with cervical
moderately to severely active Crohn’s the Federal Advisory Committee Act (5 degenerative disc disease (DDD) at one
disease with inflammation, as U.S.C. app. 2). level from C3–C7. DDD is defined as any
evidenced by elevated C-reactive Dated: May 22, 2007.
combination of the following: Disc
protein level or another objective herniation with radiculopathy,
Randall W. Lutter,
marker. The committee will discuss the spondylotic radiculopathy, disc
Associate Commissioner for Policy and herniation with myelopathy, or
risks (including progressive multifocal Planning.
leukoencephalopathy) associated with spondylotic myelopathy.
[FR Doc. E7–10270 Filed 5–25–07; 8:45 am] FDA intends to make background
TYSABRI (natalizumab) administration,
its efficacy in the treatment of moderate
BILLING CODE 4160–01–S material available to the public no later
than 2 business days before the meeting.
to severe Crohn’s disease, and proposed
If FDA is unable to post the background
risk management plan(s). DEPARTMENT OF HEALTH AND material on its Web site prior to the
FDA intends to make background HUMAN SERVICES meeting, the background material will
material available to the public no later be made publicly available at the
than 2 business days before the meeting. Food and Drug Administration location of the advisory committee
If FDA is unable to post the background meeting, and the background material
material on its Web site prior to the Orthopaedic and Rehabilitation
Devices Panel of the Medical Devices will be posted on FDA’s Web site after
meeting, the background material will the meeting. Background material is
be made publicly available at the Advisory Committee; Notice of Meeting
available at http://www.fda.gov/ohrms/
location of the advisory committee AGENCY: Food and Drug Administration, dockets/ac/acmenu.htm, click on the
meeting, and the background material HHS. year 2007 and scroll down to the
will be posted on FDA’s Web site after appropriate advisory committee link.
ACTION: Notice.
the meeting. Background material is Procedure: Interested persons may
available at http://www.fda.gov/ohrms/ This notice announces a forthcoming present data, information, or views,
dockets/ac/acmenu.htm, click on the meeting of a public advisory committee orally or in writing, on issues pending
year 2007 and scroll down to the of the Food and Drug Administration before the committee. Written
appropriate advisory committee link. (FDA). The meeting will be open to the submissions may be made to the contact
Procedure: Interested persons may public. person on or before July 3, 2007. Oral
present data, information, or views, Name of Committee: Orthopaedic and presentations from the public will be
orally or in writing, on issues pending Rehabilitation Devices Panel of the scheduled for 30 minutes at the
before the committee. Written Medical Devices Advisory Committee. beginning of the committee
submissions may be made to the contact General Function of the Committee: deliberations and for 30 minutes near
person on or before July 18, 2007. Oral To provide advice and the end of the deliberations, Those
presentations from the public will be recommendations to the agency on desiring to make formal oral
scheduled between approximately 1 FDA’s regulatory issues. presentations should notify the contact
p.m. and 2:30 p.m. Those desiring to Date and Time: The meeting will be person and submit a brief statement of
make formal oral presentations should held on July 17, 2007, from 8 a.m. to 5 the general nature of the evidence or
notify the contact person and submit a p.m. arguments they wish to present, the
brief statement of the general nature of Location: Hilton Washington DC names and addresses of proposed
the evidence or arguments they wish to North/Gaithersburg, Salons A, B, and C, participants, and an indication of the
present, the names and addresses of 620 Perry Pkwy., Gaithersburg, MD. approximate time requested to make
proposed participants, and an Contact Person: Ronald P. Jean, their presentation on or before June 25,
indication of the approximate time Center for Devices and Radiological 2007. Time allotted for each
requested to make their presentation on Health (HFZ–410), Food and Drug presentation may be limited. If the
or before July 10, 2007. Time allotted for Administration, 9200 Corporate Blvd., number of registrants requesting to
each presentation may be limited. If the Rockville, MD, 20850, 240–276–3676, or speak is greater than can be reasonably
number of registrants requesting to FDA Advisory Committee Information accommodated during the scheduled
speak is greater than can be reasonable Line, 1–800–741–8138 (301–443–0572 open public hearing session, FDA may
sroberts on PROD1PC70 with NOTICES

accommodated during the scheduled in the Washington, DC area), code conduct a lottery to determine the
open public hearing session, FDA may 3014512521. Please call the Information speakers for the scheduled open public
conduct a lottery to determine the Line for up-to-date information on this hearing session. The contact person will
speakers for the scheduled open public meeting. A notice in the Federal notify interested persons regarding their
hearing session. The contact person will Register about last minute modifications request to speak by June 26, 2007.

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