Notice2026-10284

Protein Efficiency Ratio Rat Bioassay Studies To Demonstrate That a New Infant Formula Supports the Quality Factor of Sufficient Biological Quality of Protein; Guidance for Industry; Availability

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Published
May 22, 2026

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA or we) is announcing the availability of a guidance entitled "Protein Efficiency Ratio (PER) Rat Bioassay Studies to Demonstrate That a New Infant Formula Supports the Quality Factor of Sufficient Biological Quality of Protein." The guidance provides information for manufacturers and contract laboratories that perform PER studies to assist in designing, conducting, evaluating, and reporting PER studies. The guidance explains "appropriate modifications" of AOAC Official Method 960.48 (the AOAC Method) with the aim of supporting industry in successfully conducting PER studies that demonstrate that a new infant formula meets the quality factor of sufficient biological quality of protein when fed as the sole source of nutrition. The guidance finalizes the approach presented in the draft guidance issued in 2023.

Full Text

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<title>Federal Register, Volume 91 Issue 99 (Friday, May 22, 2026)</title>
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[Federal Register Volume 91, Number 99 (Friday, May 22, 2026)]
[Notices]
[Pages 30318-30319]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-10284]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2022-D-2424]


Protein Efficiency Ratio Rat Bioassay Studies To Demonstrate That 
a New Infant Formula Supports the Quality Factor of Sufficient 
Biological Quality of Protein; Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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SUMMARY: The Food and Drug Administration (FDA or we) is announcing the 
availability of a guidance entitled ``Protein Efficiency Ratio (PER) 
Rat Bioassay Studies to Demonstrate That a New Infant Formula Supports 
the Quality Factor of Sufficient Biological Quality of Protein.'' The 
guidance provides information for manufacturers and contract 
laboratories that perform PER studies to assist in designing, 
conducting, evaluating, and reporting PER studies. The guidance 
explains ``appropriate modifications'' of AOAC Official Method 960.48 
(the AOAC Method) with the aim of supporting industry in successfully 
conducting PER studies that demonstrate that a new infant formula meets 
the quality factor of sufficient biological quality of protein when fed 
as the sole source of nutrition. The guidance finalizes the approach 
presented in the draft guidance issued in 2023.

DATES: The announcement of the guidance is published in the Federal 
Register on May 22, 2026.

ADDRESSES: You may submit either electronic or written comments on any 
guidance at any time as follows:

Electronic Submissions

    Submit electronic comments in the following way:
    <bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
    <bullet> If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
    <bullet> Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    <bullet> For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2022-D-2424 for ``Protein Efficiency Ratio (PER) Rat Bioassay 
Studies to Demonstrate That a New Infant Formula Supports the Quality 
Factor of Sufficient Biological Quality of Protein.'' Received comments 
will be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at <a href="https://www.regulations.gov">https://www.regulations.gov</a> or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday, 240-402-7500.
    <bullet> Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' We will review 
this copy, including the claimed confidential information, in our 
consideration of comments. The second copy, which will have the claimed 
confidential information redacted/blacked out, will be available for 
public viewing and posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>. Submit both 
copies to the Dockets Management Staff. If you do not wish your name 
and contact information to be made publicly available, you can provide 
this information on the cover sheet and not in the body of your 
comments and you must identify this information as ``confidential.'' 
Any information marked as ``confidential'' will not be disclosed except 
in accordance with 21 CFR 10.20 and other applicable disclosure law. 
For more information about FDA's posting of comments to public dockets, 
see 80 FR 56469, September 18, 2015, or access the information at: 
<a href="https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf">https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf</a>.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to <a href="https://www.regulations.gov">https://www.regulations.gov</a> and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of the guidance to Office 
of Critical Foods, Human Foods Program, Food and Drug Administration, 
5001 Campus Dr., College Park, MD 20740. Send one self-addressed 
adhesive label to assist that office in processing your request or 
include a Fax number to which the guidance may be sent. See the 
SUPPLEMENTARY INFORMATION section for information on electronic access 
to the guidance.

FOR FURTHER INFORMATION CONTACT: With regard to the guidance: Ariel 
Bourne, Office of Critical Foods, Human Foods Program, Food and Drug 
Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-1450, 
email: <a href="/cdn-cgi/l/email-protection#40013229252c6e022f35322e25002624216e2828336e272f36"><span class="__cf_email__" data-cfemail="51102338343d7f133e24233f34113735307f3939227f363e27">[email&#160;protected]</span></a>; or Barbara Little, Office of Policy 
and International Engagement, Human Foods Program, Food and Drug 
Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-8808.
    With regard to the proposed collection of information: Michael 
Ellison, Office of Operations, Food and Drug Administration, Three 
White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 
20852, 240-402-2093, <a href="/cdn-cgi/l/email-protection#530301120027323535133537327d3b3b207d343c25"><span class="__cf_email__" data-cfemail="91c1c3d0c2e5f0f7f7d1f7f5f0bff9f9e2bff6fee7">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a guidance for industry 
titled ``Protein

[[Page 30319]]

Efficiency Ratio (PER) Rat Bioassay Studies to Demonstrate That a New 
Infant Formula Supports the Quality Factor of Sufficient Biological 
Quality of Protein.'' Our regulations, at Sec.  106.96 (21 CFR 106.96), 
establish requirements for quality factors for infant formulas, 
including the quality factor of sufficient biological quality of 
protein. Subject to a limited exception (see Sec.  106.96(g)), each 
manufacturer of an infant formula that is not an eligible infant 
formula must demonstrate that the formula meets the quality factor of 
sufficient biological quality of protein by establishing the biological 
quality of the protein in the infant formula when fed as the sole 
source of nutrition using an appropriate modification of the AOAC 
Official Method 960.48 (the AOAC Method) Protein Efficiency Ratio (PER) 
Rat Bioassay (Sec.  106.96(f)).
    The AOAC Method provides a procedure by which the quality of a 
protein in food can be evaluated and compared with those of other 
proteins. Protein ``quality'' can be defined as the ability of a 
protein to meet the essential amino acid needs of an animal. The AOAC 
Method is a standardized bioassay with published collaborative study 
data. The AOAC Method permits the calculation of a PER as the ratio of 
the average animal body weight gain per gram of protein consumed of a 
test protein versus casein after a 28-day feeding period. Typically, 
the protein concentration of both the test and casein reference diet is 
set at about 10 percent, a level that is below the estimated 
requirement for growth of rats of 15 percent, to improve the 
sensitivity of the method. While growth is slower at 10 percent protein 
than at 15 percent protein, the lower protein level ensures that 
available protein is efficiently utilized.
    In the PER study described in the AOAC Method, a protein ingredient 
was assayed at 10 percent and other potential variables were 
standardized so that their numbers and potential effects were 
minimized. Vitamin composition, moisture, ash, carbohydrates, fat, and 
fiber were adjusted between the casein reference diet and the test 
diet. Use of a test diet that contains an infant formula in its 
entirety introduces matrices of high fat content and additional 
vitamins, minerals, and other ingredients, as well as the low protein 
source. A major challenge in analyzing infant formulas by the AOAC 
Method is matching the casein reference diet and test diet to achieve 
dietary groups with as few confounding variables as possible.
    Since we promulgated Sec.  106.96, we have found that industry is 
experiencing difficulties in consistently meeting its requirements. 
Therefore, we are announcing the availability of a guidance for 
industry titled ``Protein Efficiency Ratio (PER) Rat Bioassay Studies 
to Demonstrate That a New Infant Formula Supports the Quality Factor of 
Sufficient Biological Quality of Protein.'' This guidance will help 
infant formula manufacturers and contract laboratories that perform PER 
studies in designing, conducting, evaluating, and reporting PER 
studies. The guidance explains ``appropriate modifications'' of the 
AOAC Method to help manufacturers and contract laboratories conduct PER 
studies that demonstrate to FDA that a new infant formula meets the 
quality factor of sufficient biological quality of protein.
    FDA's work on this guidance began prior to significant infant 
formula supply chain concerns that arose in early 2022. Although this 
guidance was not prepared specifically to alleviate supply chain 
concerns, the guidance will help ensure that infant formula products 
meet FDA's regulatory requirements and will contribute to ensuring a 
more resilient infant formula supply.
    We are issuing the guidance consistent with our good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on this topic. It does not establish any rights 
for any person and is not binding on FDA or the public. You can use an 
alternate approach to make ``appropriate modifications'' if it 
satisfies the requirements of the applicable statutes and regulations.
    Topics discussed in the guidance include:
    <bullet> Purpose of the AOAC Method;
    <bullet> Overview of the AOAC Method as originally described;
    <bullet> Need for ``appropriate modifications'' to update the AOAC 
Method and for use of infant formulas in PER bioassays;
    <bullet> Conduct and analysis of a PER study with ``appropriate 
modifications'' (matching the reference and test diets);
    <bullet> Protocols and reports;
    <bullet> Reference guidelines; and
    <bullet> Appendices: AOAC Official Method 960.48, composition of 
vitamin and mineral mixtures, compositions of diets, and examples of an 
approach for matching vitamin, mineral, and (methionine + cystine) 
compositions of PER study diets.
    We considered all comments on the draft guidance received during 
the comment period in finalizing the guidance. Comments on the draft 
guidance discussed the need for increased flexibility in formulating 
diets; the need for clarification regarding addition of vitamins and 
minerals to diets; the need for cellulose in diets; the lack of need 
for an optional casein reference group with matched sulfur amino acid 
concentrations; development of validation data to substantiate the 
modifications in the PER bioassay; and replacement of the PER method 
with alternative methods, including non-animal methods.
    We made technical changes in the guidance in response to the 
comments. While we generally maintain our recommendations for matching 
the compositions of the test and reference diets to within 20 percent 
above or below, we describe certain areas in which additional 
flexibility may be needed. We are also recommending changes in specific 
nutrients and deleting a recommendation for an optional casein 
reference group with matched sulfur amino acid concentrations. We 
anticipate future discussions regarding validation data for the 
modifications and considering alternative methods besides the PER 
method.

II. Paperwork Reduction Act of 1995

    This guidance contains information collection provisions that are 
subject to review by the Office of Management and Budget (OMB) under 
the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3521). The 
collections of information in the guidance have been approved under OMB 
control number 0910-0256.

III. Electronic Access

    Persons with access to the internet may obtain an electronic 
version of the guidance at <a href="https://www.fda.gov/RegulatoryInformation/Guidances/default.html">https://www.fda.gov/RegulatoryInformation/Guidances/default.html</a>, <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents">https://www.fda.gov/regulatory-information/search-fda-guidance-documents</a>, or <a href="https://www.regulations.gov">https://www.regulations.gov</a>. Use the 
FDA website listed in the previous sentence to find the most current 
version of the guidance.

Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2026-10284 Filed 5-21-26; 8:45 am]
BILLING CODE 4164-01-P


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Indexed from Federal Register on May 22, 2026.

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