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U.S. Department of Health and Human Services

Recognized Consensus Standards: Medical Devices

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Part B: Supplementary Information Sheet (SIS)
FR Recognition List Number 051 Date of Entry 01/14/2019 
FR Recognition Number 7-269
Standard
CLSI  MM23-1st Edition
Molecular Diagnostic Methods for Solid Tumors (Nonhematological Neoplasms)
Scope/Abstract
This guideline covers the current state of molecular diagnostic techniques intended for the characterization of solid tumors, and covers a range of clinical applications including diagnosis, prognosis, therapeutic response prediction for available drugs and those still in clinical trials, as well as monitoring and presymptomatic and predisposition testing.
Extent of Recognition
Partial recognition. The following part(s) of the standard is (are) not recognized:
Section 1.4.2 Definitions of correlated biomarker, integral biomarker, and integrated biomarker.
Section 2.1.3 Prognosis, Sentence 25-26 addressing genetic mutations
Table 3 Examples of Correlation of Somatic Changes with Response to Therapy
Table 4 Selected Germline Genetic Variants Used to Predict Optimal Dosage
Section 2.4.3 Establishing Clinical Validity
Rationale for Recognition
This standard is relevant to medical devices and is recognized on its scientific and technical merit and/or because it supports existing regulatory policies.

Section 1.4.2 conflicts with an existing published final guidance, see Section III.D.3. and Section III.G.1 in the guidance #1 listed below.

Section 2.1.3 conflicts with an existing published final guidance document, see Section IV C in guidance #1 listed below.

Table 3 conflicts with an existing published final guidance document, see Section IV C in guidance #1 listed below.

Table 4 conflicts with an existing published final guidance document, see Section IV C in guidance #1 listed below.

Section 2.4.3 conflicts with terminology in an FDA Educational Module Series, see proceedings listed below.
Relevant FDA Guidance and/or Supportive Publications*
1.In Vitro Companion Diagnostic Devices: Guidance for Industry and Food and Drug Administration Staff, Issued August 2014.
2.Biomarker Qualification Program Educational Module Series - Module 1. Biomarker Terminology: Speaking the Same Language.


Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical Devices - Guidance for Industry and Food and Drug Administration Staff, issued September 2018.
FDA Technical Contacts
 Karen Bijwaard
  FDA/OC/CDRH/OPEQ/OIDRH/DMGP/MPCB/
  301-796-6162
  karen.bijwaard@fda.hhs.gov
 Donna Roscoe
  FDA/OC/CDRH/OPEQ/OIDRH/DMGP/MGB/
  301-796-6183
  Donna.Roscoe@fda.hhs.gov
Standards Development Organization
CLSI Clinical Laboratory Standards Institute https://clsi.org/
FDA Specialty Task Group (STG)
InVitro Diagnostics
*These are provided as examples and others may be applicable.
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