99-11898. Revision of Requirements Applicable to Albumin (Human), Plasma Protein Fraction (Human), and Immune Globulin (Human); Companion Document to Direct Final Rule  

  • [Federal Register Volume 64, Number 93 (Friday, May 14, 1999)]
    [Proposed Rules]
    [Pages 26344-26348]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 99-11898]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Food and Drug Administration
    
    21 CFR Part 640
    
    [Docket No. 98N-0608]
    
    
    Revision of Requirements Applicable to Albumin (Human), Plasma 
    Protein Fraction (Human), and Immune Globulin (Human); Companion 
    Document to Direct Final Rule
    
    AGENCY: Food and Drug Administration, HHS.
    
    ACTION: Proposed rule.
    
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    SUMMARY: The Food and Drug Administration (FDA) is proposing to amend 
    the biologics regulations by removing, revising, or updating specific 
    regulations applicable to blood derivative products to be more 
    consistent with current practices and to remove unnecessary or outdated 
    requirements. FDA is taking this action as part of the agency's ``Blood 
    Initiative'' in which FDA is reviewing and revising, when appropriate, 
    its regulations, policies, guidance, and procedures related to blood 
    products, including blood derivatives. This proposed rule is a 
    companion document to the direct final rule published elsewhere in this 
    issue of the Federal Register. FDA is taking this action because the 
    proposed changes are noncontroversial and FDA anticipates that it will 
    receive no significant adverse comment.
    DATES: Submit written comments on or before July 28, 1999. If FDA 
    receives any significant adverse comment regarding this rule, FDA will 
    publish a document withdrawing the direct final rule within 30 days 
    after the comment period ends. FDA then and will proceed to respond to 
    the comments under this proposed rule using the usual notice and 
    comment procedures. Any parties interested in commenting on this 
    document should do so at this time.
        If FDA receives no significant adverse comments within the 
    specified comment period, the agency intends to publish a document 
    confirming the effective date of the final rule in the Federal Register 
    within 30 days after the comment period on the direct final rule ends. 
    The direct final rule will be effective September 27, 1999.
    ADDRESSES: Submit written comments on the proposed rule to the Dockets 
    Management Branch (HFA-305), Food and Drug Administration, 5630 Fishers 
    Lane, rm. 1061, Rockville, MD 20852.
    FOR FURTHER INFORMATION CONTACT: Sharon A. Carayiannis, Center for 
    Biologics Evaluation and Research (HFM-17), Food and Drug 
    Administration, 1401 Rockville Pike, Rockville, MD 20852-1448, 301-827-
    6210.
    
    SUPPLEMENTARY INFORMATION: 
    
    I. Background
    
         This proposed rule is a companion to the direct final rule 
    published in the final rules section of this issue of the Federal 
    Register. This companion proposed rule will provide the procedural 
    framework to finalize the rule in the event that the direct final rule 
    receives any adverse comment and is withdrawn. The comment period for 
    this companion proposed rule runs concurrently with the comment period 
    for the direct final rule. Any comments received under this companion 
    rule will also be considered as comments regarding the direct final 
    rule. FDA is publishing the direct final rule because the rule contains 
    noncontroversial changes, and FDA anticipates that it will receive no 
    significant adverse comment.
        A significant comment is defined as a comment that explains why the 
    rule would be inappropriate, including challenges to the rule's 
    underlying premise or approach, or would be ineffective or unacceptable 
    without a change. In determining whether a significant adverse comment 
    is sufficient to terminate a direct final rulemaking, FDA will consider 
    whether the comment raises an issue serious enough to warrant a 
    substantive response in a notice-and-comment process. Comments that are 
    frivolous, insubstantial, or outside the scope of the rule will not be 
    considered significant or adverse under this procedure. A comment 
    recommending a rule change in addition to the rule would not be 
    considered a significant adverse comment, unless the comment states why 
    the rule would be ineffective without additional change. In addition, 
    if a significant adverse comment applies to an amendment, paragraph, or 
    section of this rule and that provision can be severed from the 
    remainder of the rule, FDA may adopt as final those provisions of the 
    rule that are not subjects of significant adverse comments.
         If no significant adverse comment is received in response to the 
    direct final rule, no further action will be taken related to this 
    proposed rule. Instead, FDA will publish a confirmation document within 
    30 days after the comment period ends confirming that the direct final 
    rule will go into effect on September 27, 1999. Additional information 
    about FDA's direct rulemaking procedures is set forth in a guidance 
    published in the Federal
    
    [[Page 26345]]
    
    Register of November 21, 1997 (62 FR 62466).
        For a variety of reasons, FDA has decided to comprehensively review 
    and, as necessary, revise its regulations, policies, guidance and 
    procedures related to the licensing and regulation of blood products. 
    FDA is issuing this companion proposed rule and the direct final rule, 
    published elsewhere in this issue of the Federal Register, as part of 
    the agency's ``Blood Initiative'' in which FDA is reviewing and 
    revising, when appropriate, its regulations, policies, guidance, and 
    procedures related to blood products, including plasma derivatives. The 
    ``Blood Initiative'' is discussed in detail in the preamble to the 
    direct final rule.
        FDA emphasizes that for many of the changes discussed below, 
    additional issues related to the regulations now being amended continue 
    to be under consideration by the agency. Further, more substantive 
    changes may be proposed at a later date. Accordingly, any comment 
    recommending an additional change to these regulations will not be 
    considered to be an ``adverse comment'' unless the comment demonstrates 
    that the change being made in the direct final rule represents a major 
    departure from current regulations or accepted industry standards, or 
    cannot be implemented without additional amendments to the regulations.
    
    II. Legal Authority
    
        FDA is proposing to promulgate this new rule under the biologics 
    products and communicable disease provisions of the Public Health 
    Service Act (PHS Act) (42 U.S.C. 262-264) and the drug, device, and 
    general administrative provisions of the Federal Food, Drug, and 
    Cosmetic Act (the act) (21 U.S.C. 321, 331, 351-353, 355, 360, 360j, 
    371, and 374). Under these provisions of the PHS Act and the act, FDA 
    has the authority to promulgate and enforce regulations designed to 
    ensure that biological products are safe, pure, potent, and properly 
    labeled and to prevent the introduction, transmission, and spread of 
    communicable disease.
    
     III. Highlights of the Proposed Rule
    
        FDA is proposing to amend the biologics regulations by removing, 
    revising, or updating specific regulations applicable to blood 
    derivative products to be more consistent with current practices and to 
    remove unnecessary or outdated requirements. In addition, minor 
    editorial changes, such as correction of punctuation, would be made. As 
    previously discussed, FDA is also issuing these amendments directly as 
    a final rule because the agency believes they are noncontroversial and 
    that there is little likelihood that there will be comments opposing 
    the rule. FDA is identifying each of the changes included in the 
    proposed rule as follows.
    
    A. Identification of Plasma as the Source Material for Derivative 
    Products
    
        Sections 640.80(a), 640.90(a), and 640.100(a) (21 CFR 640.80(a), 
    640.90(a), and 640.100(a)) state the proper name and definition for 
    Albumin (Human), Plasma Protein Fraction (Human) and Immune Globulin 
    (Human), respectively. With the ubiquitous use of modern 
    anticoagulants, these products are prepared solely from human plasma. 
    Under the proposal, Secs. 640.80(a), 640.90(a), and 640.100(a) would be 
    changed from ``a sterile solution * * * human blood'' to ``a sterile 
    solution * * * derived from human plasma.''
        Sections 640.80(b), 640.90(b), and 640.100(b) discuss source 
    material of Albumin (Human), Plasma Protein Fraction (Human), and 
    Immune Globulin (Human), respectively. With modern practice, these 
    products are no longer prepared from Whole Blood, sera, or human 
    placentas. FDA is proposing to change Secs. 640.80(b), 640.90(b), and 
    640.100(b) to clarify and update the requirements for source material. 
    Sections 640.80(b), 640.90(b), and 640.100(b) would be changed to read 
    ``The source material of * * * shall be plasma recovered from Whole 
    Blood prepared as prescribed in Secs. 640.1 through 640.5, or Source 
    Plasma prepared as prescribed in Secs. 640.60 through 640.76.''
    
    B. Clarification for Microbial Contamination During Processing
    
        Sections 640.81(c) and 640.91(c) (21 CFR 640.81(c) and 640.91(c)) 
    discuss microbial contamination of source material and would be amended 
    to clarify that ``All processing steps shall be conducted in a manner 
    to minimize the risk of contamination from microorganisms, pyrogens, or 
    other impurities.''
    
    C. Clarification of Process for Heat Treatment
    
        Sections 640.81(e) and 640.91(e) discuss heat treatment and would 
    be amended to clarify that the heating process shall be continuous for 
    the time and at the temperature currently specified in the regulations. 
    In addition, FDA is proposing to correct Secs. 640.81(e) and 640.91(e) 
    by removing a degree sign to read ``60#0.5 C''.
    
    D. Clarification for Stabilizer Used in Albumin (Human) and Plasma 
    Protein Fraction (Human)
    
        Under the proposal, Secs. 640.81(f) and 640.91(f), Stabilizer, 
    would be amended by clarifying the range for acceptable amounts of 
    stabilizer(s) that shall be present in Albumin (Human) and Plasma 
    Protein Fraction (Human), respectively. Consistent with the amount of 
    stabilizer(s) currently used in these products, the regulations are 
    amended to require either 0.08#0.016 millimole sodium 
    caprylate, or 0.08#0.016 millimole sodium 
    acetyltryptophanate and 0.08#0.016 millimole sodium 
    caprylate per gram (/g) of protein. FDA is proposing the word 
    ``present'' be substituted for ``added'' in Secs. 640.81(f) and 
    640.91(f) to clarify that the regulation pertains to the amount of 
    stabilizer in the final product. In addition, Secs. 640.81(f) and 
    640.91(f) would be amended to simplify calculations of stabilizer(s) 
    content in Albumin (Human) and Plasma Protein Fraction (Human). Under 
    the proposal, manufacturers may employ the labeled value for the 
    protein concentration. For example, if the measured protein 
    concentration of a lot of 5 percent Albumin (Human) is 5.15 percent, 
    the calculations of stabilizer(s) content may use the labeled value of 
    5 percent. Thus, under this proposal, if the measured concentration of 
    sodium caprylate is 0.35 millimole/deciliter (dL) and the measured 
    protein concentration is 5.15 percent (i.e., 5.15 g/dL), the sodium 
    caprylate concentration may be calculated as 0.35 divided by 5, or 0.07 
    millimole/g of protein.
    
    E. Revision of Terminology
    
        Under the proposal, Secs. 640.82(a) and 640.82(d), Protein content 
    and Sodium content, respectively, would be amended by replacing 
    ``content'' with ``concentration'' to be more precise.
        Sections 640.82(c), 640.92(c), and 640.101(b) would be amended by 
    changing the term from ``hydrogen ion concentration'' to ``pH'' to 
    reflect the more commonly used terminology.
        Section 640.82(e), Heme content, is replaced by Potassium 
    concentration, which describes the acceptable potassium concentration 
    of the final product. Heme concentration is well controlled by the 
    procedures currently used to prepare plasma, and all recent lots of 
    Albumin (Human) have heme concentrations well below the maximum 
    specified in the current regulation. FDA is proposing to update the 
    regulations by deleting the requirement for the determination of heme 
    content and replacing it with a
    
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    requirement that ``the potassium concentration of the final product 
    shall not exceed 2 milliequivalents per liter.'' All licensed 
    manufacturers are currently manufacturing Albumin (Human) with a 
    potassium concentration that does not exceed 2 milliequivalents per 
    liter. This proposed revision is also consistent with the current 
    requirements in Sec. 640.92(e) for the closely related product, Plasma 
    Protein Fraction.
        FDA is proposing that Secs. 640.84(a)(1), 640.84(a)(4), 640.92(a), 
    640.92(d), 640.92(e), and 640.94(a), be amended by replacing 
    ``content'' with 1``concentration'' to be more precise.Under the 
    proposal, Sec. 640.84(b) would be removed to be consistent with changes 
    made to Sec. 640.80(a) and (b). Sections 640.84(a)(1) through (a)(4) 
    would be redesignated as Sec. 640.84(a) through (d).
    
    F. Correction of Spelling
    
        Under the proposal, Sec. 640.91(b)(2) and (c) would be amended by 
    correcting the spelling of ``coefficient'' and ``contamination,'' 
    respectively.
    
    G. Revision of Range for Protein Concentration
    
        Under the proposal, Sec. 640.92(a), Protein concentration, would be 
    corrected by changing ``5.0#0.3'' to ``5.0#0.30'' 
    to reflect the precision of the value.
    
    H. Revision of general requirements and sterilization and heating for 
    Immune Globulin (Human).
    
        Under the proposal, Secs. 640.101(e)(3) and (e)(4) would be removed 
    to be consistent with current practice. The use of the current 
    attenuated strain of measles used in the manufacture of measles 
    vaccines licensed in the United States results in products that do not 
    require the concomitant administration of measles antibodies. Moreover, 
    the labeling for measles vaccines contains appropriate precautions 
    regarding the effect of Immune Globulin (Human). With the availability 
    of a highly effective vaccine, passive prophylaxis for poliomyelitis 
    with Immune Globulin (Human), which had only minimal effectiveness, was 
    discontinued many years ago.
        FDA is proposing to remove Sec. 640.101(f), Samples and protocols, 
    to be consistent with current policy. Current policy permits 
    manufacturers of biological products, including plasma derivatives, to 
    request exemption from lot release by the Center for Biologics 
    Evaluation and Research (CBER). After review of the data submitted in 
    support of such a request, the Director, CBER, may grant the request, 
    thus decreasing the regulatory burden on the manufacturer and 
    permitting distribution of the product as soon as the manufacturer has 
    completed all necessary quality control procedures on a particular lot.
        FDA is proposing to amend Sec. 640.102(e), Sterilization and 
    heating, by removing ``* * * 30 to * * *''. The effect of the 
    regulation would be unchanged by this proposed revision.
    
    I. Revision of Determination of Protein Composition of Final Product 
    for Immune Globulin (Human)
    
        Section 640.103(b) describes the protein composition of the Immune 
    Globulin (Human) final product in terms of absolute electrophoretic 
    mobility. This value was computed from measurements made by moving 
    boundary electrophoresis. For at least 25 years, the instrumentation 
    necessary for performing moving boundary electrophoresis has not been 
    commercially available. Accordingly, as such equipment was becoming 
    less available, all licensed manufacturers of Immune Globulin (Human) 
    calibrated more modern methods against moving boundary electrophoresis 
    and amended their product license applications for Immune Globulin 
    (Human) to provide for the use of the more modern methods. In addition, 
    using more modern methods of manufacturing and measurement, 
    manufacturers are now routinely making a more highly purified product. 
    Accordingly, FDA is proposing to amend Sec. 640.103(b) to read ``At 
    least 96 percent of the total protein shall be immunoglobulin G (IgG), 
    as determined by a method that has been approved for each manufacturer 
    by the Director, Center for Biologics Evaluation and Research, Food and 
    Drug Administration.''
    
    J. Revision of Minimum Levels for Measles Neutralizing Antibody and 
    Poliomyelitis Neutralizing Antibody
    
        FDA is proposing to revise Sec. 640.104(b)(2), consistent with 
    current accepted practice, by eliminating a specified numerical value 
    for the measles neutralizing antibody level. This change would allow 
    more flexibility for industry and FDA, in that the regulations will no 
    longer become outdated each time a new reference standard is used. The 
    regulation would be changed to read ``A measles neutralizing antibody 
    level that, when compared with that of a reference material designated 
    by the Center for Biologics Evaluation and Research (CBER), Food and 
    Drug Administration, as indicated in paragraph (c) of this section, 
    demonstrates adequate potency. The Director, CBER, shall notify 
    manufacturers when a new reference material will be used and will 
    advise manufacturers of an appropriate antibody level taking into 
    account a comparison of the new reference material to the previous 
    reference material.''
        FDA is proposing to revise Sec. 640.104(b)(3), consistent with 
    current accepted practice, by eliminating a specified numerical value 
    for the poliomyelitis neutralizing antibody level. This change allows 
    more flexibility for industry and FDA, in that the regulations will no 
    longer become outdated each time a new reference standard is used. The 
    regulation is changed to read ``A poliomyelitis Type 1, Type 2, or Type 
    3 neutralizing antibody level that, when compared with that of a 
    reference material designated by the Center for Biologics Evaluation 
    and Research, Food and Drug Administration, as indicated in paragraph 
    (c) of this section, demonstrates adequate potency. The Director, CBER, 
    shall notify manufacturers when a new reference material will be used 
    and will advise manufacturers of an appropriate antibody level taking 
    into account a comparison of the new reference material to the previous 
    reference material.''
    
    K. Revision of Nomenclature for Reference Immune Globulin
    
        FDA is proposing to amend Sec. 640.104(c)(1) and (c)(2) by removing 
    the word ``Serum'' to reflect the more precise nomenclature of 
    ``Reference Immune Globulin * * *''
    
    IV. Analysis of Impacts
    
    A. Review Under Executive Order 12866 and the Regulatory Flexibility 
    Act and the Unfunded Mandates Act of 1995.
    
        FDA has examined the impact of the proposed rule under Executive 
    Order 12866 and the Regulatory Flexibility Act (5 U. S. C. 601-612), 
    and the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4). Executive 
    Order 12866 directs agencies to assess all costs and benefits of 
    available regulatory alternatives and, when regulation is necessary, to 
    select regulatory approaches that maximize net benefits (including 
    potential economic, environmental, public health and safety, and other 
    advantages; distributive impact; and equity). The agency believes that 
    this proposed rule is consistent with the regulatory philosophy and 
    principles identified in the Executive Order.
        The agency believes that this proposed rule is consistent with the
    
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    regulatory philosophy and principles identified in the Executive Order. 
    This proposed rule is not a significant regulatory action as defined by 
    the Executive Order and therefore is not subject to review under the 
    Executive Order.
        The Regulatory Flexibility Act requires agencies to analyze 
    regulatory options that would minimize any significant impact of a rule 
    on small business entities. Because the proposed rule amendments have 
    no compliance costs and do not result in any new requirements, the 
    agency certifies that the proposed rule will not have a significant 
    negative economic impact on a substantial number of small entities. 
    Therefore, under the Regulatory Flexibility Act, no further analysis is 
    required. This proposed rule also does not trigger the requirement for 
    a written statement under section 202(a) of the Unfunded Mandates 
    Reform Act of 1995 because it does not impose a mandate that results in 
    an expenditure of $100 million or more by State, local, and tribal 
    governments in the aggregate, or by the private sector in any 1 year.
    
    B. Environmental Impact
    
        The agency has determined under 21 CFR 25.31(j) that this action is 
    of a type that does not individually or cumulatively have a significant 
    effect on the human environment. Therefore, neither an environmental 
    assessment nor an environmental impact statement is required.
    
    V. The Paperwork Reduction Act of 1995
    
        FDA tentatively concludes that this proposed rule contains no 
    collections of information. Therefore, clearance by the Office of 
    Management and Budget under the Paperwork Reduction Act of 1995 is not 
    required.
    
    VI. Request for Comments
    
        Interested persons may, on or before July 28, 1999, submit to the 
    Docket Management Branch (address above) written comments regarding 
    this proposal. Two copies of any comments are to be submitted, except 
    that individuals may submit one copy. Comments are to be identified 
    with the docket number found in brackets in the heading of this 
    document. Received comments may be seen in the office above between 9 
    a.m. and 4 p.m., Monday through Friday.
    
    List of Subjects in 21 CFR Part 640
    
        Blood, Labeling, Reporting and recordkeeping requirements.
        Therefore, under the Federal Food, Drug, and Cosmetic Act, the 
    Public Health Service Act, and under authority delegated to the 
    Commissioner of Food and Drugs, it is proposed that 21 CFR part 640 be 
    amended as follows:
    
    PART 640--ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS
    
        1. The authority citation for 21 CFR part 640 continues to read as 
    follows:
    
        Authority: 21 U.S.C. 321, 351, 352, 353, 355, 360, 371; 42 
    U.S.C. 216, 262, 263, 263a, 264.
    
        2. Section 640.80 is amended by revising the last sentence in 
    paragraph (a) and by revising paragraph (b) to read as follows:
    
    Sec. 640.80   Albumin (Human).
    
        (a) * * * The product is defined as a sterile solution of the 
    albumin derived from human plasma.
        (b) Source material. The source material of Albumin (Human) shall 
    be plasma recovered from Whole Blood prepared as prescribed in 
    Secs. 640.1 through 640.5, or Source Plasma prepared as prescribed in 
    Secs. 640.60 through 640.76.
    * * * * *
        3. Section 640.81 is amended by revising the first sentence of 
    paragraph (c) and the last sentence in paragraph (e), and by revising 
    paragraph (f) to read as follows:
    
    Sec. 640.81  Processing.
    
    * * * * *
        (c) Microbial contamination. All processing steps shall be 
    conducted in a manner to minimize the risk of contamination from 
    microorganisms, pyrogens, or other impurities. * * *
    * * * * *
        (e) Heat treatment. * * * Heat treatment shall be conducted so that 
    the solution is heated continuously for not less than 10 or more than 
    11 hours at an attained temperature of 60#0.5 +C.
        (f) Stabilizer. Either 0.08#0.016 millimole sodium 
    caprylate, or 0.08#0.016 millimole sodium 
    acetyltryptophanate and 0.08#0.016 millimole sodium 
    caprylate per gram of protein shall be present as a stabilizer(s). 
    Calculations of the stabilizer concentration may employ the labeled 
    value for the protein concentration of the product as referred to in 
    Sec. 640.84(d).
    * * * * *
        4. Section 640.82 is amended by revising the headings in paragraphs 
    (a) and (c), and by revising paragraphs (d) and (e) to read as follows:
    
    * * * * *
    
    
    Sec. 640.82   Tests on final product.
    
     * * * * *
        (a) Protein concentration.* * *
    * * * * *
        (c) pH. * * *
        (d) Sodium concentration. The sodium concentration of the final 
    product shall be 130 to 160 milliequivalents per liter.
        (e) Potassium concentration. The potassium concentration of the 
    final product shall not exceed 2 milliequivalents per liter.
    * * * * *
        5. Section 640.84 is amended by revising the introductory 
    paragraph, by removing paragraph (a) introductory text and paragraph 
    (b), by redesignating paragraphs (a)(1) through (a)(4) as paragraphs 
    (a) through (d), respectively, and by revising newly redesignated 
    paragraphs (a) and (d) to read as follows:
    
    
    Sec. 640.84  Labeling.
    
        In addition to the labeling requirements of Secs. 610.60, 610.61, 
    and 610.62 of this chapter, the container and package labels shall 
    contain the following information:
        (a) The osmotic equivalent in terms of plasma, and the sodium 
    concentration in terms of a value or a range in milliequivalents per 
    liter;
    * * * * *
        (d) The protein concentration, expressed as a 4 percent, 5 percent, 
    20 percent, or 25 percent solution.
        6. Section 640.90 is amended by revising the last sentence in 
    paragraph (a) and by revising paragraph (b) to read as follows:
    
    Sec. 640.90  Plasma Protein Fraction (Human).
    
        (a) * * * The product is defined as a sterile solution of protein 
    composed of albumin and globulin, derived from human plasma.
        (b) Source material. The source material of Plasma Protein Fraction 
    (Human) shall be plasma recovered from Whole Blood prepared as 
    prescribed in Secs. 640.1 through 640.5, or Source Plasma prepared as 
    prescribed in Secs. 640.60 through 640.76.
    * * * * *
        7. Section 640.91 is amended by revising paragraphs (b)(2) and (f), 
    and by revising the first sentence in paragraph (c) and the last 
    sentence in paragraph (e) to read as follows:
    
    Sec. 640.91  Processing.
    
    * * * * *
        (b) * * *
        (2) Contains less than 5 percent protein with a sedimentation 
    coefficient greater than 7.0 S.
    
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        (c) Microbial contamination. All processing steps shall be 
    conducted in a manner to minimize the risk of contamination from 
    microorganisms, pyrogens, or other impurities. * * *
    * * * * *
        (e) * * * Heat treatment shall be conducted so that the solution is 
    heated continuously for not less than 10 or more than 11 hours at an 
    attained temperature of 60#0.5 +C.
        (f) Stabilizer. Either 0.08#0.016 millimole sodium 
    caprylate, or 0.08#0.016 millimole sodium 
    acetyltryptophanate and 0.08#0.016 millimole sodium 
    caprylate per gram of protein shall be present as a stabilizer(s). 
    Calculations of the stabilizer concentration may employ the labeled 
    value 5 percent for the protein concentration of the product.
    * * * * *
        8. Section 640.92 is amended by revising the headings of paragraphs 
    (a) and (c), and by revising paragraphs (d) and (e) to read as follows:
    
    Sec. 640.92   Tests on final product.
    
    * * * * *
        (a) Protein concentration. * * *
    * * * * *
        (c) pH. * * *
        (d) Sodium concentration. The sodium concentration of the final 
    product shall be 130 to 160 milliequivalents per liter.
        (e) Potassium concentration. The potassium concentration of the 
    final product shall not exceed 2 milliequivalents per liter.
    * * * * *
        9. Section 640.94 is amended by revising paragraph (a) to read as 
    follows:
    
    Sec. 640.94   Labeling.
    
    * * * * *
        (a) The osmotic equivalent in terms of plasma, and the sodium 
    concentration in terms of a value or a range in milliequivalents per 
    liter.
    * * * * *
        10. Section 640.100 is amended by revising the last sentence in 
    paragraph (a), and by revising paragraphs (b) and (c) to read as 
    follows:
    
    Sec. 640.100  Immune Globulin (Human).
    
         (a) * * * The product is defined as a sterile solution containing 
    antibodies derived from human plasma.
        (b) Source material. The source material of Immune Globulin (Human) 
    shall be plasma recovered from Whole Blood prepared as prescribed in 
    Secs. 640.1 through 640.5, or Source Plasma prepared as prescribed in 
    Secs. 640.60 through 640.76.
         (c) Additives in source material. The source material shall 
    contain no additives other than citrate or acid citrate dextrose 
    anticoagulant solution, unless it is shown that the processing method 
    yields a product free of the additive to such an extent that the 
    safety, purity, and potency of the product will not be affected 
    adversely.
    
    
    Sec. 640.101   [Amended]
    
        11. Section 640.101 General requirements is amended by removing the 
    heading of paragraph (b) ``Hydrogen ion concentration'' and by adding 
    in its place ``pH'' and by removing paragraphs (e)(3), (e)(4), and (f).
        12. Section 640.102 is amended by revising the last sentence of 
    paragraph (e) to read as follows:
    
    
    640.102  Manufacture of Immune Globulin (Human).
    
    * * * * *
        (e) * * * At no time during processing shall the product be exposed 
    to temperatures above 45  deg.C and after sterilization the product 
    shall not be exposed to temperatures above 32  deg.C for more than 72 
    hours.
        13. Section 640.103 is amended by revising paragraph (b) to read as 
    follows:
    
    Sec. 640.103   The final product.
    
    * * * * *
        (b) Protein composition. At least 96 percent of the total protein 
    shall be immunoglobulin G (IgG), as determined by a method that has 
    been approved for each manufacturer by the Director, Center for 
    Biologics Evaluation and Research, Food and Drug Administration.
        14. Section 640.104 is amended by revising paragraphs (b)(2), 
    (b)(3), (c)(1), and (c)(2) to read as follows:
    
    Sec. 640.104   Potency.
    
    * * * * *
         (b) * * *
         (2) A measles neutralizing antibody level that, when compared with 
    that of a reference material designated by the Center for Biologics 
    Evaluation and Research (CBER), Food and Drug Administration, as 
    indicated in paragraph (c) of this section, demonstrates adequate 
    potency. The Director, CBER, shall notify manufacturers when a new 
    reference material will be used and will advise manufacturers of an 
    appropriate antibody level taking into account a comparison of the new 
    reference material to the previous reference material.
        (3) A poliomyelitis Type 1, Type 2, or Type 3 neutralizing antibody 
    level that, when compared with that of a reference material designated 
    by the Center for Biologics Evaluation and Research, Food and Drug 
    Administration, as indicated in paragraph (c) of this section, 
    demonstrates adequate potency. The Director, CBER, shall notify 
    manufacturers when a new reference material will be used and will 
    advise manufacturers of an appropriate antibody level taking into 
    account a comparison of the new reference material to the previous 
    reference material.
        (c) * * *
         (1) Reference Immune Globulin for correlation of measles antibody 
    titers.
         (2) Reference Immune Globulin for correlation of poliomyelitis 
    antibody titers, Types 1, 2, and 3.
    
        Dated: April 20, 1999.
    Jane E. Henney,
    Commissioner of Food and Drugs.
    Donna E. Shalala,
    Secretary of Health and Human Services.
    [FR Doc. 99-11898 Filed 5-13-99; 8:45 am]
    BILLING CODE 4160-01-F
    
    
    

Document Information

Published:
05/14/1999
Department:
Food and Drug Administration
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
99-11898
Dates:
Submit written comments on or before July 28, 1999. If FDA receives any significant adverse comment regarding this rule, FDA will publish a document withdrawing the direct final rule within 30 days after the comment period ends. FDA then and will proceed to respond to the comments under this proposed rule using the usual notice and comment procedures. Any parties interested in commenting on this document should do so at this time.
Pages:
26344-26348 (5 pages)
Docket Numbers:
Docket No. 98N-0608
PDF File:
99-11898.pdf
CFR: (13)
21 CFR 640.84(d)
21 CFR 640.80
21 CFR 640.81
21 CFR 640.82
21 CFR 640.84
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