June
14, 2004
Michael
M. Gottesman, MD
Deputy
Director for Intramural Research
National
Institutes of Health
10
Center Drive M.C. 1381
Bldg.
1, Room 114
Bethesda,
MD 20892
Subject: FDA Review
under 21 CFR 50.54 of Protocol Entitled "Effects of a Single Dose of
Dextroamphetamine in Attention Deficit Hyperactivity Disorder; A Functional
Magnetic Resonance Study"
Re:
Notification of FDA Jurisdiction over Clinical Investigation
Dear Dr. Gottesman:
This
letter is to notify you that the Office of Human Research Protection (OHRP) at
the Department of Health and Human Services forwarded the above- referenced
protocol to the Food and Drug Administration (FDA) to make a preliminary
determination as to whether the above-referenced study is regulated by FDA, and
therefore whether it is subject to 21 CFR Part 50, Subpart D, "Additional
Safeguards for Children in Clinical Investigations." FDA has completed its assessment of the
proposed study and determined it is a clinical investigation regulated by the
FDA under sections 505(i) of the Federal Food, Drug, and Cosmetic Act. Accordingly, it must be conducted in
compliance with the requirements set forth in 21 CFR Parts 56 and 50, including
Subpart D of Part 50.
Your
April 20, 2004 letter to OHRP stated that the institutional review board that
reviewed the above- referenced protocol concluded that the protocol presented
an opportunity to understand, prevent, or alleviate a serious problem affecting
the health or welfare of children, but was not otherwise approvable. Therefore, because the protocol is a
clinical investigation regulated by FDA and subject to 21 CFR 50.54, FDA will
be consulting with a panel of experts, in conjunction with OHRP, to review the
protocol.
Your
participation in this process will be critical and we will be communicating
with you further about the process and timing of this important activity. Should you have any questions or wish to
discuss this issue in the meantime please contact Ms. Terrie Crescenzi or Dr.
Sara Goldkind at 301-827-9218.
Sincerely,
Dianne Murphy, M.D.
Director
Office of Pediatric
Therapeutics
Office of the Commissioner
cc: Dr.
Donald Rosenstein, NIMH, NIH
Dr. Murray Lumpkin, FDA
Dr.
Steven Galson, CDER, FDA
Dr.
Robert Temple, CDER, FDA
Dr. Russell Katz, CDER, FDA
Dr. Daniel Shultz, CDRH, FDA
Dr.
Joann Less, CDRH, FDA
Donna
Katz, Esq., OGC, FDA