Schedules of Controlled Substances: Placement of Pregabalin Into Schedule V, 43633-43635 [05-15036]

Agencies

• Drug Enforcement Administration
• Department of Justice

[Federal Register Volume 70, Number 144 (Thursday, July 28, 2005)]
[Rules and Regulations]
[Pages 43633-43635]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-15036]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. DEA-267F]

21 CFR Part 1308


Schedules of Controlled Substances: Placement of Pregabalin Into 
Schedule V

AGENCY: Drug Enforcement Administration, Department of Justice.

ACTION: Final rule.

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[[Page 43634]]

SUMMARY: This final rule is issued by the Deputy Administrator of the 
Drug Enforcement Administration (DEA) to place the substance pregabalin 
[(S)-3-(aminomethyl)-5-methylhexanoic acid], including its salts, and 
all products containing pregabalin into Schedule V of the Controlled 
Substances Act (CSA). As a result of this rule, the regulatory controls 
and criminal sanctions of Schedule V will be applicable to the 
manufacture, distribution, dispensing, importation and exportation of 
pregabalin and products containing pregabalin.

DATES: This rule is effective July 28, 2005.

FOR FURTHER INFORMATION CONTACT: Christine A. Sannerud, Ph.D., Chief, 
Drug and Chemical Evaluation Section, Office of Diversion Control, Drug 
Enforcement Administration, Washington, DC 20537, telephone (202) 307-
7183.

SUPPLEMENTARY INFORMATION: 

Background

    On December 31, 2004, the Food and Drug Administration (FDA) 
approved pregabalin [(S)-3-(aminomethyl)-5-methylhexanoic acid] for 
marketing under the trade name LyricaTM. LyricaTM 
will be marketed in the United States as a prescription drug product 
for the management of neuropathic pain associated with diabetic 
peripheral neuropathy (DPN) and postherpetic neuralgia (PHN). 
Pregabalin has recently been placed on the market in some European 
countries for the treatment of epilepsy and neuropathic pain.
    On April 4, 2005, the Acting Assistant Secretary for Health of the 
Department of Health and Human Services (DHHS), sent the Administrator 
of the DEA a letter recommending that pregabalin, and its salts, be 
placed into Schedule V of the CSA. Enclosed with the April 4, 2005, 
letter was a document prepared by the FDA entitled, ``Basis for the 
Recommendation for Control of Pregabalin in Schedule V of the 
Controlled Substances Act (CSA).'' The document contained a review of 
the factors which the CSA requires the Secretary to consider (21 U.S.C. 
811(b)).
    Based on the recommendation of the Acting Assistant Secretary for 
Health and an independent review of the available data by the DEA, the 
Deputy Administrator of the DEA, in a May 13, 2005, Federal Register 
Notice of Proposed Rulemaking (70 FR 25502), proposed placement of 
pregabalin into Schedule V of the CSA. The proposed rule provided an 
opportunity for all interested persons to submit their comments, 
objections or requests for hearing to be received by the DEA on or 
before June 13, 2005.

Comments Received

    The DEA received two comments in response to the Notice of Proposed 
Rulemaking. One commenter stated that the DEA should not minimize the 
similarity in effects produced by pregabalin and diazepam and should 
place pregabalin in Schedule IV of the CSA.
    The DEA does not agree. Careful consideration of all the available 
data suggests that pregabalin has less abuse potential than Schedule IV 
substances. Pregabalin does not substitute for benzodiazepines in 
benzodiazepine-dependent animals. Data from clinical trials suggest 
that some of pregabalin's positive psychic effects are limited and do 
not continue with time or continued drug use. The data are consistent 
with a substance that could be abused intermittently for reward, but 
not for reinforcement. In addition, withdrawal effects of pregabalin 
are less severe than with other substances currently controlled in 
Schedule IV.
    Another commenter stated that, in their experience with pregabalin 
in clinical trials, pregabalin does not demonstrate any risk that would 
merit being considered a scheduled drug.
    The DEA does not agree. Preclinical studies indicated that 
pregabalin is transiently and sporadically self-administered at rates 
greater than vehicle but substantially lower than active comparators 
pentobarbital (CII) and methohexital (CIV). In clinical trials, 
pregabalin produces some pharmacological effects characteristic of 
diazepam and alprazolam and is likely to be abused for its positive 
psychic effects. The percentage of individuals that experienced acute 
euphoric effects was unusually high for pregabalin in clinical trials. 
Pregabalin also produced dizziness, somnolence, dry mouth, edema, 
blurred vision, weight gain and attentional problems more frequently 
than placebo. These data suggest that pregabalin does have sufficient 
abuse potential to warrant control under the CSA. The DHHS recommended 
control in Schedule V of the CSA and the DEA concurs.

Scheduling of Pregabalin

    Relying on the scientific and medical evaluation and the 
recommendation of the Acting Assistant Secretary for Health, received 
in accordance with section 201(b) of the Act (21 U.S.C. 811(b)), and 
the independent review of the available data by the DEA, and after a 
review of the comments received in response to the Notice of Proposed 
Rulemaking, the Deputy Administrator of the DEA, pursuant to sections 
201(a) and 201(b) of the Act (21 U.S.C. 811(a) and 811(b)), finds that:
    (1) Pregabalin has a low potential for abuse relative to the drugs 
or other substances in Schedule IV;
    (2) Pregabalin has a currently accepted medical use in treatment in 
the United States; and
    (3) Abuse of pregabalin may lead to limited physical dependence or 
psychological dependence relative to the drugs or other substances in 
Schedule IV. (21 U.S.C. 812(b)(5))
    Based on these findings, the Deputy Administrator of the DEA 
concludes that pregabalin, including its salts, and all products 
containing pregabalin, warrant control in Schedule V of the CSA.
    In order to make pregabalin pharmaceutical products available for 
medical use as soon as possible, the Schedule V controls for pregabalin 
will be effective July 28, 2005. In the event that the regulations 
impose special hardships on the registrants, the DEA will entertain any 
justified request for an extension of time to comply with the Schedule 
V regulations regarding pregabalin. The applicable regulations are as 
follows:
    Registration. Any person who manufactures, distributes, dispenses, 
imports, exports, conducts research or instructional activities or 
chemical analysis or proposes to engage in such activities with 
pregabalin, must submit an application for Schedule V registration in 
accordance with part 1301 of Title 21 of the Code of Federal 
Regulations. Any person who is currently engaged in any of the above 
activities and is not registered with DEA must submit an application 
for registration on or before August 29, 2005, and may continue their 
activities until the DEA has approved or denied that application.
    Security. Pregabalin is subject to Schedule III-V security 
requirements and must be manufactured, distributed and stored in 
accordance with Sec. Sec.  1301.71, 1301.72(b), (c), and (d), 1301.73, 
1301.74, 1301.75(b) and (c), 1301.76, and 1301.77 of Title 21 of the 
Code of Federal Regulations on and after July 28, 2005.
    Labeling and Packaging. All labels and labeling for commercial 
containers of pregabalin shall comply with requirements of Sec. Sec.  
1302.03-1302.07 of Title 21 of the Code of Federal Regulations.
    Inventory. Every registrant required to keep records and who 
possesses any quantity of pregabalin must keep an inventory of all 
stocks of pregabalin on

[[Page 43635]]

hand pursuant to Sec. Sec.  1304.03, 1304.04 and 1304.11 of Title 21 of 
the Code of Federal Regulations on and after July 28, 2005. Every 
registrant who desires registration in Schedule V for pregabalin is 
required to conduct an inventory of all stocks of the substance on hand 
at the time of registration.
    Records. All registrants must keep records pursuant to Sec. Sec.  
1304.03, 1304.04, 1304.21, 1304.22, and 1304.23 of Title 21 of the Code 
of Federal Regulations on and after July 28, 2005.
    Prescriptions. All prescriptions for pregabalin or prescriptions 
for products containing pregabalin must be issued pursuant to 21 CFR 
1306.03-1306.06 and 1306.21, 1306.23-1306.27.
    Importation and Exportation. All importation and exportation of 
pregabalin must be in compliance with part 1312 of Title 21 of the Code 
of Federal Regulations on and after July 28, 2005.
    Criminal Liability. Any activity with pregabalin not authorized by, 
or in violation of, the Controlled Substances Act or the Controlled 
Substances Import and Export Act occurring on and after July 28, 2005, 
shall be unlawful.

Regulatory Certifications

Administrative Procedure Act

    The Administrative Procedure Act permits an agency to make a rule 
effective upon the date of publication when the agency finds good cause 
exists and publishes its findings with the rule (5 U.S.C. 553(d)(3)). 
As noted previously, on December 31, 2004, the FDA approved pregabalin 
[(S)-3-(aminomethyl)-5-methylhexanoic acid] for marketing under the 
trade name Lyrica. On April 4, 2005, the Acting Assistant Secretary for 
Health of the DHHS sent the Administrator of the DEA a scientific and 
medical evaluation and a scheduling recommendation that pregabalin, and 
its salts, be placed in Schedule V of the CSA. Since this is a new drug 
not previously available in the United States and the first drug 
product specifically approved for the treatment of neuropathic pain 
associated with diabetic peripheral neuropathy (DPN) and postherpetic 
neuralgia (PHN), in order to prevent harm to the public health and 
safety by delaying the availability of this new drug, the DEA finds 
good cause to make this Final Rule effective immediately upon 
publication.

Executive Order 12866

    In accordance with the provisions of the CSA (21 U.S.C. 811(a)), 
this action is a formal rulemaking ``on the record after opportunity 
for a hearing.'' Such proceedings are conducted pursuant to the 
provisions of 5 U.S.C. 556 and 557 and, as such, are exempt from review 
by the Office of Management and Budget pursuant to Executive Order 
12866, section 3(d)(1).

Regulatory Flexibility Act

    The Deputy Administrator, in accordance with the Regulatory 
Flexibility Act (5 U.S.C. 605(b)), has reviewed this final rule and by 
approving it certifies that it will not have a significant economic 
impact on a substantial number of small entities. Pregabalin products 
will be prescription drugs used for the treatment of neuropathic pain. 
Handlers of pregabalin often handle other controlled substances used to 
treat pain which are already subject to the regulatory requirements of 
the CSA.
    Pregabalin is a new drug in the United States; recent approval of 
LyricaTM by the FDA will allow it to be marketed once it is 
placed into Schedule V of the CSA. This final rule will allow medical 
access to a new pharmaceutical product.

Executive Order 12988

    This regulation meets the applicable standards set forth in 
Sections 3(a) and 3(b)(2) of Executive Order 12988 Civil Justice 
Reform.

Executive Order 13132

    This rulemaking does not preempt or modify any provision of state 
law; nor does it impose enforcement responsibilities on any state; nor 
does it diminish the power of any state to enforce its own laws. 
Accordingly, this rulemaking does not have federalism implications 
warranting the application of Executive Order 13132.

Unfunded Mandates Reform Act of 1995

    This rule will not result in the expenditure by State, local and 
tribal governments, in the aggregate, or by the private sector, of 
$115,000,000 or more in any one year, and will not significantly or 
uniquely affect small governments. Therefore, no actions were deemed 
necessary under provisions of the Unfunded Mandates Reform Act of 1995.

Small Business Regulatory Enforcement Fairness Act of 1996

    This rule is not a major rule as defined by Sec.  804 of the Small 
Business Regulatory Enforcement Fairness Act of 1996. This rule will 
not result in an annual effect on the economy of $100,000,000 or more; 
a major increase in costs or prices: or significant adverse effects on 
competition, employment, investment, productivity, innovation, or on 
the ability of United States-based companies to compete with foreign 
based companies in domestic and export markets.

List of Subjects in 21 CFR Part 1308

    Administrative practice and procedure, Drug traffic control, 
Narcotics, Prescription drugs.


0
Under the authority vested in the Attorney General by section 201(a) of 
the CSA (21 U.S.C. 811(a)), and delegated to the Administrator of DEA 
by Department of Justice regulations (28 CFR 0.100), and redelegated to 
the Deputy Administrator pursuant to 28 CFR 0.104, the Deputy 
Administrator hereby amends 21 CFR part 1308 as follows:

PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES [AMENDED]

0
1. The authority citation for 21 CFR part 1308 continues to read as 
follows:

    Authority: 21 U.S.C. 811, 812, 871(b) unless otherwise noted.

0
2. Section 1308.15 is amended by adding a new paragraph (e) to read as 
follows:


Sec.  1308.15  Schedule V.

* * * * *
    (e) Depressants. Unless specifically exempted or excluded or unless 
listed in another schedule, any material, compound, mixture, or 
preparation which contains any quantity of the following substances 
having a depressant effect on the central nervous system, including its 
salts:
    (1) Pregabalin [(S)-3-(aminomethyl)-5-methylhexanoic acid] 2782
    (2) [Reserved]

    Dated: July 22, 2005.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. 05-15036 Filed 7-27-05; 8:45 am]
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