FDABAA-18-00123.pdf

FDABAA-18-00123

Overview Information

Agency Name: Department of Health and Human Services, Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993

Issuing Office: Department of Health and Human Services, Food and Drug Administration, Office of Acquisitions & Grants Service, 5630 Fishers Lane, Rockville, MD 20857

Research Opportunity Title: Food and Drug Administration Broad Agency Announcement for the Advanced Research and Development of Regulatory Science

Announcement Type: Broad Agency Announcement

Eligible Applicants: This BAA is open to ALL responsible sources. Offerors may include single entities or teams from private sector organizations, Federally Funded Research and Development Centers (FFRDCs) (see page 4 for FFRDC eligibility requirements) and academic institutions.

Research Opportunity Description: Food and Drug Administration solicits the advanced research and development for regulatory science. FDA anticipates that research and development activities awarded under this BAA will serve to advance scientific knowledge to accomplish its mission to protect and promote the health of our nation.

Types of instruments that may be awarded: Procurement Contracts

TABLE OF CONTENTS

INTRODUCTION

Part I: Research Areas of Interest

Part II: Reporting Requirements and Deliverables

Part III: Proposal Preparation and Submission

Section 1: The Application Process

Section 2: Stage 1 Quad Chart and White Paper

Section 3: Quad Chart and White Paper Submission

Section 4: Stage 2 Full Proposal Preparation

Section 5: Full Proposal Submission

Section 6: General Information

Part IV: Proposal Evaluation

Award Decision

Part V: Attachments

Attachment 1: Summary of Related Activities

Attachment 2: Government Notice for Handling Proposals

Attachment 3: Quad Chart and White Paper Format Template

Attachment 4: Research and Development Justification

INTRODUCTION

Advancing Regulatory Science and Innovation

This Broad Agency Announcement (BAA), which sets forth research areas of interest for Food and Drug Administration, is issued under the Federal Acquisition Regulation (FAR) part 35.016(c). The purpose of this BAA is to provide a mechanism by which FDA can utilize industry’s and academia’s capabilities to advance the state of the art and achieve improvements in technology, materials, processes, methods, devices, or techniques in specific topics as described in this document. Proposals selected for award are the result of full and open competition and in full compliance with the provision of Public Law 98-369, "The Competition in Contracting Act of 1984" and subsequent amendments.

The FDA protects and promotes the health and safety of all Americans through enhancing the availability of safe medical products and foods and promoting innovation that addresses unmet medical and public health needs. FDA also protects and promotes the health and safety of animals through assuring the availability of safe animal drug products and food. Since 2009, FDA has worked to reduce the harm from all regulated tobacco products. FDA is a science-based regulatory agency and a critical component to the success of the nation’s public health, health care systems, and economy. FDA was created in 1906 as one of our nation’s principal consumer product protection agencies, and is now responsible for assuring the safety of biologics, such as blood products and vaccines, drugs, medical devices, foods, cosmetics, and many other consumer goods.

In the US, FDA-regulated products account for about 25 cents of every dollar spent by American consumers each year — products that touch the lives of every American daily. FDA is responsible for advancing the public health by helping to speed innovations that make foods safer and make medicines and devices safer and more effective. At the same time, FDA helps consumers and health care providers get the accurate and science-based information they need to make the best possible decisions about their use of medical products and foods. FDA is working to protect Americans from tobacco-related death and disease. FDA must make decisions based on the best available scientific data and using the best tools and methods available to ensure products meet the highest quality standards for consumers, while at the same time fostering and advancing innovation in the products it regulates.

The core responsibility of FDA is to protect consumers by applying the best possible science to its regulatory activities — from pre-market review of efficacy and safety of many of its regulated-products; to post-market product surveillance to review of product quality; to regulation of the manufacture, distribution and marketing of tobacco products. In the last few years, rapid advances in innovative science have provided new technologies to discover, manufacture and assess novel medical products, and to improve food safety and quality; FDA must keep pace with and utilize these new scientific advances to accomplish its mission to protect and promote the health of our nation.

The BAA is open to all responsible sources. Offerors may include single entities or teams from private sector organizations, Federally Funded Research and Development Centers (FFRDCs), and academic institutions. Non-U.S. organizations and/or individuals may participate to the extent that such participants comply with any necessary nondisclosure agreements, security regulations, export control laws, and other governing statutes applicable under the circumstances.

Federally Funded Research and Development Centers (FFRDCs) and Government entities (e.g., Government/National laboratories, military educational institutions) are subject to applicable direct competition limitations and cannot propose to this BAA in any capacity unless they meet the following conditions:

1. Clearly demonstrate that the proposed work is not otherwise available from the private sector.

2. Provide a letter on official letterhead from their sponsoring organization citing the specific authority establishing their eligibility to propose to Government solicitations and compete with industry, and their compliance with the associated sponsoring agreement and terms and conditions.

Historically Black Colleges and Universities (HBCU), Minority Institutions (MI), Small Business concerns, Small Disadvantaged Business concerns, Women-Owned Small Business concerns, Veteran-Owned Small Business concerns, Service-Disabled Veteran-Owned Small Business concerns, and HUB Zone Small Business concerns are encouraged to submit proposals and to join other entities as team members in submitting proposals.

The purpose of this BAA is to solicit proposals that focus on one or more of the following areas of interest as listed here and further described in Part I of this announcement.

1. Modernize Toxicology to Enhance Product Safety

2. Stimulate Innovation in Clinical Evaluations and Personalized Medicine to Improve

Product Development and Patient Outcomes

3. Support New Approaches to Improve Product Manufacturing and Quality

4. Ensure FDA Readiness to Evaluate Innovative Emerging Technologies

5. Harness Diverse Data through Information Sciences to Improve Health Outcomes

6. Implement a New Prevention-Focused Food Safety System to Protect Public Health

7. Facilitate Development of Medical Countermeasures to Protect Against Threats to U.S.

and Global Health and Security

8. Strengthening Social and Behavioral Science at FDA by Enhancing Audience

Understanding

9. Strengthening the Global Product Safety Net

Multiple awards are anticipated. The amount of resources made available for individual contract awards under this BAA will depend on the quality of the proposals received and the availability of funds. All funding is subject to government discretion and availability.

The Government reserves the right to select for negotiation all, some, one, or none of the proposals received in response to this solicitation, and to make awards without discussions with proposers. The Government also reserves the right to conduct discussions if it is later determined to be necessary. If warranted, portions of resulting awards may be segregated into pre-priced options. Additionally, FDA reserves the right to accept proposals in their entirety or to select only portions of proposals for award. In the event FDA desires to award only portions of a proposal, negotiations may be opened with that proposer. The Government reserves the right to fund proposals in phases with options for continued work at the end of one or more of the phases.

To be eligible for award, a prospective recipient must meet certain minimum standards pertaining to financial resources, ability to comply with the performance schedule, prior record of performance, integrity, organization, experience, operational controls, technical controls, technical skills, facilities, and equipment.

This BAA is available on the following websites:

https://www.fbo.gov

This BAA is a continuously open announcement valid throughout the period from the date of issuance through the closing date specified in fbo.gov. Amendments to this BAA will be posted to fbo.gov when they occur. Interested parties are encouraged to periodically check these websites for updates and amendments.

Part I: Research Areas of Interest

Through this BAA, FDA seeks to support advanced research and development strategies in the following research areas of interest. This section presents the technical objectives that FDA seeks to achieve through this BAA. Offerors should propose a Statement of Work (SOW) that is consistent with research and development work as defined in FAR 35.001. Proposal preparation and submission instructions are contained in Part III.

1. Modernize Toxicology to Enhance Product Safety

FDA seeks to improve the toxicologic and pharmacologic tools used to minimize risk and evaluate product safety and efficacy by conducting internal and collaborative research and development. Areas of interest include:

1.1 Develop better models of human and animal (where applicable) adverse response:

1.1.1 Evaluate and promote the use of cell- and tissue-based assays that more accurately represent human susceptibility than animal models to adverse reactions;

1.1.2 Develop new animal models that better mimic diseases to better understand the potential influence of disease progression and disease co-morbidities on the emergence of adverse events;

1.1.3 Promote a better understanding of toxicity mechanisms by evaluating safety assessment data at multiple levels of biological organization including genes, proteins, pathways, and cell/organ function;

1.1.4 Assess and characterize molecular targets, host genetic and inflammatory factors that may be associated with rare and unexpected adverse events (“off-target” drug effects);

1.1.5 Initiate in vitro and in vivo studies to identify potential biomarkers of harm associated with exposure to tobacco products or tobacco product constituents;

and the onset of tobacco related diseases; and

1.1.6 Initiate in vitro studies to identify potential markers of harm associated with exposure to medical products.

1.1.7 Develop modern methods for biocompatibility and biological risk evaluations for new device materials.

1.1.8 Develop methods that facilitate the use of cell- and tissue-based assays that more accurately assess human adverse response to ingredients in dietary supplements

1.2 Identify and evaluate biomarkers and endpoints that can be used in non-clinical and clinical evaluations:

1.2.1 Evaluate the accuracy (specificity and sensitivity) with which animal models and in vitro assays correctly predict potential human and animal risk;

1.2.2 Assess concordance between animal and human biomarkers of toxicity and determine how the performance of these biomarkers and their interpretation may vary across different organ systems and human populations; and

1.2.3 Evaluate quantitative imaging (e.g. positron emission tomography, magnetic resonance imaging, computed tomography) and other advanced approaches (e.g.

metabolomics) for identifying new biomarkers and predictors of efficacy and adverse responses of a chemical.

1.2.4 Leverage precision medicine and biomarkers for predicting medical device performance, disease diagnosis and progression.

1.2.5 Evaluate the role of the microbiome in contributing to adverse responses through alterations in metabolism or other mechanisms and identify biomarkers.

1.3 Use and develop computational methods and in silico modeling:

1.3.1 Improve the value of chemical Structure-Activity Relationship (SAR) models in the prediction of human risk.

1.3.2 Develop, validate and implement approaches to link chemical structures and substructures to a wide range of information about product risk and safety, disease targets, and toxicity mechanisms;

1.3.3 Develop clinical trial simulation models that can reveal interactions between drug or device effects, patient characteristics, and disease variables influencing outcomes;

1.3.4 Develop computer models of cells, organs, and systems to predict product risk, safety and efficacy;

1.3.5 Develop computer models that integrate pharmacokinetic, pharmacodynamic, materials science, or mechanistic safety data to predict clinical risk and corroborate post-market findings in different patient populations; and

1.3.6 Develop and apply data mining, knowledge building, and data visualization tools to inform computer model development, clinical risk prediction, and regulatory decision-making.

1.3.7 Develop computer models for assessing the risk of new tobacco products that will potentially enter the market by considering potential risks to users of the products and users’ demographic attributes and usage patterns.

1.3.8 Develop data analysis techniques and perform data profiling in order to improve overall regulatory data quality and support mathematical, statistical modeling and analysis capabilities to derive enhanced analytical results for human drug regulatory operations.

1.3.9 Develop computer models of cells, organs, and systems to predict risk and safety of ingredients in dietary supplements, including potential interactions with drugs and other dietary supplements.

2. Stimulate Innovation in Clinical Evaluations and Personalized Medicine to Improve

Product Development and Patient Outcomes

FDA seeks to develop new tools and approaches needed to catalyze the development of personalized medicine and to modernize and advance the science and conduct of clinical trials. Areas of interest include:

2.1 Develop and refine clinical trial designs, endpoints and analysis methods:

2.1.1. Refine clinical trial design and statistical methods of analysis to address issues such as missing data, multiple endpoints, composite endpoints, patient enrichment, and adaptive designs;

2.1.1.1 Refine or develop statistical clinical trial designs and data analyses methods for leveraging data from external sources such as historical studies, patient registries, insurance claims, electronic health records and pre-clinical studies;

2.1.1.2 Develop and validate statistical program packages for innovative clinical trial designs and data analyses;

2.1.2 Identify and evaluate improved clinical endpoints and related biomarkers for trials in areas where optimal endpoints are lacking (e.g., efficacy and safety endpoints for osteoarthritis in humans and animals, for gene therapy, for transplant-related studies (endpoints and duration), for ophthalmic indications, for tumor vaccines, and for stem cell-derived therapies);

2.1.3 Develop novel trial designs and endpoints for special needs (e.g., small trials for orphan indications, designs and endpoints for pediatric trials including neonatal trials);

Pilot research to assess the impact of Accelerated approval (AA), and Fast track

(FT), priority review (PR), and Breakthrough (BT) designations to help assess adequacy of pre-market efficacy and safety assessments and the generalizability of the findings from smaller clinical trial populations to larger more diverse populations. The impact of incentives for the respective programs such as marketing exclusivity, priority review vouchers and the application of flexibility and scientific judgment available under existing regulations needs to be assessed. The intent is to identify factors or metrics that may further enhance drug development and safe and effective use post-approval. Approaches include:

A. Assessing the adequacy of currently available data sources to conduct appropriate analyses and tracking and B. Identifying appropriate comparators for assessing impacts.

C. Identifying factors either common for all or particular to each expedited program that can assess:

• Safety of the drugs in the post-approval period (e.g., higher numbers/rates of withdrawals, adverse events reported, or serious labeling changes for safety, such as a boxed warning or restricted indication)

• Timelines, achievement of milestones or costs during drug development

• Application of novel or innovative clinical trial designs and data analyses

• Clinical trial population sizes and diversity; drug, disease, or program attributes (such as available natural history studies or registries, patient-advocacy involvement, funding sources, drug class or disease precedent)

• Pricing and accessibility post-approval; and effectiveness post-approval

• In particular for orphan drugs, effectiveness of programs and incentives to address unmet medical needs in the rare disease population and FDA's use of flexibility for rare disease drug development and approvals

2.1.4 Continue to refine the use of modeling and simulation in clinical trial design to enhance the effectiveness of clinical studies; and

2.1.6 Develop practical methods to determine the absolute or comparative effectiveness of patient-matched medical products

2.1.7 Develop educational materials to enhance FDA’s capacities to conduct review of clinical outcome assessments (and their resulting endpoints), including patient-reported outcomes, clinician-reported outcomes, observer-reported outcomes, and performance outcomes.

2.1.8 Identify and evaluate good practices of patient involvement in clinical study design and conduct.

2.2 Leverage existing and future data:

2.2.1 Develop quantitative models and measures of disease progression; and

2.2.2 Utilize large, pooled clinical trial datasets to identify potential trial endpoints, explore differences in specific populations and subpopulations (e.g., stage of disease, chronic disease states, sex, race and ethnicity, pediatrics and age groups) and different subsets of diseases, improve understanding of relationships between clinical parameters and outcomes, and evaluate clinical utility of potential biomarkers.

2.2.3 Develop new methodologies to harness big data or real-world data (e.g. pragmatic clinical trials) for regulatory decision-making.

2.2.4 Survey existing and develop new statistical methods for synthesizing data from various sources such outside of US studies, historical studies, and registries.

2.3 Identify and qualify biomarkers and study endpoints:

2.3.1 Facilitate identification and qualification of new and improved biomarkers for safety and efficacy, pharmacodynamic response - dose selection, disease severity, progression and prognosis, and pharmacogenomics (to predict safety and efficacy or guide dosing); and

2.3.2 Develop and evaluate novel approaches for biomarker identification, including -omics, systems biology, and high throughput methods.

2.3.3 Develop robust techniques to evaluate the ability of patient-matching processes

(e.g. algorithms, workflows, software) used to fit implants and surgical guides across the variability within a desired population.

2.4 Facilitate Antibacterial Drug Development and Address Antibacterial Drug

Resistance

Antibacterial drug resistance is a major threat to public health. FDA’s roles in combatting antibacterial drug resistance are to: (1) facilitate the development of new antibacterial drugs to treat patients and (2) advance the science of clinical trial design. FDA is interested in the following topic areas:

2.4.1 Evaluate potential innovations in clinical trial design for new antibacterial drugs such as enrollment strategies, data collection streamlining, drug development tools, clinical endpoints, and new statistical analytic approaches

2.4.2 Advance the science of in-vitro, animal model, and/or pharmacokinetic studies to facilitate antibacterial drug development, including studies focused on drug development for special populations such as patients with unmet need, children and patients with renal or hepatic dysfunction

2.4.3 Evaluate strategies to enrich enrollment in clinical trials for new antibacterial drugs such as the use of rapid diagnostic tests

2.4.4 Advance the science of antibacterial drug susceptibility testing

3. Support New Approaches to Improve Product Manufacturing and Quality

FDA seeks to support the application of novel technologies to product development and innovative analytical approaches to improve product manufacturing and quality through active research. Areas of interest include:

3.1 Enable development and evaluation of novel and improved materials and manufacturing methods:

3.1.1 Investigate the effects of continuous manufacturing (manufacturing using a continuous process, rather than a batch approach) on product quality.

The FDA and the HHS Biomedical Advanced Research and Development Authority (BARDA) have identified continuous manufacturing (CM) as an emerging technology within the pharmaceutical industry that has significant potential to improve agility, flexibility, cost, and robustness in the development of manufacturing processes. Although the continuous input of active pharmaceutical ingredient in the manufacturing of small-molecule drug products has been met with some success, as has the production of biotechnology products (e.g. monoclonal antibodies) by means of continuous perfusion bioreactors, end to-end continuous manufacturing from reagents to drug product at a commercial scale has not been realized.

Some specific CM enabling areas of research could include the following, but proposals should clearly describe the potential impacts of the proposed enabling technology on readiness for broad implementation in pharmaceutical industry, control strategy, and/or regulatory evaluation of CM, and should clearly quantify the improvement metric for implementation of CM at a commercial scale as compared to batch or pilot production if relevant:

• Integration of enhanced in-line process analytical technologies that can enable real-time measurement of critical quality attributes

• Continuous manufacturing for complex dosage forms (e.g. modified release, biotechnology products, etc.)

• Technology, tools, or approaches (including modeling approaches) that streamline the integration of multiple continuous operations

• Continuous processes for homogeneous production of final dosage forms (e.g., strip film manufacturing system, injection molding, and printing).

3.1.2 Examine specific novel material and manufacturing technologies to determine how they impact product failure rates; and

3.1.3 Evaluate complex drug substances and complex drug product dosage forms, especially potential regulatory questions related to drug quality.

Some specific areas of research could include the following, but proposals should clearly describe the potential impacts of the proposed enabling technology on readiness for broad implementation in pharmaceutical industry, control strategy, and/or regulatory evaluation for complex drug substances and complex drug product dosage forms:

• Appropriate analytical methods for complex drug substances or products

• In-process controls during manufacturing processes to ensure product quality

• Raw material quality control

3.1.4 Explore novel approaches to incorporating medical device development concepts and methodologies, including quality and risk management.

3.1.5 Develop and evaluate practical in-process monitoring systems, methods, and metrics for additive manufacturing processes.

3.2 Develop new analytical methods:

3.2.1 Investigate feasibility and value of using improved analytical technologies like nuclear magnetic resonance (NMR), mass spectrometry, or near infrared or Raman spectroscopy for evaluating product quality of pharmaceutical agents and other regulated products, and evaluate whether these improved technologies should be incorporated into product assessments;

3.2.2 Evaluate applicability of various analytic technologies for determination of the “similarity” of biosimilars to their reference products;

3.2.3 Perform statistical research to support development and evaluation of new assays and tests needed to assure analytical methods give consistent reproducible results; and

3.2.4 Develop improved methods and tools to detect and measure the physical structure, chemical properties, and biological behavior of engineered nanomaterials, additively manufactured pharmaceuticals (pharmacoprinted products), and complex dosage forms (e.g., transdermal patches, inhalation delivery systems, and targeted drug delivery systems) in FDA-regulated products.

3.2.5 Develop methods to assess quality of glycerin develop methods to identify the quality

(crude vs industrial vs usp) and potential contaminants in the various glycerin grades used in finished products (for e.g. jerky pet treats for animals, drugs for humans and animals).

3.2.6 Advance tests and methods for predicting and monitoring medical device clinical performance.

3.3 Reduce risk of microbial contamination of products:

3.3.1 Develop sensitive, rapid, high-throughput methods to detect, identify, and enumerate microbial and chemical contaminants and validate their utility in assessing product sterility; and

3.3.2 Develop and evaluate methods for microbial inactivation/removal from medical products that are not amenable to conventional methods of sterilization.

3.3.3 Enhance safety and performance of reusable devices by improving the quality and effectiveness of antimicrobials, sterilization and reprocessing of medical devices.

3.4 Improve scientific approaches to evaluate generic drugs

In July 2012, Congress passed the Generic Drug User Fee Amendments (Title III of the Food and Drug Administration Safety and Innovation Act (Public Law 112-144)). The Generic Drug User Fee Amendments (GDUFA) is designed to enhance public access to safe, high-quality generic drugs, and to reduce costs to industry. To support this goal, FDA agreed in the GDUFA commitment letter to consult with industry and the public in order to create an annual list of regulatory science initiatives specific to research on generic drugs for each year covered by GDUFA. This commitment continues in the Generic Drug User Fee Amendments of 2017 (GDUFA II). The research activities related to the FY 2018 topic areas are as follows:

3.4.1 Post-market Evaluation of Generic Drugs

3.4.1.1 Develop surveillance and monitoring methods for generic drug substitutions.

3.4.1.2 Understand patient perceptions of generic drug quality and effectiveness.

3.4.2 Complex active ingredients, formulations, or dosage forms

3.4.2.1 Improve advanced analytics for characterization of chemical compositions, molecular structures and distributions in complex active ingredients

3.4.2.2 Improve particle size, shape and surface characterization to support demonstration of therapeutic equivalence of suspended and colloidal drug products

3.4.2.3 Establish predictive in silico, in vitro and animal studies to evaluate immunogenicity risk of formulation or impurity differences in generic products

3.4.2.4 Develop predictive in vitro bioequivalence (BE) methods for long-acting injectables

3.4.2.5 Develop better methods for evaluating abuse deterrence of generic solid oral opioid products, including in vitro alternatives to in vivo nasal studies

3.4.3 Complex routes of delivery

3.4.3.1 Improve Physiologically-Based Pharmacokinetic (PBPK) models of drug absorption via complex routes of delivery (e.g., nasal, inhalation, dermal, ophthalmic)

3.4.3.2 Expand characterization-based BE methods across all topical dermatological products

3.4.3.3 Expand characterization-based BE methods across all ophthalmic products

3.4.3.4 Develop more efficient alternatives to the use of forced expiratory volume in one second

(FEV1) clinical endpoint BE studies for inhaled corticosteroids

3.4.3.5 Develop alternatives to clinical endpoint BE studies for locally-acting nasal products

3.4.4 Complex drug-device combinations

3.4.4.1 Evaluate the impact of identified differences in the user-interface on the substitutability of generic drug-device combination products

3.4.5 Tools and methodologies for bioequivalence and substitutability evaluation

3.4.5.1 Improve quantitative pharmacology and bioequivalence trial simulation to optimize design of BE studies for complex generic drug products

3.4.5.2 Integrate predictive dissolution, PBPK and PK/Pharmacodynamic (PD) models for decision-making about generic drug bioequivalence standards

3.4.5.3 Expand the scientific understanding of the role of excipients in generic drug products to support the expansion of the Biopharmaceutics Classification System of Class 3 bio-waivers to non-Q2 (quantitatively inequivalent) formulations

3.4.5.4 Develop methods that will allow FDA to leverage large data sets (such as bioequivalence study submissions, electronic health records, substitution and utilization patterns and drug safety and quality data) for decisions related to generic drug approval and post-market surveillance of generic drug substitution

3.5 Identify and Qualify Pain-Associated Biomarkers that are Associated with Therapeutic

Control of Pain in Food Producing Animals

3.5.1 Identify molecular biomarkers (proteomic or genomic) that can be qualified against clinical signs to serve as surrogate endpoints in assessing the capacity of therapeutic agents to alleviate pain in food animals such as cattle, pigs, and goats.

3.6 Develop a Regulatory Database for Species Identification

3.6.1 Develop a DNA barcode sequence database for species identification

3.7 Develop methods to improve the cybersecurity of medical devices

3.7.1 Enhance performance of Digital Health and medical device cybersecurity: Digital Health and cybersecurity are some of the fastest growing areas impacting medical devices.

Devices are being increasingly used in networked environments and are expected to communicate with one another securely and accurately. To ensure these technologies and technological environments achieve the desired public health impact, research is needed to enhance performance and security of medical devices and interoperability, and to understand the impact of software modifications on device performance.

4. Ensure FDA Readiness to Evaluate Innovative Emerging Technologies

FDA seeks to evaluate new and emerging technologies through active research intramurally and collaboratively with external partners. Areas of interest include:

4.1 Develop assessment tools for novel therapies:

4.1.1. Develop new approaches such as in vitro and in vivo methods to identify measurable characteristics of product safety, quality, and potency when evaluating new therapeutics (e.g., engineered tissues or cell therapy products, including stem cell-derived products, for clinical application in regenerative medicine, additive manufacturing in medical products medical products.

4.1.2 Develop new ways to evaluate gene therapy products developed in this period of fast-paced scientific progress;

4.1.3 Integrate an understanding of product quality and safety based on novel genomic, proteomic, metabolomic, and other -omic technologies;

4.1.4 Explore the role of digital health in new medical therapies and diagnostics.

4.1.5 Develop methods for predicting and monitoring clinical performance of devices and materials

4.1.6 Explore human factors engineering principles in device design and review.

4.2 Develop assessment tools to evaluate packaging, storage, delivery and disposal solutions, as well as product formulations, designed to prevent or deter misuse and abuse of opioid analgesics.

4.2.1. Perform research to enhance FDA’s understanding of the features of existing and emerging packaging, storage, delivery and disposal solutions, how they fit into the continuum of opioid misuse and abuse, and the evidence available to support these features.

4.2.1.1. Evaluate whether any existing data requirements in other fields may be applicable for packaging, storage, delivery and disposal solutions to prevent or deter misuse and abuse of opioid analgesics. Exploratory research should include abuse deterrent packaging, medication adherence packaging, or child resistant packaging.

4.2.1.2. Research whether there are any existing data requirements in other countries to have packaging, storage, delivery and disposal solutions approved or labeled as being able to prevent or deter misuse and abuse of opioid analgesics.

4.2.1.3. Identify and evaluate appropriate endpoints for studies undertaken to support packaging, storage, delivery and disposal solutions approved or labeled as being able to prevent or deter misuse and abuse of opioid analgesics.

4.2.2. Combine findings from 4.2.1.1 and 4.2.1.2 and work with FDA to define what the data needs and guiding principles should be for industry to follow to have their packaging, storage, delivery and disposal solutions approved or labeled as being able to prevent or deter misuse and abuse of opioid analgesics. Draft and provide to FDA a Final Report for its use.

4.2.3. Perform research to enhance FDA’s understanding of the uptake and use of abuse deterrent opioid product formulations after approval and their impact on patterns of misuse, abuse, addiction, overdose and death in communities, improve our knowledge about the data systems and methods available to study their impact, and develop new data resources and methods in this area.

4.2.3.1. Perform research to enhance FDA’s understanding of the relationship between the number of dispensed prescriptions and abuse rates for opioid products. Relevant activities would include qualitative and/or quantitative research to better understand the reasons for decreases in prescription volume that often occur after the marketing of opioid products reformulated with abuse deterrent properties. Other relevant activities would include qualitative and/or quantitative research to better understand how well local, state, or national drug utilization data reflect availability of, or access to, various opioid products for misuse and abuse in communities.

4.2.3.2. Perform research to enhance FDA’s understanding of existing data systems used to evaluate the impact of abuse deterrent formulations. Relevant activities would include research to better understand factors influencing the use of poison control call centers in settings of drug misuse, abuse, and overdose, and how these factors may drive overall or drug-specific trends in poison control center utilization over time. Other relevant activities would include research to better understand the accuracy of information collected on abuse of specific opioid products and formulations in poison center data or in self-reported data collected from individuals entering or being assessed for substance abuse treatment.

4.2.3.3. Develop new data resources, methods, and linkages to advance the science of evaluating abuse-deterrent opioid products and their impact on misuse, abuse, addiction, overdose and death in communities in the U.S. Examples might include novel methods of collecting, linking, and analyzing data from prescription drug monitoring programs, emergency department and other medical records, administrative claims, surveys, substance abuse treatment programs, syringe exchange programs, and medical examiner databases.

4.3 FDA is interested in trending drug use over time to provide a context for evaluating drug safety in pediatric populations. In pediatrics, this requires integrating information from three main sources: free-standing children’s hospitals, pediatric hospitals (or wards) within adult institutions, and general hospitals that also care for children. Prior internal research has shown that these types of institutions may have markedly different pediatric drug utilization patterns. The overall intent is to develop a methodology to provide a comprehensive picture of pediatric drug outcomes to improve utilization, and improve FDA’s ability to assess post marketing utilization and safety in pediatric populations. Deliverables would include:

4.3.1. Identify and have access to appropriate sources for pediatric drug utilization data.

4.3.1.1. Identify and evaluate appropriate variables needed to calculate utilization projections.

4.3.1.2. Evaluate the ability to project to sub-populations of interest (e.g. Age group, disease/condition, geography).

4.3.1.3. Evaluate the ability to present both overall drug utilization data and data based on facility characteristics (e.g. bed size, rural/urban, teaching/non-teaching, other pediatric network characteristics such as satellite outpatient pharmacies in pediatric clinics and/or offices).

4.3.1.4. Evaluate generalizability of the data and flexibility to encompass changes in the composition of either institution or pediatric populations.

4.3.1.5. Evaluate potential differences in inpatient versus outpatient utilization data depending on the size and nature of the pediatric network, such as the use of satellite hospital pharmacies located in wholly-owned pediatric off-site clinics.

4.3.2. Provide robust data analyses across a variety of drugs and drug classes across time to validate the methodologies developed.

4.3.2.1. Develop and provide reports that would enhance the FDA’s knowledge regarding pediatric drug utilization

4.3.3. Identify and have access to sources for pediatric drug safety outcome data.

4.3.3.1 Evaluate drug safety outcome data in both impatient and outpatient pediatric populations

4.3.3.2 Evaluate detailed clinical drug safety outcome data in neonates.

5. Harness Diverse Data through Information Sciences to Improve Health Outcomes

FDA seeks to develop agency information sciences capability. Areas of interest include:

5.1 Develop and apply simulation models for product life cycles, risk assessment, and other regulatory science uses:

5.1.1 Identify opportunities and develop computer simulation and modeling to streamline data analysis and model biological systems and their responses to agents of concern, such as toxins, toxic compounds, pathogens, electromagnetic energy, and biomaterials; and

5.1.2 Promote novel clinical trial design using simulation, new statistical models, and novel animal models/animal model alternatives.

5.2 Analyze large scale clinical and nonclinical data sets:

5.2.1 Refine methods for analysis of post-market data, including data mining of spontaneous reports and analysis of data accessible from large healthcare databases and electronic health records

5.2.2 Develop methods to harness clinical evidence and evidence synthesis from multiple domains

5.2.3 Develop data mining methods for analyzing standardized electronic data submitted to the Agency such as CDISC SEND datasets and for extracting data from FDA created reviews and other documents

5.2.4 Leverage real-world evidence and employ evidence synthesis across multiple domains in regulatory decision-making

5.2.5 Test and validate innovative computer models and tools on clinical data (e.g.

electronic health records) to evaluate safety of novel drug products

5.2.6 Enhance FDA’s capacity to assess death and cause of death as an outcome of product safety and/or effectiveness in large electronic healthcare databases

5.2.7 Develop guidelines for assessment of data quality and study designs for synthesizing data across multiple sources

5.2.8 Develop statistical methods for assisting compliance inspection

5.3 Computer Modeling and Simulation to Assess Product Risk

5.3.1 Develop new modeling approaches to assess the risk of new tobacco products that will potentially enter the market by considering how such products are likely to harm, or potentially harm users and non-users of the product based on factors including but not limited to exposure to toxicants, product characteristics and demographic attributes of the users and usage patterns.

5.3.2 Develop novel methods to model the carcinogenicity, genetic toxicity, and organ system toxicities resulting from chronic use of tobacco products and the contribution to adverse health conditions of a chemical mixture produced from a tobacco product by integrating diverse sources of available data – in silico, in vitro, in vivo, and human clinical and epidemiology data.

5.3.3 Develop novel models for the demographics of a synthetic population in terms of probability distribution curves (normal distribution) based on:

a. Usage of tobacco product

b. Race

c. Gender

d. Age

e. Body Weight

f. Family structure and position within (e.g., child exposure to secondhand smoke in the home, car, or other locations)

g. Occupation and work premises (susceptibility to, or likelihood of a secondary ingestion, or secondary exposure such as secondhand smoke)

h. Establish tobacco product modeling validation requirements.

5.3.4 Develop novel methods to display model output in both graphical and numeric formats.

5.3.5 Develop novel quantitative risk assessment modeling methods that better capture total health risks of tobacco products. The new modeling methods should take into consideration all health risks of individual constituents as well as the ones associated with the whole mixture of chemical constituents produced from tobacco products. They should also address the wide heterogeneity that exists in health risk susceptibility and tobacco product use pattern of different human populations.

Modeling parameters may include, but are not limited to:

a. Type of tobacco product (e.g., cigarette, smokeless, e-cigarette)

b. Specifics of tobacco product (brand X Y or Z, top # based on market share, any other brands that data exist for in the database)

c. Group of chemicals or HPHCs (e.g., aldehydes, metals)

d. Concentration of chemicals in the smoke, aerosol or tobacco product (mean, range, etc.)

e. Tobacco product, intake rate – cigarettes smoked per day (e.g., 5, 10, 20, 40), volume of e-liquid used per day, smokeless product used per day (e.g., by mg, # of cans, # of “dips”)

f. Exposure frequency - How frequently a user is exposed (e.g., daily, one time per week, five days per month)

g. Exposure duration – How long a person has been using the tobacco product of interest (in years)

h. Body weight

i. Averaging time – Lifespan for a given population (differing population dynamics)

5.3.6 Develop explainable modeling approaches to assess the impact of new tobacco products, policies, or regulations on tobacco use behaviors and the health of the U.S. population, including the impacts on tobacco product initiation, cessation, switching, and dual use.

5.3.7 Develop and disseminate computational models and simulations that can be used as evidence for the safety and effectiveness of medical devices; establish medical device modeling validation requirements.

5.4 Collect and use patient input in regulatory decision-making

Patients are increasingly providing their input to spur patient-centric medical product development and to inform patient-centric regulation.

5.4.1 Develop and validate methods for collecting patient experience data.

5.4.2 Perform patient preference studies in preference sensitive areas for use in regulatory decision making (e.g. understanding benefit-risk tradeoffs, improving clinical trial designs, or prioritizing treatment outcomes).

5.4.3 Develop and validate patient-reported outcomes (PROs).

5.4.3.1 Perform bridging studies to adapt or update existing validated PROs for new populations, indications, or situations (e.g. expanding from adult to pediatrics or improving terminology).

6. Implement a New Prevention-Focused Food Safety System to Protect Public Health

The Food Safety Modernization Act (FSMA) mandates a new approach to FDA’s current food safety system by emphasizing prevention and risk-based priority setting and resource allocation to address the challenges of the modern food safety environment. Although prevention is paramount, enhanced response and investigation efforts to foodborne illness outbreaks when they occur, are also critical. To effectively implement this new food safety mandate, it is imperative that FDA ensure a strong science infrastructure that clearly identifies its research needs and collaborates with other public health and research agencies in the Federal government, state government agencies, academia, and private industry. Areas of interest include:

6.1 Establish and implement centralized planning and performance measurement processes:

6.1.1 Harmonize microbiological and chemical analytical methods development and validation across the OFVM Program to enhance detection and removal of unsafe contaminants from the Nation’s food and feed supply.

Note: Improved, validated rapid methods, with high levels of sensitivity and specificity, would enable FDA investigators and laboratories to quickly and accurately identify sources of contamination throughout the food supply chain, thereby protecting human and animal health. In addition, improved methods would also provide defensible data to show food products are free from harmful levels of microbial and chemical hazards. Research that gives FDA validated, practical and usable regulatory tools would benefit FDA in making regulatory decisions and providing guidance to industry.

6.2 Maintain mission critical science capabilities:

6.2.1 Identify emerging disciplines, sciences, and technologies to mitigate future risks in food safety.

Note: The primary focus is to advance research and development (R&D) into more rapid, sensitive and specific methods to detect, identify and quantify a variety of microbial and chemical hazards in foods (including dietary supplements) and animal feeds. Some of these methods can be expected to also enhance detection and protection against microbial and chemical hazards in cosmetics, which are also regulated by FDA.

7. Facilitate Development and Availability of Medical Countermeasures (MCMs) to Protect

Against Threats to U.S. and Global Health and Security

FDA seeks to facilitate development of safe and effective MCMs through both intramural research and collaboration with external partners (e.g., academia, U.S. government agencies, non-governmental organizations, and industry). The FDA’s MCM regulatory science mission has a responsibility to develop the tools, standards, and approaches to assess medical safety, quality, and performance of MCMs. Furthermore, FDA is interested in advancing manufacturing innovations to ensure quality and integrity of MCM supply chain. Additional information on the FDA MCMi initiative and projects is available at:

http://www.fda.gov/EmergencyPreparedness/Counterterrorism/MedicalCountermeasures/MCMRe gulatoryScience/ucm263071.htm

FDA will conduct a review for the potential of Dual Use as defined and in accordance with USG policy:

https://osp.od.nih.gov/biotechnology/dual-use-research-of-concern/

Areas of interest include:

7.1 Develop, characterize, and qualify tools to support MCM development under the Animal

Rule or Accelerated Approval Provisions1

7.1.1 Develop, evaluate and/or refine animal models for Chemical, Biological, and Radiological and Nuclear (CBRN) threat agents and emerging infectious diseases for the ability to demonstrate a response to the MCM that will be predictive for humans, including the ability to extrapolate pharmacokinetic/pharmacodynamic (PK/PD) data and/or immune correlates of protection to determine appropriate clinical dosing.

7.1. 2 Develop and qualify in silico predictive models (e.g. microphysiological systems) and in vitro assays to complement the use of in vivo animal models to assess safety and efficacy of medical countermeasures.

7.1. 3 Identify and qualify immune biomarkers for CBRN threat agents and emerging infectious diseases to enable comparisons to be made between animal model species and humans.

https://www.fda.gov/EmergencyPreparedness/Counterterrorism/MedicalCountermeasures/ MCMRegulatoryScience/ucm391604.htm

7.1.4 Identify and qualify biomarkers that enhance the understanding of the mechanism of action of MCMs, and may provide measures of MCM product efficacy

7.1.5 Improve knowledge of natural history of pathophysiology of human diseases or conditions caused by CBRN threat agents and emerging infectious diseases to identify, qualify, and evaluate biomarkers

7.2 Modernize tools to evaluate MCM product safety, efficacy, and quality; and improve/ensure MCM supply chain:

7.2.1 Enhance FDA’s capabilities to collect, monitor, track, and analyze real-time and retrospective data associated with the use of public health emergency MCMs (e.g., develop and refine the capabilities necessary to use real world data for rapid assessment of the safety, efficacy and/or effectiveness of MCMs used for responses to potential or actual public health emergencies). Additional information on the FDA Monitoring and Assessment for Medical Countermeasures projects is available at:

https://www.fda.gov/EmergencyPreparedness/Counterterrorism/MedicalCountermeasures /MCMIssues/ucm561377.htm

7.2.2 Identify and evaluate methods to improve the availability, performance, design, and reuse of personal protective equipment;

7.2.3 Develop reference materials (e.g. standardized challenge pools) related to relevant

CBRN threat agents and emerging infectious diseases to facilitate development of preventive vaccines, therapeutics, and detection and diagnostic methods;

7.2.4 Refine/Improve existing or innovative technologies to improve the sensitivity, specificity, and robustness of testing methods used to measure MCM potency and in-process and final drug substance characteristics (for example, in-line sensors and process analytical technologies); and

7.2.5 Advance broadly-applicable,…