[Federal Register Volume 90, Number 95 (Monday, May 19, 2025)]
[Notices]
[Pages 21315-21318]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-08824]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2025-N-0816]


Reauthorization of the Prescription Drug User Fee Act; Public 
Meeting; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public meeting; request for comments.

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SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
hosting a public meeting to discuss proposed recommendations for the 
reauthorization of the Prescription Drug User Fee Act (PDUFA) for 
fiscal years (FYs) 2028 through 2032. PDUFA authorizes FDA to collect 
user fees to support the process for the review of human drug 
applications. The current legislative authority for PDUFA expires in 
September 2027. At that time, new legislation will be required for FDA 
to continue collecting prescription drug user fees in future fiscal 
years. The Federal Food, Drug, and Cosmetic Act (FD&C Act) directs that 
FDA begin the PDUFA reauthorization process by publishing a notice in 
the Federal Register requesting public input and holding a public 
meeting where the public may present its views on the reauthorization. 
FDA invites public comment as the Agency begins the process to 
reauthorize the program in FYs 2028 through 2032. These comments will 
be published and available on FDA's website.

DATES: The hybrid public meeting will be held on July 14, 2025, from 9 
a.m. to 2 p.m., and will take place in person and virtually. Submit 
either electronic or written comments on this public meeting by August 
14, 2025.

ADDRESSES: The public workshop will be held in person at the FDA White 
Oak Campus, 10903 New Hampshire Ave., Bldg. 31 Conference Center, the 
Great Room, Silver Spring, MD 20993-0002 and virtually using the 
Microsoft Teams platform. Entrance for the public meeting participants 
(non-FDA employees) is through Building 1 where routine security check 
procedures will be performed. For parking and security information, 
please refer to https://www.fda.gov/about-fda/visitor-information.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. The https://www.regulations.gov 
electronic filing system will accept comments until 11:59 p.m. Eastern 
Time on August 14, 2025. Comments received by mail/hand delivery/
courier (for written/paper submissions) will be considered timely if 
they are received on or before that date.

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2025-N-0816 for ``Reauthorization of the Prescription Drug User Fee 
Act; Public Meeting; Request for Comments.'' Received comments, those 
filed in a timely manner (see ADDRESSES), will be placed in the docket 
and, except for those submitted as ``Confidential Submissions,'' 
publicly viewable at https://www.regulations.gov or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday, 240-
402-7500.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The

[[Page 21316]]

second copy, which will have the claimed confidential information 
redacted/blacked out, will be available for public viewing and posted 
on https://www.regulations.gov. Submit both copies to the Dockets 
Management Staff. If you do not wish your name and contact information 
to be made publicly available, you can provide this information on the 
cover sheet and not in the body of your comments and you must identify 
this information as ``confidential.'' Any information marked as 
``confidential'' will not be disclosed except in accordance with 21 CFR 
10.20 and other applicable disclosure law. For more information about 
FDA's posting of comments to public dockets, see 80 FR 56469, September 
18, 2015, or access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.

FOR FURTHER INFORMATION CONTACT: Andrew Kish, Center for Drug 
Evaluation and Research, Food and Drug Administration, 301-796-5215, 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing a hybrid public meeting to begin the 
reauthorization process for PDUFA, the legislation that authorizes FDA 
to collect user fees to support the process for the review of human 
drugs, which reaches various components in FDA, including the Center 
for Drug Evaluation and Research (CDER), the Center for Biologics 
Evaluation and Research (CBER), the Office of the Commissioner (OC), 
and the Office of Inspections and Investigations (OII). The current 
authorization of the program (PDUFA VII) expires in September 2027. 
Without new legislation, FDA will no longer be able to collect user 
fees for future fiscal years to fund the human drug review process. 
Section 736B(f)(2) of the FD&C Act (21 U.S.C. 379h-2(f)(2)) requires 
that before FDA begins negotiations with the regulated industry on 
PDUFA reauthorization, the Agency performs the following: (1) publish a 
notice in the Federal Register requesting public input on the 
reauthorization; (2) hold a public meeting where the public may present 
its views on the reauthorization; (3) provide a period of 30 days after 
the public meeting to obtain written comments from the public; and (4) 
publish the comments on FDA's website. This notice, the public meeting, 
the 30-day comment period after the meeting, and the posting of the 
comments on the FDA website will satisfy these requirements. The 
purpose of the meeting is to hear stakeholder views on PDUFA as we 
consider the features to propose, update, discontinue, or add in the 
next PDUFA. FDA is interested in responses to the following three 
questions and welcomes any other pertinent information stakeholders 
would like to share:
     What is your assessment of the overall performance of 
PDUFA VII thus far?
     What current features of PDUFA should be reduced or 
discontinued to ensure the continued efficiency and effectiveness of 
the human drug review process?
     What new features, if any, FDA consider adding to the 
program to enhance the efficiency and effectiveness of the human drug 
review process?
     What changes, if any, could be made to the current fee 
structures and amounts to better advance the goals of the agreement, 
including facilitating product development and timely access for 
consumers?

II. What is PDUFA and what does it do?

    The following information is provided to help potential meeting 
participants better understand the history and evolution of PDUFA and 
its status. PDUFA is a law that authorizes FDA to collect fees from 
drug companies that submit marketing applications for certain human 
drug and biological products. PDUFA was originally enacted in 1992 as 
the Prescription Drug User Fee Act for a period of 5 years.
    In 1997, Congress passed the Food and Drug Administration 
Modernization Act of 1997 (FDAMA) which renewed the program (PDUFA II) 
for an additional 5 years. Congress extended PDUFA again for another 5 
years (PDUFA III), through FY 2007, in the Public Health Security and 
Bioterrorism Preparedness and Response Act of 2002. In 2007, Title I of 
the Food and Drug Administration Amendments Act of 2007 (FDAAA) 
reauthorized PDUFA through FY 2012 (PDUFA IV) and in 2012 the Food and 
Drug Administration Safety and Innovation Act (FDASIA) reauthorized the 
law again through FY 2017 (PDUFA V). Congress reauthorized PDUFA 
through FY 2022 in 2017 under Title I of the FDA Reauthorization Act of 
2017 (FDARA) (PDUFA VI). PDUFA was most recently renewed in 2022 under 
Title 1 of the FDA User Fee Reauthorization Act of 2022 (FDAUFRA) which 
lasts through FY 2027 (PDUFA VII).
    PDUFA's intent is to provide additional revenues so that FDA can 
hire more staff, improve systems, and establish a better managed human 
drug review process to make important therapies available to patients 
sooner without compromising review quality or FDA's high standards for 
safety, efficacy, and quality. As part of FDA's negotiated agreement 
with industry during each reauthorization, the Agency agrees to certain 
performance and procedural goals and other commitments that apply to 
aspects of the human drug review program. These goals apply, for 
example, to the process for the review of original new human drug and 
biological product applications, postmarket safety activities, and new 
data standards and technology enhancements.
    During the first few years of PDUFA I, the additional funding 
enabled FDA to eliminate backlogs of original applications and 
supplements. Phased in over the 5 years of PDUFA I, the goals were to 
review and act on 90 percent of priority new drug applications (NDAs), 
biologics license applications (BLAs), and efficacy supplements within 
6 months of submission of a complete application; to review and act on 
90 percent of standard original NDAs, BLAs, and efficacy supplements 
within 12 months, and to review and act on resubmissions and 
manufacturing supplements within 6 months. Over the course of PDUFA I, 
FDA exceeded all these performance goals and significantly reduced 
median review times of both priority and standard NDAs and BLAs.
    Under PDUFA II, the review performance goals were adjusted, and new 
procedural goals were added to improve FDA's interactions with industry 
sponsors and to help facilitate the drug development process. The 
procedural goals, for example, articulated time frames for scheduling 
sponsor-requested meetings intended to address issues or questions 
regarding specific drug development programs, as well as time frames 
for the timely response to industry-submitted questions on special 
study protocols. FDA met or exceeded all the review and procedural 
goals under PDUFA II. However, concerns grew that overworked review 
teams often had to return applications as ``approvable'' because they 
did not have the resources and sufficient staff time to work with the 
sponsors to resolve issues so that

[[Page 21317]]

applications could be approved in the first review cycle.
    A sound financial footing and support for limited postmarket risk 
management were key themes of PDUFA III. Base user fee resources were 
significantly increased and a mechanism to account for changes in human 
drug review workload was adopted. PDUFA III also expanded the scope of 
user fee activities to include postmarket surveillance of new therapies 
for up to 3 years after marketing approval. FDA committed to the 
development of guidance for industry on risk assessment, risk 
management, and pharmacovigilance, as well as guidance to review staff 
and industry on good review management principles (GRMPs). Initiatives 
to improve application submission and Agency-sponsor interactions 
during the drug development and application review processes were also 
adopted.
    With PDUFA's reauthorization under FDAAA Title I (PDUFA IV), FDA 
obtained a significant increase in base fee funding and committed to 
full implementation of GRMPs, which included providing a planned review 
timeline for premarket review, development of new guidance for industry 
on innovative clinical trials, modernization of postmarket safety, and 
elimination of the 3-year limitation on fee support for postmarket 
surveillance. Additional provisions in FDAAA (Titles IV, V, and IX) 
gave FDA additional statutory authority that increased the pre- and 
postmarket review process requirements, added new deadlines, and 
effectively increased review workload. Specifically, the new provisions 
expanded FDA's drug safety authorities, such as the authority to 
require risk evaluation mitigation strategies, order safety labeling 
changes, and require postmarket studies.
    Under Title I of FDASIA, the fourth renewal of PDUFA, FDA 
implemented a new review program (the Program) to promote greater 
transparency and increase communication between the FDA review team and 
the applicant on the most innovative products reviewed by the Agency. 
The Program applied to all new molecular entity (NME) NDAs and original 
BLAs received by the Agency from October 1, 2012, through September 30, 
2017. The Program added new opportunities for communication between the 
FDA review team and the applicant during review of a marketing 
application, including midcycle communications and late-cycle meetings, 
while adding 60 days to the review clock to provide for this increased 
interaction and to address review issues for these complex 
applications. PDUFA V also required an assessment of the impact of the 
Program. The independent assessment of the Program entitled 
``Assessment of the Program for Enhanced Review Transparency and 
Communication for NME NDAs and Original BLAs in PDUFA V,'' is available 
at: https://www.fda.gov/media/101907/download.
    In addition to continued commitment to a significant set of review, 
processing, and procedural goals, PDUFA V also included commitments 
related to enhancing regulatory science and expediting drug 
development, enhancing benefit-risk assessment in regulatory decision 
making, modernizing the FDA drug safety system, and improving the 
efficiency of human drug review by requiring electronic submissions and 
standardization of electronic drug application data.
    In August 2017, FDARA was enacted, renewing the prescription drug 
user fee program for a sixth time. This iteration of the program 
continued and built upon the successes of PDUFA V. In PDUFA VI, FDA and 
industry members agreed to continue the Program model developed in 
PDUFA V to continue to promote the efficiency and effectiveness of the 
first cycle review process. PDUFA VI included commitments to enhance 
regulatory science and expedite drug development by focusing on 
enhancing communication between FDA and sponsors during drug 
development, early consultation on the use of new surrogate endpoints, 
and exploring the use of real-world evidence for use in regulatory 
decision making, among other enhancements. This iteration included 
commitments to enhance the use of regulatory tools to support drug 
development and review through incorporation of the patient's voice in 
drug development, expanded use of a benefit-risk framework in drug 
reviews, and advancing the use of complex innovative trial designs and 
model informed drug development.
    Under PDUFA VI, FDA also modernized the user fee structure to 
improve program funding predictability, stability, and administrative 
efficiency. The new structure eliminated the supplement fees, replaced 
the establishment and product fees with a program fee, and shifted a 
greater proportion of the target revenue to the new more predictable 
and stable annual program fee. The agreement also included commitments 
to enhance management of user fee resources through the development of 
a resource capacity planning capability and financial transparency 
activities. PDUFA VI included several commitments to improve the hiring 
and retention of critical review staff through modernization of FDA's 
hiring system.
    The current authorization of PDUFA (PDUFA VII) introduces new 
enhancements to address changes in the drug development landscape, 
along with building on successful enhancements and refining elements 
from previous authorizations. The PDUFA VII agreement strengthened 
staff capacity and capability in CBER to support the development, 
review, and approval of cell and gene therapy products. It incorporates 
new allergenic extract products into the PDUFA program and provides 
resources for review of those products. The agreement introduces 
timelines and performance goals for pre-approval review of 
postmarketing requirements and use-related risk analysis and human 
factor protocol submissions. It also includes two new meeting types 
(Type D and INTERACT) to allow for focused discussion around specific 
and novel issues. PDUFA VII introduces four new pilot programs focused 
on advancing different aspects of drug development and review, 
including rare diseases (Rare Diseases Endpoint Advancement Pilot), 
real-world evidence (Advancing Real-World Evidence Program), 
manufacturing (Chemistry, Manufacturing, and Controls Development and 
Readiness Pilot), and drugs for unmet therapeutic areas (Split Real 
Time Application Review). The agreement continues paired meeting 
programs (Model-Informed Drug Development Paired Meeting Program and 
Complex Innovative Trial Design Meeting Program) that target complex 
applications. It introduces a series of new enhancements related to 
product quality reviews, chemistry, manufacturing, controls approaches, 
and advancing utilization of innovative manufacturing technologies. 
PDUFA VII builds on the financial enhancements included in PDUFA VI to 
ensure optimal use of user fee resources and transparency around the 
use of financial resources. The agreement commits FDA to initiatives in 
leveraging cloud technology, modernizing the Agency's information 
technology systems, enhancing bioinformatics support and use of digital 
health technologies to support drug development and review.
    More information on these commitments can be found in the PDUFA VII 
commitment letter at: https://www.fda.gov/media/151712/download?attachment. A list of the deliverables developed to meet PDUFA 
VII commitments is available on the FDA web page at: https://
www.fda.gov/industry/prescription-drug-user-fee-

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amendments/completed-pdufa-vii-deliverables.

III. Public Meeting Information

A. Purpose and Scope of the Meeting

    In general, the public meeting's format will include presentations 
by FDA and other interested parties, which may include scientific and 
academic experts, healthcare professionals, representatives of patient 
and consumer advocacy groups, the prescription drug industry, and the 
general public. A draft agenda and other background information for the 
public meeting will be posted at: https://www.fda.gov/industry/public-meeting-reauthorization-prescription-drug-user-fee-act-pdufa-07142025.

B. Participating in the Public Meeting

    Registration: To register for the public meeting, please visit the 
following web page: https://publicmeetingonthereauthorizationofpdufa.eventbrite.com. Please provide 
complete contact information for each attendee, including name, title, 
affiliation, and email.
    Registration is free for both in person and virtual attendance. In 
person attendance is based on space availability, with priority given 
to early registrants. Early registration is recommended because seating 
is limited; therefore, FDA may limit the number of participants from 
each organization. If you need special accommodations due to a 
disability, please contact [email protected] no later than June 
30, 2025.
    Opportunity for Public Comment: Those who register online by June 
16, 2025, at 11:59 p.m. Eastern Time will receive a notification about 
an opportunity to participate in the public comment session of the 
meeting. If you wish to speak during the public comment session, follow 
the instructions in the notification and identify which topic(s) you 
wish to address. All requests to make a public comment during the 
meeting must be received by June 30, 2025, 11:59 p.m. Eastern Time. We 
will do our best to accommodate requests to make public comments. 
Individuals and organizations with common interests are urged to 
consolidate or coordinate their comments and request time jointly. We 
will determine the amount of time allotted to each commenter, the 
approximate time each comment is to begin, and will select and notify 
participants by July 7, 2025. No commercial or promotional material 
will be permitted to be presented at the public meeting.
    Streaming Webcast of the Public Meeting: The webcast for this 
public meeting is available at https://teams.microsoft.com/l/meetup-join/19%3ameeting_OWNhMmRmMTMtYjZiOS00MWQ3LWI5MTgtOTUzMzRlNDUwMWJj%40thread.v2/0?context=%7b%22Tid%22%3a%227d2fdb41-339c-4257-87f2-a665730b31fc%22%2c%22Oid%22%3a%22f8076904-2170-423d-ae92-b261e8a4d877%22%7d.
    Transcripts: Please be advised that as soon as a transcript of the 
public meeting is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(see ADDRESSES). A link to the transcript will also be available on the 
internet at: https://www.fda.gov/industry/public-meeting-reauthorization-prescription-drug-user-fee-act-pdufa-07142025.
    Notice of this meeting is given pursuant to 21 CFR 10.65.

    Dated: May 7, 2025.
Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2025-08824 Filed 5-16-25; 8:45 am]
BILLING CODE 4164-01-P