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5858 Federal Register / Vol. 71, No.

23 / Friday, February 3, 2006 / Notices

mental health issues, in particular, was the proportion of child victims who had prevention, intervention and treatment
found to be one of the weakest in the a recurrence of maltreatment and the of child maltreatment (i.e., physical
CFSRs. Areas of interest for research factors associated with these repeated abuse, sexual abuse, emotional
may examine CPS procedures for events. The findings showed that re- maltreatment or neglect) on any of the
identifying and responding to children’s reporting was relatively common— topics listed in (A) Legislative Topics,
mental health issues as well as the about one-third of children had at least (B) Other Topics, above, or any other
prevalence, type and severity of mental one repeated report of maltreatment child maltreatment topic.
health problems among children within a five-year period. For the most In addition to the topics cited above,
identified in State child welfare part, the same factors were related to practitioners and researchers are
systems. In addition, findings from the both re-reporting of all reported encouraged to propose other relevant
National Survey of Child and children and recurrence among victims subjects for research topics in child
Adolescent Well-Being (NSCAW) show of maltreatment. Findings were also abuse and neglect.
that high rates of mental health similar when analyses examined only
Joan E. Ohl,
problems among parents, coupled with the presence of a single subsequent
low rates of identification and referral, event or the number and type of Commissioner, Administration on Children,
Youth and Families.
is a serious issue. CB is interested in multiple subsequent events. Both re-
research that examines mental health reporting and recurrence occurred more [FR Doc. E6–1480 Filed 2–2–06; 8:45 am]
services to parents. frequently among younger children. Re- BILLING CODE 4184–01–P
Program Evaluation of Priority Area reporting and recurrence were more
Initiatives (or Evaluation of Programs likely to occur in a short time following
Addressing Administration Priorities): the initial maltreatment report, usually DEPARTMENT OF HEALTH AND
The current Administration has focused within a few months. Most children HUMAN SERVICES
funding in areas of healthy marriage who experienced more than one re-
Food and Drug Administration
promotion, fatherhood initiatives, report or re-victimization experienced
community and faith-based these events within a short time after [Docket No. 2005P–0023]
organizations and youth development in the initial event. Areas for further
ensuring the healthy development of research might examine: Factors that are Determination That TEQUIN
children. CB is interested in research to predictive of a second investigation; (Gatifloxacin) Injection, 10 Milligrams
evaluate programs employing these report sources that are the most likely to per Milliliter (200 Milligrams), Was Not
strategies to prevent child abuse and be associated with a second Withdrawn From Sale for Reasons of
neglect. Research topics may include investigation; services that decrease Safety or Effectiveness
the evaluation of the effectiveness of subsequent investigation; and services AGENCY: Food and Drug Administration,
these programs as well as the that decrease subsequent victimization. HHS.
dissemination of promising practices. Perpetrators: CB continues to be
Secondary Data Analysis: CB ACTION: Notice.
interested in perpetrators, with the
encourages the utilization of existing notion that understanding who this SUMMARY: The Food and Drug
data sources particularly the use of group is and what their characteristics Administration (FDA) has determined
service data through the National Child are, can help to inform more effective that TEQUIN (gatifloxacin) injection, 10
Abuse and Neglect Data System intervention and prevention efforts. The milligrams (mg) per milliliter (mL) (200
(NCANDS). CB is interested in Office of the Assistant Secretary for mg), was not withdrawn from sale for
secondary data analyses using NCANDS Planning and Evaluation undertook an reasons of safety or effectiveness. This
focusing on service utilization, analysis of NCANDS data examining determination will allow FDA to
recurrence and perpetrators. some of these questions. The analysis approve abbreviated new drug
Service utilization: While not all focused on male perpetrators of child applications (ANDAs) for gatifloxacin
States provide complete service data to maltreatment and identifies clear injection, 10 mg/mL (200 mg).
NCANDS, for those States that do subgroups of male perpetrators. The FOR FURTHER INFORMATION CONTACT:
provide complete service data, the findings suggest that interventions of all
following areas could be examined: The Elaine Tseng, Center for Drug
types may need to be more highly Evaluation and Research (HFD–7), Food
services that are most often provided to differentiated for these different groups.
victims of maltreatment; differences in and Drug Administration, 5600 Fishers
Follow-up of interest includes research Lane, Rockville, MD 20857, 301–594–
service patterns that exist between to gain a clearer picture of how the
children who are first-time victims and 2041.
various categories of perpetrators fit
children who are repeat victims; within households to provide insights SUPPLEMENTARY INFORMATION: In 1984,
differences in service patterns that exist into the service and recidivism Congress enacted the Drug Price
between child victims who remain in outcomes. Competition and Patent Term
their homes and those who are removed; Restoration Act of 1984 (the 1984
and the variations in service patterns C. Field Initiated Research on Child amendments) (Pub. L. 98–417), which
within States according to county Abuse and Neglect authorized the approval of duplicate
characteristics. The generation of new knowledge for versions of drug products approved
Recurrence: To date, recurrence has understanding critical issues in child under an ANDA procedure. ANDA
largely been examined for six-month abuse and neglect improves prevention, sponsors must, with certain exceptions,
periods using NCANDS data. The Office identification, assessment and show that the drug for which they are
of the Assistant Secretary for Planning treatment. Research areas to be seeking approval contains the same
hsrobinson on PROD1PC70 with NOTICES

and Evaluation undertook a longitudinal addressed may be those that will active ingredient in the same strength
analysis of NCANDS data examining expand the current knowledge base, and dosage form as the ‘‘listed drug,’’
repeated CPS involvement. Using a build on prior research, contribute to which is typically a version of the drug
multiyear dataset of 1,396,998 children, practice enhancements, inform policy, that was previously approved. Sponsors
this research examined the proportion improve science and provide insights of ANDAs do not have to repeat the
of reported children who re-reported, into new approaches to the assessment, extensive clinical testing otherwise

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Federal Register / Vol. 71, No. 23 / Friday, February 3, 2006 / Notices 5859

necessary to gain approval of a new injection, 10 mg/mL (200 mg), approved and the Generic Animal Drug and Patent
drug application (NDA). The only under NDA 21–062, was not withdrawn Term Restoration Act (Pub. L. 100–670)
clinical data required in an ANDA are from sale for reasons of safety or generally provide that a patent may be
data to show that the drug that is the effectiveness. The petitioner identified extended for a period of up to 5 years
subject of the ANDA is bioequivalent to no data or other information suggesting so long as the patented item (human
the listed drug. that TEQUIN (gatifloxacin) injection, 10 drug product, animal drug product,
The 1984 amendments include what mg/mL (200 mg), was withdrawn from medical device, food additive, or color
is now section 505(j)(7) of the Federal sale as a result of safety or effectiveness additive) was subject to regulatory
Food, Drug, and Cosmetic Act (21 U.S.C. concerns. FDA’s independent review by FDA before the item was
355(j)(7)), which requires FDA to evaluation of relevant literature and marketed. Under these acts, a product’s
publish a list of all approved drugs. data has not uncovered anything that regulatory review period forms the basis
FDA publishes this list as part of the would indicate that this product was for determining the amount of extension
‘‘Approved Drug Products With withdrawn for reasons of safety or an applicant may receive.
Therapeutic Equivalence Evaluations,’’ effectiveness. Accordingly, the agency A regulatory review period consists of
which is generally known as the will continue to list TEQUIN two periods of time: A testing phase and
‘‘Orange Book.’’ Under FDA regulations, (gatifloxacin) injection, 10 mg/mL (200 an approval phase. For animal drug
drugs are withdrawn from the list if the mg), in the ‘‘Discontinued Drug Product products, the testing phase begins on
agency withdraws or suspends approval List’’ section of the Orange Book. the earlier date when either a major
of the drug’s NDA or ANDA for reasons ANDAs that refer to TEQUIN environmental effects test was initiated
of safety or effectiveness, or if FDA (gatifloxacin) injection, 10 mg/mL (200 for the drug or when an exemption
determines that the listed drug was mg), may be approved by the agency. under section 512(j) of the Federal Food,
withdrawn from sale for reasons of Drug, and Cosmetic Act (the act) (21
Dated: January 27, 2006.
safety or effectiveness (21 CFR 314.162). U.S.C. 360b(j)) became effective and
Under 21 CFR 314.161(a)(1), the Jeffrey Shuren, runs until the approval phase begins.
agency must determine whether a listed Assistant Commissioner for Policy. The approval phase starts with the
drug was withdrawn from sale for [FR Doc. E6–1475 Filed 2–2–06; 8:45 am] initial submission of an application to
reasons of safety or effectiveness before BILLING CODE 4160–01–S market the animal drug product and
an ANDA that refers to that listed drug continues until FDA grants permission
may be approved. FDA may not approve to market the drug product. Although
an ANDA that does not refer to a listed DEPARTMENT OF HEALTH AND only a portion of a regulatory review
drug. HUMAN SERVICES period may count toward the actual
TEQUIN (gatifloxacin) injection, 10 amount of extension that the Director of
mg/mL (200 mg), is the subject of Food and Drug Administration Patents and Trademarks may award (for
approved NDA 21–062 held by Bristol- [Docket No. 2004E–0389] example, half the testing phase must be
Myers Squibb. TEQUIN (gatifloxacin) subtracted as well as any time that may
injection, 10 mg/mL (200 mg), is an Determination of Regulatory Review have occurred before the patent was
antibiotic used to treat adults with lung, Period for Purposes of Patent issued), FDA’s determination of the
sinus, or urinary tract infections. Extension; SURPASS length of a regulatory review period for
FDA approved the NDA for TEQUIN an animal drug product will include all
(gatifloxacin) injection, 10 mg/mL (200 AGENCY: Food and Drug Administration,
of the testing phase and approval phase
mg) and 10 mg/mL (400 mg), on HHS.
as specified in 35 U.S.C. 156(g)(4)(B).
December 17, 1999. On January 27, ACTION: Notice. FDA recently approved for marketing
2003, FDA received revised product the animal drug product SURPASS
SUMMARY: The Food and Drug
labeling relating to several approved (diclofenac sodium). SURPASS is
supplements for TEQUIN (gatifloxacin). Administration (FDA) has determined
the regulatory review period for indicated for the control of pain and
This revised labeling deleted references inflammation associated with
to TEQUIN (gatifloxacin) injection, 10 SURPASS and is publishing this notice
of that determination as required by osteoarthritis in tarsal, carpal,
mg/mL (200 mg), indicating that this metacarpophalangeal,
product was no longer being marketed. law. FDA has made the determination
metatarsophalangeal, and proximal
Therefore, it was moved from the because of the submission of an
interphalangeal (hock, knee, fetlock, and
prescription drug product list to the application to the Director of Patents
pastern) joints in horses. Subsequent to
‘‘Discontinued Drug Product List’’ and Trademarks, Department of
this approval, the Patent and Trademark
section of the Orange Book. The Commerce, for the extension of a patent
Office received a patent term restoration
‘‘Discontinued Drug Product List’’ which claims that animal drug product.
application for SURPASS (U.S. Patent
delineates, among other items, drug ADDRESSES: Submit written comments No. 4,937,078) from Mezei Associates,
products that have been discontinued and petitions to the Division of Dockets Ltd., and the Patent and Trademark
from marketing for reasons other than Management (HFA–305), Food and Drug Office requested FDA’s assistance in
safety or effectiveness. Administration, 5630 Fishers Lane, rm. determining this patent’s eligibility for
Apotex Corp., submitted a citizen 1061, Rockville, MD 20852. Submit patent term restoration. In a letter dated
petition dated January 13, 2005 (Docket electronic comments to http:// April 8, 2005, FDA advised the Patent
No. 2005P–0023/CP1), under 21 CFR www.fda.gov/dockets/ecomments. and Trademark Office that this animal
10.30, requesting that the agency FOR FURTHER INFORMATION CONTACT: drug product had undergone a
determine whether TEQUIN Claudia V. Grillo, Office of Regulatory regulatory review period and that the
hsrobinson on PROD1PC70 with NOTICES

(gatifloxacin) injection, 10 mg/mL (200 Policy (HFD–013), Food and Drug approval of SURPASS represented the
mg), was withdrawn from sale for Administration, 5600 Fishers Lane, first permitted commercial marketing or
reasons of safety or effectiveness. After Rockville, MD 20857, 240–453–6681. use of the product. Thereafter, the
considering the citizen petition and SUPPLEMENTARY INFORMATION: The Drug Patent and Trademark Office requested
reviewing agency records, FDA has Price Competition and Patent Term that FDA determine the product’s
determined that TEQUIN (gatifloxacin) Restoration Act of 1984 (Pub. L. 98–417) regulatory review period.

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