,i #aad? ,,congress #a/ ,session ,h4 ,r4 #bedg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ba1 #bjae ,mrs4 ,mc,morris ,rodg]s introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act to provide = ! developm5t ( accel]at$ approval developm5t plans = inve/igational drugs & biological products4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,surrogate ,endpo9t ,improvem5t & ,utilization ,act ( #bjae4 #b4 ,accel]at$ approval developm5t plan 7a7 ,9 g5]al ,section #ejf ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef7 is am5d$ by add+ ! foll[+ subsection3 7g7 ,accel]at$ approval developm5t plan 7#a7 ,9 g5]al ,9 ! case ( a drug det]m9$ to be eligible = accel]at$ approval "u subsection 7c71 at any "t aft] ! submission ( an application = ! inve/igation ( ! drug "u section #eje7;i7 ( ?is ,act or section #cea7;a77#c7 ( ! ,public ,heal? ,s]vice ,act1 ! sponsor ( su* drug may volunt>ily reque/ agreem5t by ! ,secret>y to an accel]at$ approval developm5t plan ) respect to a surrogate endpo9t to be us$ to /udy ! drug4 7#b7 ,plan ,a plan describ$ 9 p>agraph 7#a7 %all include agreem5t on-- 7,a7 ! surrogate endpo9t to be assess$ "u ! plan2 7,b7 ! design ( ! /udy t w utilize ! surrogate endpo9t2 & 7,c7 ! magnitude ( ! effect ( ! drug on ! surrogate endpo9t t is ! subject ( ! agreem5t t w\ld be suffici5t to =m ! prim>y basis ( a claim t ! drug is effective4 7#c7 ,modification2 t]m9ation ,! ,secret>y may require ! sponsor ( a drug t is ! subject ( an accel]at$ approval developm5t plan to modify or t]m9ate ! plan if additional data or in=mation indicates t-- 7,a7 ! plan z orig9ally agre$ ^u is no long] suffici5t to demon/rate ! safety & effectiv5ess ( ! drug involv$2 or 7,b7 ! drug is no long] eligible = accel]at$ approval "u subsection 7c74 7#d7 ,sponsor consultation ,if ! ,secret>y requires ! modification or t]m9ation ( an accel]at$ approval developm5t plan "u p>agraph 7#c71 ! sponsor %all be grant$ a reque/ = a meet+ to discuss ! basis ( ! ,secret>y's decision be=e ! effective date ( ! modification or t]m9ation4 7#e7 ,def9ition ,9 ?is section1 ! t]m accel]at$ approval developm5t plan means a developm5t plan agre$ ^u by ! ,secret>y & ! sponsor submitt+ ! plan t conta9s /udy p>amet]s = ! use ( a surrogate endpo9t t-- 7,a7 is reasonably likely to pr$ict cl9ical b5efit2 & 7,b7 is int5d$ to be ! basis ( ! accel]at$ approval ( a drug "u subsection 7c74 4 7b7 ,te*nical am5dm5ts ,section #ejf ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef7 is am5d$-- 7#a7 by /rik+ 7f7 ,aw>5ess ef=ts & ins]t+ 7e7 ,aw>5ess ef=ts2 & 7#b7 by /rik+ 7e7 ,con/ruction & ins]t+ 7f7 ,con/ruction4