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Notice2026-15951

Evaluating the Safety of Antimicrobial New Animal Drugs With Regard to their Microbiological Effects on Bacteria of Human Health Concern; Guidance for Industry; Availability

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Published
August 6, 2026

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA, Agency, or we) is announcing the availability of a final guidance for industry (GFI) #152 entitled "Evaluating the Safety of Antimicrobial New Animal Drugs with Regard to their Microbiological Effects on Bacteria of Human Health Concern." This guidance document informs interested parties about FDA's current method for evaluating potential microbiological effects of antimicrobial new animal drugs on bacteria of human health concern as part of the new animal drug application process.

Full Text

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<title>Federal Register, Volume 91 Issue 150 (Thursday, August 6, 2026)</title>
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[Federal Register Volume 91, Number 150 (Thursday, August 6, 2026)]
[Notices]
[Pages 50860-50861]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-15951]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-1998-D-0038]


Evaluating the Safety of Antimicrobial New Animal Drugs With 
Regard to their Microbiological Effects on Bacteria of Human Health 
Concern; 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, Agency, or we) is 
announcing the availability of a final guidance for industry (GFI) #152 
entitled ``Evaluating the Safety of Antimicrobial New Animal Drugs with 
Regard to their Microbiological Effects on Bacteria of Human Health 
Concern.'' This guidance document informs interested parties about 
FDA's current method for evaluating potential microbiological effects 
of antimicrobial new animal drugs on bacteria of human health concern 
as part of the new animal drug application process.

DATES: The announcement of the guidance is published in the Federal 
Register on August 6, 2026.

ADDRESSES: You may submit either electronic or written comments on 
Agency guidances 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-1998-D-0038 for ``Evaluating the Safety of Antimicrobial New Animal 
Drugs with Regard to their Microbiological Effects on Bacteria of Human 
Health Concern.'' 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.'' The Agency will 
review this copy, including the claimed confidential information, in 
its 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 the 
Policy and Regulations Staff, Center for Veterinary Medicine, Food and 
Drug Administration, 5001 Campus Drive, College Park, MD 20740. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Ron Miller, Center for Veterinary 
Medicine, Food and Drug Administration, 5001 Campus Drive, College 
Park, MD 20740, 240-402-0795, <a href="/cdn-cgi/l/email-protection#97e5f8f9b9fafefbfbf2e5d7f1f3f6b9ffffe4b9f0f8e1"><span class="__cf_email__" data-cfemail="25574a4b0b484c49494057654341440b4d4d560b424a53">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

I. Background

    In 2003, FDA issued GFI #152, entitled ``Evaluating the Safety of 
Antimicrobial New Animal Drugs with Regard to their Microbiological 
Effects on Bacteria of Human Health Concern.'' GFI #152 outlines a 
qualitative risk assessment methodology as a process for evaluating 
foodborne antimicrobial resistance concerns related to the use of 
antimicrobial drugs in food-producing animals. GFI #152 also contains 
an appendix, commonly referred to as ``Appendix A,'' in which FDA ranks 
antimicrobial drugs according to their relative importance to human 
medicine: ``critically important,'' ``highly important,'' or 
``important.'' As stated in the guidance, the drug/drug class rankings 
provided in the Appendix are intended specifically to inform one 
component of the described qualitative risk assessment methodology, and 
they are not intended to be used as a standalone guide for 
antimicrobial use in veterinary practice or otherwise to serve as a 
standalone risk management tool.
    The list, as published in 2003, of medically important 
antimicrobial drugs

[[Page 50861]]

in Appendix A reflects FDA's thinking at the time of publication. It 
was envisioned at the time of publication of GFI #152 that the Agency 
would reassess the rankings provided in Appendix A periodically to 
confirm that the rankings are consistent with contemporary practices 
and needs. As noted in GFI #152, the development of new antimicrobial 
drugs for human therapy, the emergence or re-emergence of diseases in 
humans, and changes in prescribing practices, are some factors that may 
cause the human medical importance rankings to change over time.
    Given the considerable advances in science that have taken place 
since 2003, new relevant information has become available. In light of 
those advances and the new information now available, FDA published a 
document in the Federal Register of October 13, 2020 (85 FR 64481), 
announcing a public meeting and requesting comments on a concept paper 
entitled ``Potential Approach for Ranking of Antimicrobial Drugs 
According to Their Importance in Human Medicine: A Risk Management Tool 
for Antimicrobial New Animal Drugs.'' FDA received more than 60 comment 
submissions from pharmaceutical companies, academia, organizations, and 
private citizens on this concept paper. In the Federal Register of 
December 19, 2022 (87 FR 77619), FDA announced the availability of 
draft revised GFI #152 entitled ``Evaluating the Safety of 
Antimicrobial New Animal Drugs with Regard to their Microbiological 
Effects on Bacteria of Human Health Concern.'' Interested parties were 
originally given until March 20, 2023, to comment on the guidance. In 
the Federal Register of March 7, 2023 (88 FR 14170), FDA extended the 
comment period for the guidance to May 19, 2023.
    FDA received over 9,200 comments on the draft guidance that appear 
to have been the result of 2 write-in campaigns. These campaigns asked 
FDA to ``quit delaying efforts to stop the overuse of antibiotics in 
meat production,'' ``stop allowing the meat industry to use antibiotics 
to counter unhealthy conditions in livestock facilities,'' ``treat all 
drugs used in human medicine as medically important. . .,'' and said 
that ``FDA must make a plan for updating [the list of medically 
important drugs in Appendix A] more frequently.'' With the exception of 
the comment that FDA should treat all drugs used in human medicine as 
medically important, these comments expressed broad policy views and 
did not address specific recommendations in the draft guidance.
    Twenty-two comments outside of the write-in campaigns were 
submitted by animal pharmaceutical companies, food animal producers, 
veterinarians, consumer and public health interest groups, a State 
agriculture department, and other organizations and individuals. These 
comments offered feedback and suggestions addressing specific 
recommendations in the draft guidance.
    FDA considered all comments as we finalized the guidance. In the 
final guidance, we made several changes, including: providing a more 
detailed description of hazard characterization; combining sections of 
the guidance discussing Application of Risk Management Strategies and 
Risk Management; clarifying why the ranking of medically important 
drugs in Appendix A should not be used alone to dictate risk management 
decisions, but instead be used to inform one component of the risk 
assessment process as described in the guidance; and addressing why FDA 
excludes topicals in our ranking of medically important antimicrobials. 
In addition, we made editorial changes to improve clarity.
    This level 1 guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The guidance represents 
the current thinking of FDA on ``Evaluating the Safety of Antimicrobial 
New Animal Drugs with Regard to their Microbiological Effects on 
Bacteria of Human Health Concern.'' It does not establish any rights 
for any person and is not binding on FDA or the public. You can use an 
alternative approach if it satisfies the requirements of the applicable 
statutes and regulations.
    FDA considered the applicability of Executive Order 14192, per OMB 
guidance in M-25-20, and finds this action to be neither regulatory nor 
deregulatory under this E.O.

II. Paperwork Reduction Act of 1995

    While this guidance contains no collection of information, it does 
refer to previously approved FDA collections of information. The 
previously approved collections of information are subject to review by 
the Office of Management and Budget (OMB) under the Paperwork Reduction 
Act of 1995 (PRA) (44 U.S.C. 3501-3521). The collections of information 
in 21 CFR part 514 have been approved under OMB control number 0910-
0032.

III. Electronic Access

    Persons with access to the internet may obtain the guidance at 
<a href="https://www.fda.gov/animal-veterinary/guidance-regulations/guidance-industry">https://www.fda.gov/animal-veterinary/guidance-regulations/guidance-industry</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>.

Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2026-15951 Filed 8-5-26; 8:45 am]
BILLING CODE 4164-01-P


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Indexed from Federal Register on August 6, 2026.

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