Listing of Approved Drug Products Containing Dronabinol in Schedule III, 67054-67059 [2010-27502]
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Federal Register / Vol. 75, No. 210 / Monday, November 1, 2010 / Proposed Rules
this section of the preamble, we will
refer to the proposed rule as a ‘‘proposed
amendment.’’ These findings are
discussed below.
The amendment to the Standard is
needed to adequately protect the public
against unreasonable risk of the
occurrence of fire. The current Standard
specifies as the ignition source
cigarettes that are no longer being
produced. In order for the Standard to
continue to be effective (and for labs to
test mattresses and mattress pads to
determine whether they comply with
the Standard), it is necessary to change
the ignition source specification. The
proposed amendment is necessary to
ensure that the testing is reliable and
that results will not vary from one lab
or manufacturer to another. Such
variation would be likely if labs or
manufacturers were able to use different
ignition sources that have similar
physical properties but different
burning characteristics.
The amendment to the Standard is
reasonable, technologically practicable,
and appropriate. The proposed
amendment is based on technical
research conducted by NIST, which
established that the SRM cigarette is
capable of providing reliable and
reproducible results in flammability
testing of mattresses and mattress pads.
The proposed SRM represents an
equivalent, safety-neutral ignition
source for use in testing to establish
compliance with the Standard.
The amendment to the Standard is
limited to fabrics, related materials, and
products that present an unreasonable
risk. The proposed amendment would
continue to apply to the same products
as the existing Standard.
Voluntary standards. There is no
applicable voluntary standard for
mattresses. The proposal would amend
an existing Federal mandatory standard.
Relationship of benefits to costs.
Amending the Standard to specify SRM
cigarettes as the ignition source would
allow testing to the Standard to
continue without interruption, would
maintain the effectiveness of the
Standard, and would not significantly
increase testing costs to manufacturers
and importers of mattresses and
mattress pads. Thus, there is a
reasonable relationship between
benefits and costs of the proposed
amendment. Both expected benefits and
costs of the proposed amendment are
likely to be small. The likely effect on
testing costs would be minor.
Least burdensome requirement. No
other alternative would allow the
Standard’s level of safety and
effectiveness to continue. Thus, the
proposed amendment imposes the least
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burdensome requirement that would
adequately address the risk of injury.
J. Conclusion
For the reasons discussed above, the
Commission preliminarily finds that
amending the mattress flammability
standard (16 CFR part 1632) to specify
SRM cigarettes as the ignition source is
needed to adequately protect the public
against the unreasonable risk of the
occurrence of fire leading to death,
injury, and significant property damage.
The Commission also preliminarily
finds that the amendment to the
Standard is reasonable, technologically
practicable, and appropriate. The
Commission further finds that the
amendment is limited to the fabrics,
related materials, and products that
present such unreasonable risks.
1. Gann, R.G., and Hnetkovsky E.J.,
Modification of ASTM E 2187 for
Measuring the Ignition Propensity of
Conventional Cigarettes, Technical Note
1627, National Institute of Standards
and Technology, Gaithersburg, MD
20899, 2009.
2. Directorate for Economic Analysis
Report, Preliminary Regulatory
Analysis: Smoldering Ignition Source
Draft Proposed Technical Amendment
to the Flammability Standard for
Mattresses and Mattress Pads (16 CFR
part 1632).
List of Subjects in 16 CFR Part 1632
Consumer protection, Flammable
materials, Labeling, Mattresses and
mattress pads, Records, Textiles,
Warranties.
For the reasons given above, the
Commission proposes to amend 16 CFR
part 1632 as follows:
PART 1632—STANDARD FOR THE
FLAMMABILITY OF MATTRESSES
AND MATTRESS PADS (FF 4–72,
AMENDED)
1. The authority citation for part 1632
continues to read as follows:
Authority: 15 U.S.C. 1193, 1194; 15 U.S.C.
2079(b).
2. Section 1632.4 is amended by
revising paragraph (a)(2) to read as
follows:
Mattress test procedure.
(a) * * *
(2) Ignition source. The ignition
source shall be National Institute of
Standards and Technology (‘‘NIST’’)
Standard Reference Material (‘‘SRM’’)
1196, available for purchase from the
National Institute for Standards and
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Dated: October 26, 2010.
Todd A. Stevenson,
Secretary, Consumer Product Safety
Commission.
[FR Doc. 2010–27504 Filed 10–29–10; 8:45 am]
BILLING CODE 6355–01–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA–344P]
Listing of Approved Drug Products
Containing Dronabinol in Schedule III
Drug Enforcement
Administration, Department of Justice.
ACTION: Notice of proposed rulemaking.
AGENCY:
K. References
§ 1632.4
Technology, 100 Bureau Drive,
Gaithersburg, MD 20899.
*
*
*
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This proposed rule is issued
by the Deputy Administrator of the Drug
Enforcement Administration (DEA) to
modify the listing of the Marinol®
formulation in schedule III so that
certain generic drug products are also
included in that listing.
Several products are currently the
subject of Abbreviated New Drug
Applications (ANDAs) under review by
the U.S. Food and Drug Administration
(FDA). Each product is a generic
formulation of Marinol® and contains
dronabinol, the (-) isomer of delta-9(trans)-tetrahydrocannabinol (THC),
which is a schedule I controlled
substance. Due to variations in
formulation, these generic Marinol®
products do not meet the specific
conditions specified in the current
schedule III listing.
This proposed action expands the
schedule III listing to include
formulations having naturally-derived
dronabinol and products encapsulated
in hard gelatin capsules. This would
have the effect of transferring the FDAapproved versions of such generic
Marinol® products from schedule I to
schedule III.
DATES: Written comments must be
postmarked and electronic comments
must be submitted on or before January
3, 2011. Commenters should be aware
that the electronic Federal Docket
Management System will not accept
comments after midnight Eastern Time
on the last day of the comment period.
ADDRESSES: To ensure proper handling
of comments, please reference ‘‘Docket
No. DEA–344’’ on all written and
electronic correspondence. Written
comments sent via regular or express
SUMMARY:
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mail should be sent to the Drug
Enforcement Administration, Attention:
DEA Federal Register Representative/
ODL, 8701 Morrissette Drive,
Springfield, VA 22152. Comments may
be sent to DEA by sending an electronic
message to
dea.diversion.policy@usdoj.gov.
Comments may also be sent
electronically through https://
www.regulations.gov using the
electronic comment form provided on
that site. An electronic copy of this
document is also available at the
https://www.regulations.gov Web site.
DEA will accept attachments to
electronic comments in Microsoft Word,
WordPerfect, Adobe PDF, or Excel file
formats only. DEA will not accept any
file formats other than those specifically
listed here.
Please note that DEA is requesting
that electronic comments be submitted
before midnight Eastern Time on the
day the comment period closes because
https://www.regulations.gov terminates
the public’s ability to submit comments
at midnight Eastern Time on the day the
comment period closes. Commenters in
time zones other than Eastern Time may
want to consider this so that their
electronic comments are received. All
comments sent via regular or express
mail will be considered timely if
postmarked on the day the comment
period closes.
FOR FURTHER INFORMATION CONTACT:
Christine A. Sannerud, PhD, Chief, Drug
and Chemical Evaluation Section, Office
of Diversion Control, Drug Enforcement
Administration, 8701 Morrissette Drive,
Springfield, VA 22152, Telephone (202)
307–7183.
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SUPPLEMENTARY INFORMATION:
Posting of Public Comments: Please
note that all comments received are
considered part of the public record and
made available for public inspection
online at https://www.regulations.gov
and in the Drug Enforcement
Administration’s public docket. Such
information includes personal
identifying information (such as your
name, address, etc.) voluntarily
submitted by the commenter.
If you want to submit personal
identifying information (such as your
name, address, etc.) as part of your
comment, but do not want it to be
posted online or made available in the
public docket, you must include the
phrase ‘‘PERSONAL IDENTIFYING
INFORMATION’’ in the first paragraph
of your comment. You must also place
all the personal identifying information
you do not want posted online or made
available in the public docket in the first
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paragraph of your comment and identify
what information you want redacted.
If you want to submit confidential
business information as part of your
comment, but do not want it to be
posted online or made available in the
public docket, you must include the
phrase ‘‘CONFIDENTIAL BUSINESS
INFORMATION’’ in the first paragraph
of your comment. You must also
prominently identify confidential
business information to be redacted
within the comment. If a comment has
so much confidential business
information that it cannot be effectively
redacted, all or part of that comment
may not be posted online or made
available in the public docket.
Personal identifying information and
confidential business information
identified and located as set forth above
will be redacted and the comment, in
redacted form, will be posted online and
placed in the DEA’s public docket file.
Please note that the Freedom of
Information Act applies to all comments
received. If you wish to inspect the
agency’s public docket file in person by
appointment, please see the FOR
FURTHER INFORMATION CONTACT
paragraph.
Background
The DEA has received four petitions
from companies that have products that
are currently the subject of ANDAs
under review by the FDA. Each product
is a generic formulation of Marinol® and
contains dronabinol, the (-) isomer of
delta-9-(trans)-tetrahydrocannabinol
(THC), which is a schedule I controlled
substance. These petitions each requests
amendments to Controlled Substances
Act (CSA) regulations that would have
the effect of transferring the proposed
generic Marinol® product from schedule
I to schedule III.
At present, the only formulation
containing dronabinol that is in a
schedule other than schedule I is the
following, as set forth in 21 CFR
1308.13(g)(1) as schedule III:
‘‘Dronabinol (synthetic) in sesame oil
and encapsulated in a soft gelatin
capsule in a U.S. Food and Drug
Administration approved product.’’
While the petitioners cite that their
generic products are bioequivalent to
Marinol®, their products do not meet
schedule III current definition provided
above. Therefore, these firms have
requested that 21 CFR 1308.13(g)(1) be
expanded to include: (1) Both naturallyderived or synthetically produced
dronabinol; and (2) both hard or soft
gelatin capsules.
In response to these petitions, DEA
prepared several scheduling review
documents based upon petitioner-
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67055
provided data. On June 22, 2007, and
August 15, 2007, these analyses were
submitted to the Department of Health
and Human Services (DHHS) with
requests for scientific and medical
evaluation and scheduling
recommendations. The submissions to
DHHS also requested that they consider
(1) whether dronabinol extracted from
Cannabis sativa (i.e. naturally-derived),
is identical to synthetically-produced
dronabinol found in Marinol®; and (2)
whether a formulation encapsulated in
hard gelatin capsules, instead of soft
gelatin capsules, changes a product’s
abuse potential.
On March 17, 2010, and June 1, 2010,
the Assistant Secretary for Health,
DHHS, sent the Deputy Administrator of
DEA scientific and medical evaluations
and letters recommending that FDAapproved drug products containing
dronabinol (both naturally-derived or
synthetic) in sesame oil in a gelatin
capsule (either hard or soft gelatin) be
placed into schedule III of the CSA.
Enclosed with the March 17, 2010,
letter, was a document prepared by the
FDA entitled, ‘‘Basis for the
Recommendation to Control FDAApproved Drug Products Containing
Synthetic Dronabinol in Sesame Oil in
a Hard Gelatin Capsule to Schedule III
of the Controlled Substances Act.’’ The
June 1, 2010, letter included a document
entitled, ‘‘Basis for the Recommendation
to Reschedule FDA-Approved Drug
Products Containing Naturally-Derived
Dronabinol in Sesame Oil in a Gelatin
Capsule to Schedule III of the
Controlled Substances Act.’’ These
documents contained a review of the
factors which the CSA requires the
Secretary to consider 21 U.S.C. 811(b).
Therefore, in this rulemaking, DEA is
proposing that 21 CFR 1308.13(g)(1) be
modified to include generic equivalents
of Marinol® which are (1) both synthetic
or naturally-derived dronabinol; and/or
(2) hard or soft gelatin capsules.
Background Regarding Dronabinol
Dronabinol is a name of a particular
isomer of a class of chemicals known as
tetrahydrocannabinols (THC).
Specifically, dronabinol is the United
States Adopted Name (USAN) for the
(-)-isomer of [Delta]\9\-(trans)tetrahydrocannabinol [(-)-[Delta]\9\(trans)-THC], which is believed to be the
major psychoactive component of the
cannabis plant (marijuana).
THC, as a general category, is listed in
schedule I of the CSA,1 while
1 21 U.S.C. 812(c), Schedule I(c)(17). Schedule I
contains those controlled substances with ‘‘no
currently accepted medical use in treatment in the
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dronabinol contained in the product
Marinol® is listed separately in
schedule III. Any other formulation
containing dronabinol (or any other
isomer of THC), that does not meet the
definition provided in 21 CFR
1308.13(g)(1), remains a schedule I
controlled substance.2
The current wording of the Marinol®
formulation in schedule III (21 CFR
1308.13(g)(1)) was added to the DEA
regulations in 1986, when the substance
was transferred from schedule I to
schedule II after the FDA approved
Marinol® for marketing.3 The wording
of this listing was not specific to
Marinol® and thereby could include any
generic product meeting that
description that might be approved by
the FDA in the future. However, at the
time the regulation was promulgated,
DEA did not anticipate the possibility
that a generic formulation could be
developed that did not fit precisely the
wording of the listing that currently
appears in schedule III.
Recently, firms have submitted to
FDA ANDAs for their proposed generic
versions of Marinol®. As these ANDAs
remain pending with the FDA, the
precise nature of these formulations is
not available for public disclosure.
However, these formulations might
differ from the Marinol® formulation
currently listed in schedule III.
Nonetheless, the firms that have
submitted the ANDAs assert that their
formulations would meet the approval
requirements under 21 U.S.C. 355(j),
because, among other things, they have
the same active ingredient, strength,
dosage form, and route of
administration as Marinol®, and are
bioequivalent to Marinol®.
Products are bioequivalent if there is
no significant difference in the rate and
extent to which the active ingredient or
active moiety becomes available at the
site of drug action 21 CFR 320.1. There
is no requirement under 21 U.S.C.
355(j), or FDA’s implementing
regulations, that solid oral dosage forms
such as capsules that are proposed for
United States’’ and ‘‘a lack of accepted safety for use
* * * under medical supervision.’’ 21 U.S.C.
812(b)(1).
2 The introductory language to schedule I(c) states
that any material, compound, mixture, or
preparation that contains any of the substances
listed in schedule I(c) (including
‘‘tetrahydrocannabinols’’) is a schedule I controlled
substance ‘‘[u]nless specifically excepted or unless
listed in another schedule.’’ The only material,
compound, mixture, or preparation that contains
THC but is listed in another schedule is the
Marinol® formulation, which is listed in schedule
III.
3 51 FR 17476 (May 13, 1986). DEA subsequently
transferred the FDA-approved Marinol®
formulation from schedule II to schedule III. 64 FR
35928 (July 2, 1999).
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approval in ANDAs contain the same
inactive ingredients as the listed drug
referenced. The generic drug, therefore,
would not fall within the scope of the
current regulation. This situation, in
which a generic version of a drug would
not necessarily fall within the schedule
for the referenced listed drug, is unique
among the CSA schedules in the
following respect. The Marinol®
formulation listed in schedule III is the
only listing in the schedules that has the
effect of excluding potential generic
versions of the brand name
formulation.4 As indicated above, this
came about because DEA did not
anticipate that other drug products
could be approved by FDA that did not
fit the description that was included in
the schedules. Moreover, Congress
structured the CSA so that there would
be no distinction—for scheduling
purposes—between brand name drug
products and their generic equivalents.
The rule being proposed here would
ensure that this aspect of the CSA holds
true for generic drug products approved
under 21 U.S.C. 355(j) that reference
Marinol® as the listed drug.
In addition, 21 U.S.C. 355(j)(2)(C)
permits applicants to petition FDA for
approval of an ANDA for a drug product
that may differ from the listed drug in
certain specified ways, if clinical
studies are not necessary to establish the
safety and effectiveness of the drug
product. Among the types of differences
permitted is a change in dosage form, or
manner in which the active ingredient
is produced.
This proposed rule would amend the
description in schedule III [21 CFR
1308.13(g)(1)] to include products
referencing Marinol® that are either
(1) naturally derived or synthetic; or
(2) in hard or soft gelatin capsules, as
long as the formulations otherwise meet
the approval requirements in 21 U.S.C.
355(j).
The CSA Scheduling Structure
To understand the legal justification
for the rule being proposed here, the
scheduling scheme established by
Congress under the CSA must first be
considered. One court has succinctly
summarized this scheme as follows:
The [CSA] sets forth initial schedules of
drugs and controlled substances in 21 U.S.C.
812(c). However, Congress established
procedures for adding or removing
4 Generally, substances are listed in the CSA
schedules based on their chemical classification,
rather than any drug product formulation in which
they might appear. Because of this, there have been
no other situations in which a slight variation
between the brand name drug formulation and the
generic drug formulation was consequential for
scheduling purposes.
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substances from the schedules (control or
decontrol), or to transfer a drug or substance
between schedules (reschedule). 21 U.S.C.
811(a). This responsibility is assigned to the
Attorney General in consultation with the
Secretary of Health and Human Services
(‘‘HHS’’) Id. Sec. 811(b). The Attorney General
has delegated his functions to the
Administrator of the DEA 28 CFR 0.100(b).
Current schedules are published at 21 CFR
1308.11–1308.15.
There are three methods by which the DEA
may initiate rulemaking proceedings to revise
the schedules: (1) By the DEA’s own motion;
(2) at the request of DHHS; (3) on the petition
of any interested party. 21 U.S.C. 811(a);
21 CFR 1308.43(a). Before initiating
rulemaking proceedings, the DEA must
request a scientific and medical evaluation
from DHHS and a scheduling
recommendation. The statute requires the
DEA and DHHS to consider eight factors with
respect to the drug or controlled substance.
21 U.S.C. 811(b), (c).
These factors are:
(1) Its actual or relative potential for abuse.
(2) Scientific evidence of its
pharmacological effect, if known.
(3) The state of current scientific
knowledge regarding the drug or other
substance.
(4) Its history and current pattern of abuse.
(5) The scope, duration, and significance of
abuse.
(6) What, if any, risk there is to the public
health.
(7) Its psychic or physiological dependence
liability.
(8) Whether the substance is an immediate
precursor of a substance already controlled
under this subchapter.
Although the recommendations of DHHS
are binding on the DEA as to scientific and
medical considerations involved in the eightfactor test, the ultimate decision as to
whether to initiate rulemaking proceedings to
reschedule a controlled substance is made by
the DEA.5
Gettman v. DEA, 290 F.3d 430, 432 (DC
Cir. 2002).
The FDA plays an important role
within DHHS in the development of the
DHHS scientific and medical
determinations that bear on eight-factor
analyses referred to above (required
under section 811(c) for scheduling
decisions). Thus, when it comes to
newly developed drug products that
contain controlled substances, FDA
makes scientific and medical
determinations for purposes of both the
Food Drug and Cosmetic Act (in
connection with decisions on whether
to approve drugs for marketing) and the
CSA (in connection with scheduling
decisions). As explained below, the
eight-factor analysis can be expected to
yield the same conclusions with respect
to a brand name drug product and
certain generic drugs referencing that
product that meet the approval
requirements under 21 U.S.C. 355(j).
5 See
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id. Sec. 811(a), (b).
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The ANDA Approval Process
The Drug Price Competition and
Patent Term Restoration Act of 1984
(known as the ‘‘Hatch-Waxman
Amendments’’), codified at 21 U.S.C.
355, 360cc, and 35 U.S.C. 156, 271, 282,
permits the submission of ANDAs for
approval of generic versions of
approved drug products. 21 U.S.C.
355(j). The ANDA process shortens the
time and effort needed for approval by,
among other things, allowing the
applicant to demonstrate its product’s
bioequivalence to a drug already
approved under a New Drug
Application (NDA) (the ‘‘listed’’ drug)
rather than having to reproduce the
safety and effectiveness data for that
drug. If an ANDA applicant establishes
that its proposed drug product has the
same active ingredient, strength, dosage
form, route of administration, labeling,
and conditions of use as a listed drug,
and that it is bioequivalent to that drug,
the applicant can rely on FDA’s
previous finding that the listed drug is
safe and effective [See id].6 Once
approved, an ANDA sponsor may
manufacture and market the generic
drug to provide a safe, effective, and low
cost alternative to the American public.
The majority of drugs approved under
21 U.S.C. 355(j) are therapeutically
equivalent to the listed drug they
reference. This means that the generic
drug and the referenced innovator drug
contain identical amounts of the active
ingredient, and are bioequivalent.
Therapeutic equivalents can be
expected to have the same clinical effect
and safety profile when administered to
patients under the conditions specified
in the labeling.
The key point, for purposes of the rule
being proposed here, is that the generic
drug can be substituted for the
innovator drug with the full expectation
that the generic drug will produce the
same clinical effect and safety profile as
the innovator drug. Consequently, for
CSA scheduling purposes, the eightfactor analysis conducted by the FDA
and DEA under 21 U.S.C. 811(c) would
necessarily result in the same
scheduling determination for an
approved generic drug product as for
the innovator drug to which the generic
drug is a therapeutic equivalent. This is
because, in conducting the eight-factor
analysis, the FDA and DEA would be
examining precisely the same medical,
scientific, and abuse data for the generic
drug product as would be considered for
the innovator drug. The same would be
6 See also Approved Drug Products with
Therapeutic Equivalence Evaluations (commonly
known as the ‘‘Orange Book’’), Intro. at p. vi, (27th
ed.).
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true of the innovator drug and a drug
product approved pursuant to a petition
under 21 U.S.C. 355(j)(2)(C), where the
drug approved in the ANDA differs from
the listed drug only because it is a hard
gelatin capsule and the listed drug is a
soft gelatin capsule; or the active
ingredient is naturally-derived, rather
than synthetically produced.
As noted earlier, these considerations
never previously arose for any other
controlled substance because the
regulation citing the Marinol®
formulation is the only scheduling
regulation that is drug product
formulation-specific and thereby
(inadvertently) excludes certain generic
versions.7 This unintended result is not
consistent with the structure and
purposes of the CSA, which generally
lists categories of substances in the
schedules, rather than product
formulations. Thus, by ensuring that
generic versions of the Marinol®
formulation which might be approved
by the FDA in the future are in the same
schedule as Marinol®, the rule being
proposed here would make the DEA
regulations more consistent with the
structure and purposes of the CSA.
Finally, for additional clarity, the
proposed rule would amend 21 CFR
1308.13(g)(1) to change the phrase ‘‘U.S.
Food and Drug Administration
approved product’’ to ‘‘drug product
approved for marketing by the U.S.
Food and Drug Administration.’’
On June 22, 2007, and August 15,
2007, DEA submitted scheduling review
documents for several dronabinol
generic products to the DHHS, and
requested that DHHS provide scientific
and medical evaluation and scheduling
recommendations under the CSA.
(These documents are available for
review online at https://
www.deadiversion.usdoj.gov.)
On March 17, 2010, and June 1, 2010,
the Assistant Secretary for Health,
DHHS, sent the Deputy Administrator of
DEA scientific and medical evaluations
and letters recommending that FDAapproved drug products containing
dronabinol (naturally-derived or
synthetic) in sesame oil in a gelatin
capsule (hard or soft) be placed into
schedule III of the CSA. Enclosed with
the March 17, 2010, letter was a
document prepared by the FDA entitled,
‘‘Basis for the Recommendation to
7 When Congress enacted the CSA in 1970, it
scheduled codeine and certain other opiates in
three different schedules depending on their
respective concentrations. See 21 U.S.C. 812(c),
schedule II(a)(1), schedule III(d), and schedule V.
However, this differential scheduling for opiates
does not specify drug product formulation in a
manner that would result in a generic version of an
opiate drug product being scheduled separately
from the innovator drug.
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67057
Control FDA-Approved Drug Products
Containing Synthetic Dronabinol in
Sesame Oil in a Hard Gelatin Capsule to
Schedule III of the Controlled
Substances Act.’’ The June 1, 2010 letter
included a document entitled, ‘‘Basis for
the Recommendation to Reschedule
FDA-Approved Drug Products
Containing Naturally-Derived
Dronabinol in Sesame Oil in a Gelatin
Capsule to Schedule III of the
Controlled Substances Act.’’ These
documents contained a review of the
factors which the CSA requires the
Secretary to consider. 21 U.S.C. 811(b).
Note: The DHHS scheduling
recommendations of March 17, 2010, and
June 1, 2010, are available for review online
at https://www.deadiversion.usdoj.gov.
The factors considered by the
Assistant Secretary of Health and DEA
with respect to these products were:
(1) Its actual or relative potential for
abuse;
(2) Scientific evidence of its
pharmacological effects;
(3) The state of current scientific
knowledge regarding the drug;
(4) Its history and current pattern of
abuse;
(5) The scope, duration, and
significance of abuse;
(6) What, if any, risk there is to the
public health;
(7) Its psychic or physiological
dependence liability; and
(8) Whether the substance is an
immediate precursor of a substance
already controlled under this
subchapter. 21 U.S.C. 811(c).
The DHHS scheduling
recommendation of March 17, 2010,
concluded that drug products
containing synthetic dronabinol in
sesame oil and encapsulated in a hard
gelatin capsule, have a similar potential
for abuse as Marinol®. ‘‘These products
contain the same Active Pharmaceutical
Ingredient (API), have similar chemistry
and pharmacokinetics and have similar
formulations in sesame oil.’’ FDA and
National Institute on Drug Abuse
(NIDA), after reviewing the available
information conclude ‘‘that drug
products approved for marketing by
FDA that contain synthetic dronabinol
in sesame oil in a hard gelatin capsule
be controlled in Schedule III of the
CSA.’’
The DHHS scheduling
recommendation of June 1, 2010,
concluded that drug products that
contain naturally-derived dronabinol in
sesame oil and in a gelatin capsule, have
a similar potential for abuse as
Marinol®. FDA and NIDA, after
reviewing the available information,
concluded ‘‘that drug products approved
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Federal Register / Vol. 75, No. 210 / Monday, November 1, 2010 / Proposed Rules
for marketing by FDA that contain
naturally-derived dronabinol in sesame
oil in a gelatin capsule should be
rescheduled to Schedule III of the CSA.’’
Based on the recommendations of the
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 DEA, the Deputy Administrator
of DEA, pursuant to sections 201(a) and
201(b) of the Act [21 U.S.C. 811(a) and
811(b)], finds that FDA-approved
generic dronabinol products, both
naturally-derived or synthetically
produced, in sesame oil and
encapsulated in both hard gelatin or soft
gelatin capsules meet the criteria for
placement in schedule III set in 21
U.S.C. 812(b), as follows:
A. The Drug or Other Substance Has a
Potential for Abuse Less Than the Drugs
or Other Substances in Schedule II
FDA-approved generic drug products
that contain dronabinol (both naturallyderived or synthetically produced) in
sesame oil in a gelatin capsule (both
hard or soft gelatin) and reference
Marinol®, have a similar potential for
abuse as Marinol®, a schedule III drug
product and have similar chemistry and
pharmacokinetics as similar
formulations in sesame oil.
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B. The Drug or Other Substance Has a
Currently Accepted Medical Use in
Treatment in the United States
Marinol® was initially approved by
FDA in 1985. When drug products that
reference Marinol® receive FDA
approval, they will have a currently
accepted medical use in the United
States.
C. Abuse of the Drug or Other Substance
May Lead to Moderate or Low Physical
Dependence or Psychological
Dependence and Such Dependence
Would Be Less Than the Drugs or Other
Substances in Schedule II
The withdrawal syndrome associated
with dronabinol, the API in Marinol®,
produces symptoms in humans such as
restlessness, irritability, mild agitation,
anxiety, anger, insomnia, sleep EEG
disturbances, nausea, decreased
appetite, and decreased weight. Since a
withdrawal syndrome is indicative of
physical dependence, it is reasonable to
conclude that generic dronabinol
products (both naturally-derived or
synthetically produced, and in hard or
soft gelatin capsules) in sesame oil, will
also produce physical dependence
similar to those produced by Marinol®.
Therefore, in this rulemaking, DEA is
proposing that 21 CFR 1308.13(g)(1) be
modified to include generic equivalents
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of Marinol® which are (1) naturallyderived or synthetically produced
dronabinol; and/or (2) hard or soft
gelatin capsules. These products, once
approved by FDA, shall meet the criteria
for inclusion in schedule III of the CSA.
Comments and Requests for Hearing
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 the Administrative
Procedure Act 5 U.S.C. 556 and 557. All
persons are invited to submit their
comments or objections with regard to
this proposal. Requests for a hearing
may be submitted by interested persons
and must conform to the requirements
of 21 CFR 1308.44 and 1316.47. The
request should state, with particularity,
the issues concerning which the person
desires to be heard and the requestor’s
interest in the proceeding. Only
interested persons, defined in the
regulations as those ‘‘adversely affected
or aggrieved by any rule or proposed
rule issuable pursuant to section 201 of
the Act (21 U.S.C. 811),’’ may request a
hearing 21 CFR 1308.42. Please note
that DEA may grant a hearing only ‘‘for
the purpose of receiving factual
evidence and expert opinion regarding
the issues involved in the issuance,
amendment or repeal of a rule issuable’’
pursuant to 21 U.S.C. 811(a). All
correspondence regarding this matter
should be submitted to the DEA using
the address information provided above.
Regulatory Certifications
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 hereby
certifies that this rulemaking has been
drafted in accordance with the
Regulatory Flexibility Act (5 U.S.C.
601–612), has reviewed this regulation,
and by approving it certifies that this
regulation will not have a significant
economic impact on a substantial
number of small entities. DEA is hereby
proposing to modify the listing of the
Marinol® formulation in schedule III so
that certain generic drug products are
also included in that listing.
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Fmt 4702
Sfmt 4702
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 $126,000,000 or more
(adjusted for inflation) in any one year,
and will not significantly or uniquely
affect small governments. Therefore, no
actions were deemed necessary under
the provisions of the Unfunded
Mandates Reform Act of 1995.
Congressional Review Act
This rule is not a major rule as
defined by section 804 of the Small
Business Regulatory Enforcement
Fairness Act of 1996 (Congressional
Review Act). 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.
Pursuant to the authority vested in the
Attorney General under sections 201,
202, and 501(b) of the CSA (21 U.S.C.
811, 812, and 871(b)), delegated to the
Administrator and Deputy
Administrator pursuant to section
501(a) (21 U.S.C. 871(a)) and as
specified in 28 CFR 0.100 and 0.104,
and appendix to subpart R, sec. 12, the
Deputy Administrator hereby orders
that Title 21 of the Code of Federal
Regulations, part 1308, is proposed to be
amended as follows:
PART 1308—SCHEDULES OF
CONTROLLED SUBSTANCES
1. The authority citation for 21 CFR
part 1308 continues to read as follows:
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Federal Register / Vol. 75, No. 210 / Monday, November 1, 2010 / Proposed Rules
Authority: 21 U.S.C. 811, 812, 871(b)
unless otherwise noted.
2. Section 1308.13 is amended by
revising paragraph (g) to read as follows:
§ 1308.13
Schedule III.
*
*
*
*
*
(g) Hallucinogenic substances.
(1)(i) Dronabinol in sesame oil and
encapsulated in a gelatin capsule in a
drug product approved for marketing by
the U.S. Food and Drug Administration
(FDA)—7369.
(ii) Any drug product in hard or soft
gelatin capsule form containing natural
dronabinol (derived from the cannabis
plant) or synthetic dronabinol
(produced from synthetic materials) in
sesame oil, for which an abbreviated
new drug application (ANDA) has been
approved by the FDA under section
505(j) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 355(j)) which
references as its listed drug the drug
product referred to in the preceding
paragraph (g)(1)(i) of this section—7369.
Note to paragraph (g)(1): Some other
names for dronabinol: (6a R-trans)-6a,7,8,10atetrahydro-6,6,9-trimethyl-3-pentyl-6 Hdibenzo [b,d]pyran-1-ol] or (-)-delta-9-(trans)tetrahydrocannabinol]
*
(2) [Reserved]
*
*
*
*
Dated: October 19, 2010.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. 2010–27502 Filed 10–29–10; 8:45 am]
BILLING CODE 4410–09–P
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Parts 85, 86, 1036, 1037, 1065,
1066, and 1068
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety
Administration
49 CFR Parts 523, 534, and 535
[EPA–HQ–OAR–2010–0162; NHTSA–2010–
0079; FRL–9219–2]
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RIN 2060–AP61; RIN 2127–AK74
Public Hearings for Greenhouse Gas
Emissions Standards and Fuel
Efficiency Standards for Medium- and
Heavy-Duty Engines and Vehicles
Environmental Protection
Agency (EPA) and National Highway
Traffic Safety Administration (NHTSA).
ACTION: Notice of public hearings.
AGENCIES:
EPA and NHTSA are
announcing public hearings to be held
SUMMARY:
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13:08 Oct 29, 2010
Jkt 223001
for the joint proposed rules ‘‘Greenhouse
Gas Emissions Standards and Fuel
Efficiency Standards for Medium- and
Heavy-Duty Engines and Vehicles,’’
which will be published in the near
future in the Federal Register. The
agencies will also accept comment on
NHTSA’s Draft Environmental Impact
Statement. Two hearings will be held,
on November 15 and 18, 2010.
DATES: NHTSA and EPA will jointly
hold a public hearing on Monday,
November 15, 2010, beginning at
11 a.m. local time, and a second hearing
on Thursday, November 18, 2010,
beginning at 10 a.m. local time. EPA and
NHTSA will make every effort to
accommodate all speakers that arrive
and register. Each hearing will continue
until 5 p.m. or until everyone has had
a chance to speak. If you would like to
present oral testimony at one of these
public hearings, please contact the
person identified under FOR FURTHER
INFORMATION CONTACT, at least ten days
before the hearing.
ADDRESSES: The November 15 hearing
will be held at the Millennium
Knickerbocker Hotel Chicago, 163 East
Walton Place (at N. Michigan Ave.),
Chicago, Illinois 60611. The November
18, 2010 hearing will be held at the
Hyatt Regency Cambridge, 575
Memorial Drive, Cambridge,
Massachusetts 02139–4896. The
hearings will be held at sites accessible
to individuals with disabilities.
FOR FURTHER INFORMATION CONTACT: If
you would like to present oral testimony
at a public hearing, please contact Julia
MacAllister at EPA by the date specified
under DATES, at: Office of
Transportation and Air Quality,
Assessment and Standards Division
(ASD), Environmental Protection
Agency, 2000 Traverwood Drive, Ann
Arbor, MI 48105; telephone number:
(734) 214–4131; fax number: (734) 214–
4050; e-mail address:
macallister.julia@epa.gov (preferred
method for registering), or Assessment
and Standards Division Hotline;
telephone number; (734) 214–4636;
e-mail: asdinfo@epa.gov. Please provide
the following information: Time you
wish to speak (morning, afternoon),
name, affiliation, address, e-mail
address, and telephone and fax
numbers, and whether you require
accommodations such as a sign
language interpreter.
Questions concerning the proposed
rules should be addressed to NHTSA:
Rebecca Yoon, Office of Chief Counsel,
National Highway Traffic Safety
Administration, 1200 New Jersey
Avenue, SE., Washington, DC 20590.
Telephone: (202) 366–2992. EPA:
PO 00000
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67059
Lauren Steele, Office of Transportation
and Air Quality, Assessment and
Standards Division (ASD),
Environmental Protection Agency, 2000
Traverwood Drive, Ann Arbor, MI
48105; telephone number: (734) 214–
4788; fax number: (734) 214–4816;
e-mail address: steele.lauren@epa.gov,
or Assessment and Standards Division
Hotline; telephone number; (734) 214–
4636; e-mail: asdinfo@epa.gov. You may
learn more about the proposal by
visiting NHTSA’s or EPA’s Web pages at
https://www.nhtsa.gov/fuel-economy or
https://www.epa.gov/otaq/climate/
regulations.htm or by searching the
rulemaking dockets (NHTSA–2010–
0079; EPA–HQ–OAR–2010–0162) at
https://www.regulations.gov.
SUPPLEMENTARY INFORMATION: The
purpose of the public hearings is to
provide the public an opportunity to
present oral comments regarding
NHTSA and EPA’s proposal for
‘‘Greenhouse Gas Emissions Standards
and Fuel Efficiency Standards for
Medium- and Heavy-Duty Engines and
Vehicles.’’ These hearings also offer an
opportunity for the public to provide
oral comments regarding NHTSA’s draft
Environmental Impact Statement,
accompanying the proposed NHTSA
fuel efficiency standards. The proposed
rules would establish a comprehensive
Heavy-Duty National Program that will
reduce greenhouse gas emissions and
increase fuel efficiency for on-road
heavy-duty vehicles. NHTSA’s proposed
fuel consumption standards and EPA’s
proposed carbon dioxide (CO2)
emissions standards would be tailored
to each of three regulatory categories: (1)
Combination Tractors; (2) Heavy-duty
Pickup Trucks and Vans; and (3)
Vocational Vehicles, as well as gasoline
and diesel heavy-duty engines. EPA’s
proposed hydrofluorocarbon emissions
standards would apply to air
conditioning systems in tractors, pickup
trucks, and vans, and EPA’s proposed
nitrous oxide (N2O) and methane (CH4)
emissions standards would apply to all
heavy-duty engines, pickup trucks, and
vans. The proposal also includes a
request for comment on possible
alternative CO2-equivalent approaches
for light-duty vehicles in model years
2012–14.
The proposal for which EPA and
NHTSA are holding the public hearings
will be published in the near future in
the Federal Register and is available at
the Web pages listed above under FOR
FURTHER INFORMATION CONTACT and also
in the rulemaking dockets. NHTSA’s
draft Environmental Impact Statement is
available on the NHTSA Web page and
in NHTSA’s rulemaking docket, both
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Agencies
[Federal Register Volume 75, Number 210 (Monday, November 1, 2010)]
[Proposed Rules]
[Pages 67054-67059]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-27502]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA-344P]
Listing of Approved Drug Products Containing Dronabinol in
Schedule III
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: This proposed rule is issued by the Deputy Administrator of
the Drug Enforcement Administration (DEA) to modify the listing of the
Marinol[supreg] formulation in schedule III so that certain generic
drug products are also included in that listing.
Several products are currently the subject of Abbreviated New Drug
Applications (ANDAs) under review by the U.S. Food and Drug
Administration (FDA). Each product is a generic formulation of
Marinol[supreg] and contains dronabinol, the (-) isomer of delta-9-
(trans)-tetrahydrocannabinol (THC), which is a schedule I controlled
substance. Due to variations in formulation, these generic
Marinol[supreg] products do not meet the specific conditions specified
in the current schedule III listing.
This proposed action expands the schedule III listing to include
formulations having naturally-derived dronabinol and products
encapsulated in hard gelatin capsules. This would have the effect of
transferring the FDA-approved versions of such generic Marinol[supreg]
products from schedule I to schedule III.
DATES: Written comments must be postmarked and electronic comments must
be submitted on or before January 3, 2011. Commenters should be aware
that the electronic Federal Docket Management System will not accept
comments after midnight Eastern Time on the last day of the comment
period.
ADDRESSES: To ensure proper handling of comments, please reference
``Docket No. DEA-344'' on all written and electronic correspondence.
Written comments sent via regular or express
[[Page 67055]]
mail should be sent to the Drug Enforcement Administration, Attention:
DEA Federal Register Representative/ODL, 8701 Morrissette Drive,
Springfield, VA 22152. Comments may be sent to DEA by sending an
electronic message to dea.diversion.policy@usdoj.gov. Comments may also
be sent electronically through https://www.regulations.gov using the
electronic comment form provided on that site. An electronic copy of
this document is also available at the https://www.regulations.gov Web
site. DEA will accept attachments to electronic comments in Microsoft
Word, WordPerfect, Adobe PDF, or Excel file formats only. DEA will not
accept any file formats other than those specifically listed here.
Please note that DEA is requesting that electronic comments be
submitted before midnight Eastern Time on the day the comment period
closes because https://www.regulations.gov terminates the public's
ability to submit comments at midnight Eastern Time on the day the
comment period closes. Commenters in time zones other than Eastern Time
may want to consider this so that their electronic comments are
received. All comments sent via regular or express mail will be
considered timely if postmarked on the day the comment period closes.
FOR FURTHER INFORMATION CONTACT: Christine A. Sannerud, PhD, Chief,
Drug and Chemical Evaluation Section, Office of Diversion Control, Drug
Enforcement Administration, 8701 Morrissette Drive, Springfield, VA
22152, Telephone (202) 307-7183.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments: Please note that all comments received
are considered part of the public record and made available for public
inspection online at https://www.regulations.gov and in the Drug
Enforcement Administration's public docket. Such information includes
personal identifying information (such as your name, address, etc.)
voluntarily submitted by the commenter.
If you want to submit personal identifying information (such as
your name, address, etc.) as part of your comment, but do not want it
to be posted online or made available in the public docket, you must
include the phrase ``PERSONAL IDENTIFYING INFORMATION'' in the first
paragraph of your comment. You must also place all the personal
identifying information you do not want posted online or made available
in the public docket in the first paragraph of your comment and
identify what information you want redacted.
If you want to submit confidential business information as part of
your comment, but do not want it to be posted online or made available
in the public docket, you must include the phrase ``CONFIDENTIAL
BUSINESS INFORMATION'' in the first paragraph of your comment. You must
also prominently identify confidential business information to be
redacted within the comment. If a comment has so much confidential
business information that it cannot be effectively redacted, all or
part of that comment may not be posted online or made available in the
public docket.
Personal identifying information and confidential business
information identified and located as set forth above will be redacted
and the comment, in redacted form, will be posted online and placed in
the DEA's public docket file. Please note that the Freedom of
Information Act applies to all comments received. If you wish to
inspect the agency's public docket file in person by appointment,
please see the FOR FURTHER INFORMATION CONTACT paragraph.
Background
The DEA has received four petitions from companies that have
products that are currently the subject of ANDAs under review by the
FDA. Each product is a generic formulation of Marinol[supreg] and
contains dronabinol, the (-) isomer of delta-9-(trans)-
tetrahydrocannabinol (THC), which is a schedule I controlled substance.
These petitions each requests amendments to Controlled Substances Act
(CSA) regulations that would have the effect of transferring the
proposed generic Marinol[supreg] product from schedule I to schedule
III.
At present, the only formulation containing dronabinol that is in a
schedule other than schedule I is the following, as set forth in 21 CFR
1308.13(g)(1) as schedule III:
``Dronabinol (synthetic) in sesame oil and encapsulated in a soft
gelatin capsule in a U.S. Food and Drug Administration approved
product.''
While the petitioners cite that their generic products are
bioequivalent to Marinol[supreg], their products do not meet schedule
III current definition provided above. Therefore, these firms have
requested that 21 CFR 1308.13(g)(1) be expanded to include: (1) Both
naturally-derived or synthetically produced dronabinol; and (2) both
hard or soft gelatin capsules.
In response to these petitions, DEA prepared several scheduling
review documents based upon petitioner-provided data. On June 22, 2007,
and August 15, 2007, these analyses were submitted to the Department of
Health and Human Services (DHHS) with requests for scientific and
medical evaluation and scheduling recommendations. The submissions to
DHHS also requested that they consider (1) whether dronabinol extracted
from Cannabis sativa (i.e. naturally-derived), is identical to
synthetically-produced dronabinol found in Marinol[supreg]; and (2)
whether a formulation encapsulated in hard gelatin capsules, instead of
soft gelatin capsules, changes a product's abuse potential.
On March 17, 2010, and June 1, 2010, the Assistant Secretary for
Health, DHHS, sent the Deputy Administrator of DEA scientific and
medical evaluations and letters recommending that FDA-approved drug
products containing dronabinol (both naturally-derived or synthetic) in
sesame oil in a gelatin capsule (either hard or soft gelatin) be placed
into schedule III of the CSA. Enclosed with the March 17, 2010, letter,
was a document prepared by the FDA entitled, ``Basis for the
Recommendation to Control FDA-Approved Drug Products Containing
Synthetic Dronabinol in Sesame Oil in a Hard Gelatin Capsule to
Schedule III of the Controlled Substances Act.'' The June 1, 2010,
letter included a document entitled, ``Basis for the Recommendation to
Reschedule FDA-Approved Drug Products Containing Naturally-Derived
Dronabinol in Sesame Oil in a Gelatin Capsule to Schedule III of the
Controlled Substances Act.'' These documents contained a review of the
factors which the CSA requires the Secretary to consider 21 U.S.C.
811(b).
Therefore, in this rulemaking, DEA is proposing that 21 CFR
1308.13(g)(1) be modified to include generic equivalents of
Marinol[supreg] which are (1) both synthetic or naturally-derived
dronabinol; and/or (2) hard or soft gelatin capsules.
Background Regarding Dronabinol
Dronabinol is a name of a particular isomer of a class of chemicals
known as tetrahydrocannabinols (THC). Specifically, dronabinol is the
United States Adopted Name (USAN) for the (-)-isomer of [Delta]\9\-
(trans)-tetrahydrocannabinol [(-)-[Delta]\9\-(trans)-THC], which is
believed to be the major psychoactive component of the cannabis plant
(marijuana).
THC, as a general category, is listed in schedule I of the CSA,\1\
while
[[Page 67056]]
dronabinol contained in the product Marinol[supreg] is listed
separately in schedule III. Any other formulation containing dronabinol
(or any other isomer of THC), that does not meet the definition
provided in 21 CFR 1308.13(g)(1), remains a schedule I controlled
substance.\2\
---------------------------------------------------------------------------
\1\ 21 U.S.C. 812(c), Schedule I(c)(17). Schedule I contains
those controlled substances with ``no currently accepted medical use
in treatment in the United States'' and ``a lack of accepted safety
for use * * * under medical supervision.'' 21 U.S.C. 812(b)(1).
\2\ The introductory language to schedule I(c) states that any
material, compound, mixture, or preparation that contains any of the
substances listed in schedule I(c) (including
``tetrahydrocannabinols'') is a schedule I controlled substance
``[u]nless specifically excepted or unless listed in another
schedule.'' The only material, compound, mixture, or preparation
that contains THC but is listed in another schedule is the
Marinol[supreg] formulation, which is listed in schedule III.
---------------------------------------------------------------------------
The current wording of the Marinol[supreg] formulation in schedule
III (21 CFR 1308.13(g)(1)) was added to the DEA regulations in 1986,
when the substance was transferred from schedule I to schedule II after
the FDA approved Marinol[supreg] for marketing.\3\ The wording of this
listing was not specific to Marinol[supreg] and thereby could include
any generic product meeting that description that might be approved by
the FDA in the future. However, at the time the regulation was
promulgated, DEA did not anticipate the possibility that a generic
formulation could be developed that did not fit precisely the wording
of the listing that currently appears in schedule III.
---------------------------------------------------------------------------
\3\ 51 FR 17476 (May 13, 1986). DEA subsequently transferred the
FDA-approved Marinol[supreg] formulation from schedule II to
schedule III. 64 FR 35928 (July 2, 1999).
---------------------------------------------------------------------------
Recently, firms have submitted to FDA ANDAs for their proposed
generic versions of Marinol[supreg]. As these ANDAs remain pending with
the FDA, the precise nature of these formulations is not available for
public disclosure. However, these formulations might differ from the
Marinol[supreg] formulation currently listed in schedule III.
Nonetheless, the firms that have submitted the ANDAs assert that their
formulations would meet the approval requirements under 21 U.S.C.
355(j), because, among other things, they have the same active
ingredient, strength, dosage form, and route of administration as
Marinol[supreg], and are bioequivalent to Marinol[supreg].
Products are bioequivalent if there is no significant difference in
the rate and extent to which the active ingredient or active moiety
becomes available at the site of drug action 21 CFR 320.1. There is no
requirement under 21 U.S.C. 355(j), or FDA's implementing regulations,
that solid oral dosage forms such as capsules that are proposed for
approval in ANDAs contain the same inactive ingredients as the listed
drug referenced. The generic drug, therefore, would not fall within the
scope of the current regulation. This situation, in which a generic
version of a drug would not necessarily fall within the schedule for
the referenced listed drug, is unique among the CSA schedules in the
following respect. The Marinol[supreg] formulation listed in schedule
III is the only listing in the schedules that has the effect of
excluding potential generic versions of the brand name formulation.\4\
As indicated above, this came about because DEA did not anticipate that
other drug products could be approved by FDA that did not fit the
description that was included in the schedules. Moreover, Congress
structured the CSA so that there would be no distinction--for
scheduling purposes--between brand name drug products and their generic
equivalents. The rule being proposed here would ensure that this aspect
of the CSA holds true for generic drug products approved under 21
U.S.C. 355(j) that reference Marinol[supreg] as the listed drug.
---------------------------------------------------------------------------
\4\ Generally, substances are listed in the CSA schedules based
on their chemical classification, rather than any drug product
formulation in which they might appear. Because of this, there have
been no other situations in which a slight variation between the
brand name drug formulation and the generic drug formulation was
consequential for scheduling purposes.
---------------------------------------------------------------------------
In addition, 21 U.S.C. 355(j)(2)(C) permits applicants to petition
FDA for approval of an ANDA for a drug product that may differ from the
listed drug in certain specified ways, if clinical studies are not
necessary to establish the safety and effectiveness of the drug
product. Among the types of differences permitted is a change in dosage
form, or manner in which the active ingredient is produced.
This proposed rule would amend the description in schedule III [21
CFR 1308.13(g)(1)] to include products referencing Marinol[supreg] that
are either (1) naturally derived or synthetic; or (2) in hard or soft
gelatin capsules, as long as the formulations otherwise meet the
approval requirements in 21 U.S.C. 355(j).
The CSA Scheduling Structure
To understand the legal justification for the rule being proposed
here, the scheduling scheme established by Congress under the CSA must
first be considered. One court has succinctly summarized this scheme as
follows:
The [CSA] sets forth initial schedules of drugs and controlled
substances in 21 U.S.C. 812(c). However, Congress established
procedures for adding or removing substances from the schedules
(control or decontrol), or to transfer a drug or substance between
schedules (reschedule). 21 U.S.C. 811(a). This responsibility is
assigned to the Attorney General in consultation with the Secretary
of Health and Human Services (``HHS'') Id. Sec. 811(b). The Attorney
General has delegated his functions to the Administrator of the DEA
28 CFR 0.100(b). Current schedules are published at 21 CFR 1308.11-
1308.15.
There are three methods by which the DEA may initiate rulemaking
proceedings to revise the schedules: (1) By the DEA's own motion;
(2) at the request of DHHS; (3) on the petition of any interested
party. 21 U.S.C. 811(a);
21 CFR 1308.43(a). Before initiating rulemaking proceedings, the
DEA must request a scientific and medical evaluation from DHHS and a
scheduling recommendation. The statute requires the DEA and DHHS to
consider eight factors with respect to the drug or controlled
substance. 21 U.S.C. 811(b), (c).
These factors are:
(1) Its actual or relative potential for abuse.
(2) Scientific evidence of its pharmacological effect, if known.
(3) The state of current scientific knowledge regarding the drug
or other substance.
(4) Its history and current pattern of abuse.
(5) The scope, duration, and significance of abuse.
(6) What, if any, risk there is to the public health.
(7) Its psychic or physiological dependence liability.
(8) Whether the substance is an immediate precursor of a
substance already controlled under this subchapter.
Although the recommendations of DHHS are binding on the DEA as
to scientific and medical considerations involved in the eight-
factor test, the ultimate decision as to whether to initiate
rulemaking proceedings to reschedule a controlled substance is made
by the DEA.\5\
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\5\ See id. Sec. 811(a), (b).
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Gettman v. DEA, 290 F.3d 430, 432 (DC Cir. 2002).
The FDA plays an important role within DHHS in the development of
the DHHS scientific and medical determinations that bear on eight-
factor analyses referred to above (required under section 811(c) for
scheduling decisions). Thus, when it comes to newly developed drug
products that contain controlled substances, FDA makes scientific and
medical determinations for purposes of both the Food Drug and Cosmetic
Act (in connection with decisions on whether to approve drugs for
marketing) and the CSA (in connection with scheduling decisions). As
explained below, the eight-factor analysis can be expected to yield the
same conclusions with respect to a brand name drug product and certain
generic drugs referencing that product that meet the approval
requirements under 21 U.S.C. 355(j).
[[Page 67057]]
The ANDA Approval Process
The Drug Price Competition and Patent Term Restoration Act of 1984
(known as the ``Hatch-Waxman Amendments''), codified at 21 U.S.C. 355,
360cc, and 35 U.S.C. 156, 271, 282, permits the submission of ANDAs for
approval of generic versions of approved drug products. 21 U.S.C.
355(j). The ANDA process shortens the time and effort needed for
approval by, among other things, allowing the applicant to demonstrate
its product's bioequivalence to a drug already approved under a New
Drug Application (NDA) (the ``listed'' drug) rather than having to
reproduce the safety and effectiveness data for that drug. If an ANDA
applicant establishes that its proposed drug product has the same
active ingredient, strength, dosage form, route of administration,
labeling, and conditions of use as a listed drug, and that it is
bioequivalent to that drug, the applicant can rely on FDA's previous
finding that the listed drug is safe and effective [See id].\6\ Once
approved, an ANDA sponsor may manufacture and market the generic drug
to provide a safe, effective, and low cost alternative to the American
public.
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\6\ See also Approved Drug Products with Therapeutic Equivalence
Evaluations (commonly known as the ``Orange Book''), Intro. at p.
vi, (27th ed.).
---------------------------------------------------------------------------
The majority of drugs approved under 21 U.S.C. 355(j) are
therapeutically equivalent to the listed drug they reference. This
means that the generic drug and the referenced innovator drug contain
identical amounts of the active ingredient, and are bioequivalent.
Therapeutic equivalents can be expected to have the same clinical
effect and safety profile when administered to patients under the
conditions specified in the labeling.
The key point, for purposes of the rule being proposed here, is
that the generic drug can be substituted for the innovator drug with
the full expectation that the generic drug will produce the same
clinical effect and safety profile as the innovator drug. Consequently,
for CSA scheduling purposes, the eight-factor analysis conducted by the
FDA and DEA under 21 U.S.C. 811(c) would necessarily result in the same
scheduling determination for an approved generic drug product as for
the innovator drug to which the generic drug is a therapeutic
equivalent. This is because, in conducting the eight-factor analysis,
the FDA and DEA would be examining precisely the same medical,
scientific, and abuse data for the generic drug product as would be
considered for the innovator drug. The same would be true of the
innovator drug and a drug product approved pursuant to a petition under
21 U.S.C. 355(j)(2)(C), where the drug approved in the ANDA differs
from the listed drug only because it is a hard gelatin capsule and the
listed drug is a soft gelatin capsule; or the active ingredient is
naturally-derived, rather than synthetically produced.
As noted earlier, these considerations never previously arose for
any other controlled substance because the regulation citing the
Marinol[supreg] formulation is the only scheduling regulation that is
drug product formulation-specific and thereby (inadvertently) excludes
certain generic versions.\7\ This unintended result is not consistent
with the structure and purposes of the CSA, which generally lists
categories of substances in the schedules, rather than product
formulations. Thus, by ensuring that generic versions of the
Marinol[supreg] formulation which might be approved by the FDA in the
future are in the same schedule as Marinol[supreg], the rule being
proposed here would make the DEA regulations more consistent with the
structure and purposes of the CSA.
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\7\ When Congress enacted the CSA in 1970, it scheduled codeine
and certain other opiates in three different schedules depending on
their respective concentrations. See 21 U.S.C. 812(c), schedule
II(a)(1), schedule III(d), and schedule V. However, this
differential scheduling for opiates does not specify drug product
formulation in a manner that would result in a generic version of an
opiate drug product being scheduled separately from the innovator
drug.
---------------------------------------------------------------------------
Finally, for additional clarity, the proposed rule would amend 21
CFR 1308.13(g)(1) to change the phrase ``U.S. Food and Drug
Administration approved product'' to ``drug product approved for
marketing by the U.S. Food and Drug Administration.''
On June 22, 2007, and August 15, 2007, DEA submitted scheduling
review documents for several dronabinol generic products to the DHHS,
and requested that DHHS provide scientific and medical evaluation and
scheduling recommendations under the CSA. (These documents are
available for review online at https://www.deadiversion.usdoj.gov.)
On March 17, 2010, and June 1, 2010, the Assistant Secretary for
Health, DHHS, sent the Deputy Administrator of DEA scientific and
medical evaluations and letters recommending that FDA-approved drug
products containing dronabinol (naturally-derived or synthetic) in
sesame oil in a gelatin capsule (hard or soft) be placed into schedule
III of the CSA. Enclosed with the March 17, 2010, letter was a document
prepared by the FDA entitled, ``Basis for the Recommendation to Control
FDA-Approved Drug Products Containing Synthetic Dronabinol in Sesame
Oil in a Hard Gelatin Capsule to Schedule III of the Controlled
Substances Act.'' The June 1, 2010 letter included a document entitled,
``Basis for the Recommendation to Reschedule FDA-Approved Drug Products
Containing Naturally-Derived Dronabinol in Sesame Oil in a Gelatin
Capsule to Schedule III of the Controlled Substances Act.'' These
documents contained a review of the factors which the CSA requires the
Secretary to consider. 21 U.S.C. 811(b).
Note: The DHHS scheduling recommendations of March 17, 2010, and
June 1, 2010, are available for review online at https://www.deadiversion.usdoj.gov.
The factors considered by the Assistant Secretary of Health and DEA
with respect to these products were:
(1) Its actual or relative potential for abuse;
(2) Scientific evidence of its pharmacological effects;
(3) The state of current scientific knowledge regarding the drug;
(4) Its history and current pattern of abuse;
(5) The scope, duration, and significance of abuse;
(6) What, if any, risk there is to the public health;
(7) Its psychic or physiological dependence liability; and
(8) Whether the substance is an immediate precursor of a substance
already controlled under this subchapter. 21 U.S.C. 811(c).
The DHHS scheduling recommendation of March 17, 2010, concluded
that drug products containing synthetic dronabinol in sesame oil and
encapsulated in a hard gelatin capsule, have a similar potential for
abuse as Marinol[supreg]. ``These products contain the same Active
Pharmaceutical Ingredient (API), have similar chemistry and
pharmacokinetics and have similar formulations in sesame oil.'' FDA and
National Institute on Drug Abuse (NIDA), after reviewing the available
information conclude ``that drug products approved for marketing by FDA
that contain synthetic dronabinol in sesame oil in a hard gelatin
capsule be controlled in Schedule III of the CSA.''
The DHHS scheduling recommendation of June 1, 2010, concluded that
drug products that contain naturally-derived dronabinol in sesame oil
and in a gelatin capsule, have a similar potential for abuse as
Marinol[supreg]. FDA and NIDA, after reviewing the available
information, concluded ``that drug products approved
[[Page 67058]]
for marketing by FDA that contain naturally-derived dronabinol in
sesame oil in a gelatin capsule should be rescheduled to Schedule III
of the CSA.''
Based on the recommendations of the 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 DEA, the
Deputy Administrator of DEA, pursuant to sections 201(a) and 201(b) of
the Act [21 U.S.C. 811(a) and 811(b)], finds that FDA-approved generic
dronabinol products, both naturally-derived or synthetically produced,
in sesame oil and encapsulated in both hard gelatin or soft gelatin
capsules meet the criteria for placement in schedule III set in 21
U.S.C. 812(b), as follows:
A. The Drug or Other Substance Has a Potential for Abuse Less Than the
Drugs or Other Substances in Schedule II
FDA-approved generic drug products that contain dronabinol (both
naturally-derived or synthetically produced) in sesame oil in a gelatin
capsule (both hard or soft gelatin) and reference Marinol[supreg], have
a similar potential for abuse as Marinol[supreg], a schedule III drug
product and have similar chemistry and pharmacokinetics as similar
formulations in sesame oil.
B. The Drug or Other Substance Has a Currently Accepted Medical Use in
Treatment in the United States
Marinol[supreg] was initially approved by FDA in 1985. When drug
products that reference Marinol[supreg] receive FDA approval, they will
have a currently accepted medical use in the United States.
C. Abuse of the Drug or Other Substance May Lead to Moderate or Low
Physical Dependence or Psychological Dependence and Such Dependence
Would Be Less Than the Drugs or Other Substances in Schedule II
The withdrawal syndrome associated with dronabinol, the API in
Marinol[supreg], produces symptoms in humans such as restlessness,
irritability, mild agitation, anxiety, anger, insomnia, sleep EEG
disturbances, nausea, decreased appetite, and decreased weight. Since a
withdrawal syndrome is indicative of physical dependence, it is
reasonable to conclude that generic dronabinol products (both
naturally-derived or synthetically produced, and in hard or soft
gelatin capsules) in sesame oil, will also produce physical dependence
similar to those produced by Marinol[supreg].
Therefore, in this rulemaking, DEA is proposing that 21 CFR
1308.13(g)(1) be modified to include generic equivalents of
Marinol[supreg] which are (1) naturally-derived or synthetically
produced dronabinol; and/or (2) hard or soft gelatin capsules. These
products, once approved by FDA, shall meet the criteria for inclusion
in schedule III of the CSA.
Comments and Requests for Hearing
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 the Administrative Procedure Act 5 U.S.C. 556 and 557.
All persons are invited to submit their comments or objections with
regard to this proposal. Requests for a hearing may be submitted by
interested persons and must conform to the requirements of 21 CFR
1308.44 and 1316.47. The request should state, with particularity, the
issues concerning which the person desires to be heard and the
requestor's interest in the proceeding. Only interested persons,
defined in the regulations as those ``adversely affected or aggrieved
by any rule or proposed rule issuable pursuant to section 201 of the
Act (21 U.S.C. 811),'' may request a hearing 21 CFR 1308.42. Please
note that DEA may grant a hearing only ``for the purpose of receiving
factual evidence and expert opinion regarding the issues involved in
the issuance, amendment or repeal of a rule issuable'' pursuant to 21
U.S.C. 811(a). All correspondence regarding this matter should be
submitted to the DEA using the address information provided above.
Regulatory Certifications
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 hereby certifies that this rulemaking has
been drafted in accordance with the Regulatory Flexibility Act (5
U.S.C. 601-612), has reviewed this regulation, and by approving it
certifies that this regulation will not have a significant economic
impact on a substantial number of small entities. DEA is hereby
proposing to modify the listing of the Marinol[supreg] formulation in
schedule III so that certain generic drug products are also included in
that listing.
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
$126,000,000 or more (adjusted for inflation) in any one year, and will
not significantly or uniquely affect small governments. Therefore, no
actions were deemed necessary under the provisions of the Unfunded
Mandates Reform Act of 1995.
Congressional Review Act
This rule is not a major rule as defined by section 804 of the
Small Business Regulatory Enforcement Fairness Act of 1996
(Congressional Review Act). 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.
Pursuant to the authority vested in the Attorney General under
sections 201, 202, and 501(b) of the CSA (21 U.S.C. 811, 812, and
871(b)), delegated to the Administrator and Deputy Administrator
pursuant to section 501(a) (21 U.S.C. 871(a)) and as specified in 28
CFR 0.100 and 0.104, and appendix to subpart R, sec. 12, the Deputy
Administrator hereby orders that Title 21 of the Code of Federal
Regulations, part 1308, is proposed to be amended as follows:
PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES
1. The authority citation for 21 CFR part 1308 continues to read as
follows:
[[Page 67059]]
Authority: 21 U.S.C. 811, 812, 871(b) unless otherwise noted.
2. Section 1308.13 is amended by revising paragraph (g) to read as
follows:
Sec. 1308.13 Schedule III.
* * * * *
(g) Hallucinogenic substances. (1)(i) Dronabinol in sesame oil and
encapsulated in a gelatin capsule in a drug product approved for
marketing by the U.S. Food and Drug Administration (FDA)--7369.
(ii) Any drug product in hard or soft gelatin capsule form
containing natural dronabinol (derived from the cannabis plant) or
synthetic dronabinol (produced from synthetic materials) in sesame oil,
for which an abbreviated new drug application (ANDA) has been approved
by the FDA under section 505(j) of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 355(j)) which references as its listed drug the drug
product referred to in the preceding paragraph (g)(1)(i) of this
section--7369.
Note to paragraph (g)(1): Some other names for dronabinol: (6a
R-trans)-6a,7,8,10a-tetrahydro-6,6,9-trimethyl-3-pentyl-6 H-dibenzo
[b,d]pyran-1-ol] or (-)-delta-9-(trans)-tetrahydrocannabinol]
(2) [Reserved]
* * * * *
Dated: October 19, 2010.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. 2010-27502 Filed 10-29-10; 8:45 am]
BILLING CODE 4410-09-P