{"identifier":"/us/usc/t21/s355f","title_num":"21","num":"§ 355f.","heading":"Extension of exclusivity period for new qualified infectious disease products","status":null,"guid":"id4af4804b-698e-11e8-9c4d-8d838b4b3fdc","source_credit":"(June 25, 1938, ch. 675, § 505E, as added Pub. L. 112–144, title VIII, § 801(a), July 9, 2012, 126 Stat. 1077.)","seq_in_title":159,"parent_identifier":"/us/usc/t21/ch9/schV/ptA","ancestors":[{"identifier":"/us/usc/t21","level":"title","num":"Title 21—","heading":"FOOD AND DRUGS","status":null,"is_section":false},{"identifier":"/us/usc/t21/ch9","level":"chapter","num":"CHAPTER 9—","heading":"FEDERAL FOOD, DRUG, AND COSMETIC ACT","status":null,"is_section":false},{"identifier":"/us/usc/t21/ch9/schV","level":"subchapter","num":"SUBCHAPTER V—","heading":"DRUGS AND DEVICES","status":null,"is_section":false},{"identifier":"/us/usc/t21/ch9/schV/ptA","level":"part","num":"Part A—","heading":"Drugs and Devices","status":null,"is_section":false}],"xml":"<section xmlns=\"http://xml.house.gov/schemas/uslm/1.0\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\" xmlns:dc=\"http://purl.org/dc/elements/1.1/\" xmlns:dcterms=\"http://purl.org/dc/terms/\" style=\"-uslm-lc:I80\" id=\"idae35992e-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f\"><num value=\"355f\">§ 355f.</num><heading> Extension of exclusivity period for new qualified infectious disease products</heading><subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae35992f-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/a\"><num value=\"a\" class=\"bold\">(a)</num><heading class=\"bold\"> Extension</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">If the Secretary approves an application pursuant to <ref href=\"/us/usc/t21/s355\">section 355 of this title</ref> for a drug that has been designated as a qualified infectious disease product under subsection (d), the 4- and 5-year periods described in subsections (c)(3)(E)(ii) and (j)(5)(F)(ii) of <ref href=\"/us/usc/t21/s355\">section 355 of this title</ref>, the 3-year periods described in clauses (iii) and (iv) of subsection (c)(3)(E) and clauses (iii) and (iv) of subsection (j)(5)(F) of <ref href=\"/us/usc/t21/s355\">section 355 of this title</ref>, or the 7-year period described in <ref href=\"/us/usc/t21/s360cc\">section 360cc of this title</ref>, as applicable, shall be extended by 5 years.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359930-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/b\"><num value=\"b\" class=\"bold\">(b)</num><heading class=\"bold\"> Relation to pediatric exclusivity</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">Any extension under subsection (a) of a period shall be in addition to any extension of the period under <ref href=\"/us/usc/t21/s355a\">section 355a of this title</ref> with respect to the drug.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359931-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/c\"><num value=\"c\" class=\"bold\">(c)</num><heading class=\"bold\"> Limitations</heading><chapeau>Subsection (a) does not apply to the approval of—</chapeau><paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idae359932-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/c/1\"><num value=\"1\">(1)</num><content> a supplement to an application under <ref href=\"/us/usc/t21/s355/b\">section 355(b) of this title</ref> for any qualified infectious disease product for which an extension described in subsection (a) is in effect or has expired;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idae359933-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/c/2\"><num value=\"2\">(2)</num><content> a subsequent application filed with respect to a product approved under <ref href=\"/us/usc/t21/s355\">section 355 of this title</ref> for a change that results in a new indication, route of administration, dosing schedule, dosage form, delivery system, delivery device, or strength; or</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idae359934-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/c/3\"><num value=\"3\">(3)</num><content> a product that does not meet the definition of a qualified infectious disease product under subsection (g) based upon its approved uses.</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359935-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/d\"><num value=\"d\" class=\"bold\">(d)</num><heading class=\"bold\"> Designation</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359936-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/d/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The manufacturer or sponsor of a drug may request the Secretary to designate a drug as a qualified infectious disease product at any time before the submission of an application under <ref href=\"/us/usc/t21/s355/b\">section 355(b) of this title</ref> for such drug. The Secretary shall, not later than 60 days after the submission of such a request, determine whether the drug is a qualified infectious disease product.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359937-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/d/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Limitation</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Except as provided in paragraph (3), a designation under this subsection shall not be withdrawn for any reason, including modifications to the list of qualifying pathogens under subsection (f)(2)(C).</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359938-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/d/3\"><num value=\"3\" class=\"bold\">(3)</num><heading class=\"bold\"> Revocation of designation</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The Secretary may revoke a designation of a drug as a qualified infectious disease product if the Secretary finds that the request for such designation contained an untrue statement of material fact.</p>\n</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359939-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e\"><num value=\"e\" class=\"bold\">(e)</num><heading class=\"bold\"> Regulations</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae35993a-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Not later than 2 years after <date date=\"2012-07-09\">July 9, 2012</date>, the Secretary shall adopt final regulations implementing this section, including developing the list of qualifying pathogens described in subsection (f).</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae35993b-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Procedure</heading><chapeau>In promulgating a regulation implementing this section, the Secretary shall—</chapeau><subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae35993c-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/2/A\"><num value=\"A\">(A)</num><content> issue a notice of proposed rulemaking that includes the proposed regulation;</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae35993d-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/2/B\"><num value=\"B\">(B)</num><content> provide a period of not less than 60 days for comments on the proposed regulation; and</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae35993e-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/2/C\"><num value=\"C\">(C)</num><content> publish the final regulation not less than 30 days before the effective date of the regulation.</content>\n</subparagraph>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae35993f-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/3\"><num value=\"3\" class=\"bold\">(3)</num><heading class=\"bold\"> Restrictions</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Notwithstanding any other provision of law, the Secretary shall promulgate regulations implementing this section only as described in paragraph (2), except that the Secretary may issue interim guidance for sponsors seeking designation under subsection (d) prior to the promulgation of such regulations.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359940-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/e/4\"><num value=\"4\" class=\"bold\">(4)</num><heading class=\"bold\"> Designation prior to regulations</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The Secretary shall designate drugs as qualified infectious disease products under subsection (d) prior to the promulgation of regulations under this subsection, if such drugs meet the definition of a qualified infectious disease product described in subsection (g).</p>\n</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359941-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f\"><num value=\"f\" class=\"bold\">(f)</num><heading class=\"bold\"> Qualifying pathogen</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359942-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> Definition</heading><chapeau>In this section, the term “qualifying pathogen” means a pathogen identified and listed by the Secretary under paragraph (2) that has the potential to pose a serious threat to public health, such as—</chapeau><subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae359943-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/1/A\"><num value=\"A\">(A)</num><content> resistant gram positive pathogens, including methicillin-resistant Staphylococcus aureus, vancomycin-resistant Staphylococcus aureus, and vancomycin-resistant enterococcus;</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae359944-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/1/B\"><num value=\"B\">(B)</num><content> multi-drug resistant gram negative bacteria, including Acinetobacter, Klebsiella, Pseudomonas, and E. coli species;</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae359945-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/1/C\"><num value=\"C\">(C)</num><content> multi-drug resistant tuberculosis; and</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idae359946-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/1/D\"><num value=\"D\">(D)</num><content> Clostridium difficile.</content>\n</subparagraph>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idae359947-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> List of qualifying pathogens</heading><subparagraph style=\"-uslm-lc:I18\" class=\"indent4 firstIndent-2\" id=\"idae359948-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/A\"><num value=\"A\" class=\"bold\">(A)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I13\" class=\"indent2\">The Secretary shall establish and maintain a list of qualifying pathogens, and shall make public the methodology for developing such list.</p>\n</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I18\" class=\"indent4 firstIndent-2\" id=\"idae359949-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B\"><num value=\"B\" class=\"bold\">(B)</num><heading class=\"bold\"> Considerations</heading><chapeau>In establishing and maintaining the list of pathogens described under this section, the Secretary shall—</chapeau><clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idae35994a-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/i\"><num value=\"i\">(i)</num><chapeau> consider—</chapeau><subclause style=\"-uslm-lc:I16\" class=\"indent4\" id=\"idae35994b-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/i/I\"><num value=\"I\">(I)</num><content> the impact on the public health due to drug-resistant organisms in humans;</content>\n</subclause>\n<subclause style=\"-uslm-lc:I16\" class=\"indent4\" id=\"idae35994c-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/i/II\"><num value=\"II\">(II)</num><content> the rate of growth of drug-resistant organisms in humans;</content>\n</subclause>\n<subclause style=\"-uslm-lc:I16\" class=\"indent4\" id=\"idae35994d-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/i/III\"><num value=\"III\">(III)</num><content> the increase in resistance rates in humans; and</content>\n</subclause>\n<subclause style=\"-uslm-lc:I16\" class=\"indent4\" id=\"idae35994e-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/i/IV\"><num value=\"IV\">(IV)</num><content> the morbidity and mortality in humans; and</content>\n</subclause>\n</clause>\n<clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idae35994f-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/B/ii\"><num value=\"ii\">(ii)</num><content> consult with experts in infectious diseases and antibiotic resistance, including the Centers for Disease Control and Prevention, the Food and Drug Administration, medical professionals, and the clinical research community.</content>\n</clause>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I18\" class=\"indent4 firstIndent-2\" id=\"idae359950-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/f/2/C\"><num value=\"C\" class=\"bold\">(C)</num><heading class=\"bold\"> Review</heading><content><p style=\"-uslm-lc:I13\" class=\"indent2\">Every 5 years, or more often as needed, the Secretary shall review, provide modifications to, and publish the list of qualifying pathogens under subparagraph (A) and shall by regulation revise the list as necessary, in accordance with subsection (e).</p>\n</content>\n</subparagraph>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idae359951-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/g\"><num value=\"g\" class=\"bold\">(g)</num><heading class=\"bold\"> Qualified infectious disease product</heading><chapeau>The term “qualified infectious disease product” means an antibacterial or antifungal drug for human use intended to treat serious or life-threatening infections, including those caused by—</chapeau><paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idae359952-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/g/1\"><num value=\"1\">(1)</num><content> an antibacterial or antifungal resistant pathogen, including novel or emerging infectious pathogens; or</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idae359953-ec38-11e5-9fc5-818d616f3d7f\" identifier=\"/us/usc/t21/s355f/g/2\"><num value=\"2\">(2)</num><content> qualifying pathogens listed by the Secretary under subsection (f).</content>\n</paragraph>\n</subsection>\n<sourceCredit id=\"idae359954-ec38-11e5-9fc5-818d616f3d7f\">(<ref href=\"/us/act/1938-06-25/ch675\">June 25, 1938, ch. 675</ref>, § 505E, as added <ref href=\"/us/pl/112/144/tVIII\">Pub. L. 112–144, title VIII</ref>, § 801(a), <date date=\"2012-07-09\">July 9, 2012</date>, <ref href=\"/us/stat/126/1077\">126 Stat. 1077</ref>.)</sourceCredit>\n<notes type=\"uscNote\" id=\"idae359955-ec38-11e5-9fc5-818d616f3d7f\">\n<note style=\"-uslm-lc:I74\" topic=\"effectiveDate\" id=\"idae359956-ec38-11e5-9fc5-818d616f3d7f\"><heading class=\"centered smallCaps\">Effective Date</heading><p><ref href=\"/us/pl/112/144/tVIII\">Pub. L. 112–144, title VIII</ref>, § 801(b), <date date=\"2012-07-09\">July 9, 2012</date>, <ref href=\"/us/stat/126/1079\">126 Stat. 1079</ref>, provided that: <quotedContent origin=\"/us/pl/112/144/tVIII\">“Section 505E of the Federal Food, Drug, and Cosmetic Act [<ref href=\"/us/usc/t21/s355f\">21 U.S.C. 355f</ref>], as added by subsection (a), applies only with respect to a drug that is first approved under section 505(c) of such Act (<ref href=\"/us/usc/t21/s355/c\">21 U.S.C. 355(c)</ref>) on or after the date of the enactment of this Act [<date date=\"2012-07-09\">July 9, 2012</date>].”</quotedContent>\n</p>\n</note>\n</notes>\n</section>","provision":null,"duplicates":[],"release":{"label":"115-179","currency_date":"2018-06-01","congress":115,"law_num":179,"excluded_laws":[],"update_num":null,"seq":137,"is_partial":false,"caveat":null,"titles_affected":["12","15","20","21","31","38","42","50"],"ingested_titles":[]},"served_from":{"label":"115-179","currency_date":"2018-06-01","congress":115,"law_num":179,"excluded_laws":[],"update_num":null,"seq":137,"is_partial":false,"caveat":null,"titles_affected":["12","15","20","21","31","38","42","50"],"ingested_titles":[]},"content_first_seen":{"label":"114-115","currency_date":"2015-12-28","congress":114,"law_num":115,"excluded_laws":[],"update_num":null,"seq":62,"is_partial":false,"caveat":null,"titles_affected":["02","07","08","10","15","20","21","23","25","26","29","31","40","42","47","49","50"],"ingested_titles":[]},"is_exact":true,"note":null}