Antimicrobial Animal Drug Sales and Distribution Reporting, 29129-29141 [2016-11082]
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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Rules and Regulations
Issued in Fort Worth, TX, on April 27,
2016.
Vonnie Royal,
Acting Manager, Operations Support Group,
ATO Central Service Center.
[FR Doc. 2016–10736 Filed 5–10–16; 8:45 am]
BILLING CODE 4910–13–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Table of Contents
Food and Drug Administration
21 CFR Part 514
[Docket No. FDA–2012–N–0447]
RIN 0910–AG45
Antimicrobial Animal Drug Sales and
Distribution Reporting
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Final rule.
The Food and Drug
Administration (FDA or we) is issuing a
final rule to require that the sponsor of
each approved or conditionally
approved new animal drug product that
contains an antimicrobial active
ingredient submit an annual report to us
on the amount of each such ingredient
in the drug product that is sold or
distributed for use in food-producing
animals, including information on any
distributor-labeled product. This final
rule codifies the reporting requirements
established in section 105 of the Animal
Drug User Fee Amendments of 2008
(ADUFA). The final rule also includes
an additional reporting provision
intended to enhance our understanding
of antimicrobial new animal drug sales
intended for use in specific foodproducing animal species and the
relationship between such sales and
antimicrobial resistance.
DATES: This rule is effective July 11,
2016. For the applicable compliance
dates, please see section V, ‘‘Effective
and Compliance Dates’’ in
SUPPLEMENTARY INFORMATION.
ADDRESSES: For access to the docket to
read background documents or
comments received, go to https://
www.regulations.gov and insert the
docket number found in brackets in the
heading of this final rule into the
‘‘Search’’ box and follow the prompts,
and/or go to the Division of Dockets
Management, 5630 Fishers Lane, Rm.
1061, Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT:
With regard to the final rule: Neal
Bataller, Center for Veterinary Medicine
(HFV–210), Food and Drug
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SUMMARY:
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Administration, 7519 Standish Pl.,
Rockville, MD 20855, 240–402–5745,
Neal.Bataller@fda.hhs.gov.
With regard to the information
collection: FDA PRA Staff, Office of
Operations, Food and Drug
Administration, 8455 Colesville Rd.,
COLE–14526, Silver Spring, MD 20993–
0002, PRAStaff@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Executive Summary
A. Purpose of the Final Rule
B. Summary of the Major Provisions of the
Final Rule
C. Legal Authority
D. Costs and Benefits
II. Background
A. Need for the Regulation/History of the
Rulemaking
B. Summary of Comments to the Proposed
Rule
C. General Overview of the Final Rule
III. Legal Authority
IV. Comments on the Proposed Rule and FDA
Response
A. Introduction
B. Description of General Comments and
FDA Response
C. Comments on our Legal Authority and
FDA Response
D. Specific Comments and FDA Response
V. Effective and Compliance Dates
VI. Economic Analysis of Impacts
VII. Analysis of Environmental Impact
VIII. Paperwork Reduction Act of 1995
IX. Federalism
X. References
I. Executive Summary
A. Purpose of the Final Rule
The purpose of this rulemaking is to
change the way we collect and report
information related to the distribution
and sale of approved or conditionally
approved antimicrobial new animal
drug products for use in food-producing
animals.
Sponsors of approved or conditionally
approved applications for new animal
drugs containing an antimicrobial active
ingredient are required by section 512 of
the Federal Food, Drug, and Cosmetic
Act (the FD&C Act) (21 U.S.C. 360b), as
amended by section 105 of ADUFA
(ADUFA 105) (Title I of Pub. L. 110–
316), to submit to us an annual report
on the amount of each such ingredient
in the drug that is sold or distributed for
use in food-producing animals. We are
also required by ADUFA 105 to publish
annual summary reports of the data we
receive from animal drug sponsors. In
accordance with the law, sponsors of
the affected antimicrobial new animal
drug products began submitting their
sales and distribution data to us on an
annual basis, and we have published
summaries of such data for each
calendar year beginning with 2009.
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Since that time, we have published two
documents inviting public input on
potential changes to our regulations
relating to records and reports for
approved new animal drugs, including
an advance notice of proposed
rulemaking (77 FR 44177, July 27, 2012)
and a proposed rule (80 FR 28863, May
20, 2015). This final rule amends our
existing records and reports regulation
in part 514 (21 CFR part 514) to
incorporate the sales and distribution
data reporting requirements specific to
antimicrobial new animal drugs that
were added to the FD&C Act by ADUFA
105. ADUFA 105 was enacted to assist
us in our continuing analysis of the
interactions (including drug resistance),
efficacy, and safety of antimicrobials
approved for use in both humans and
food-producing animals for the purpose
of mitigating the public health risk
associated with antimicrobial resistance.
This rule includes an additional
reporting provision intended to improve
our understanding of antimicrobial
animal drug sales intended for use in
specific food-producing animal species.
This additional provision assists us in
assessing antimicrobial sales trends in
the major food-producing animal
species and examining how such trends
may relate to antimicrobial resistance.
Finalizing this rule will assist us in
assessing the rate at which sponsors are
voluntarily revising their FDA-approved
labeled use conditions to promote the
judicious use of medically important
antimicrobial drugs in food-producing
animals. In December 2013, we
published guidance for industry (GFI)
#213 (https://www.fda.gov/downloads/
AnimalVeterinary/
GuidanceComplianceEnforcement/
GuidanceforIndustry/UCM299624.pdf),
a guidance that calls on sponsors of
approved medically important
antimicrobial new animal drugs
administered through medicated feed or
water to voluntarily make changes to
remove production uses (growth
promotion and feed efficiency) from
their product labels and bring the
remaining therapeutic uses of these
products (to treat, control, or prevent
disease) under the oversight of a
veterinarian by the end of December
2016. All affected drug sponsors
committed to implementing the changes
described in guidance for industry (GFI)
#213 by the December 2016 target date.
Once the changes are fully
implemented, it will be illegal to use
these medically important antibiotics
for production purposes, and animal
producers will first need to obtain
authorization from a licensed
veterinarian to use them for therapeutic
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purposes (i.e., prevention, control, or
treatment of a specifically identified
disease).
Finalizing this rule also implements
Sub-Objective 2.4.2 (‘‘Enhance
collection and reporting of data
regarding antibiotic drugs sold and
distributed for use in food-producing
animals’’) of the ‘‘National Action Plan
for Combating Antibiotic-Resistant
Bacteria’’ (National Action Plan)
(https://www.whitehouse.gov/sites/
default/files/docs/national_action_
plan_for_combating_antibotic-resistant_
bacteria.pdf). The National Action Plan,
released by the White House on March
27, 2015, was developed in response to
Executive Order 13676: Combating
Antibiotic-Resistant Bacteria, which was
issued by President Barack Obama on
September 18, 2014, in conjunction
with the National Strategy for
Combating Antibiotic-Resistant Bacteria.
The National Action Plan is intended to
guide the activities of the U.S.
Government as well as the actions of
public health, health care, and
veterinary partners in a common effort
to address the urgent and serious public
health threat of drug-resistant bacterial
infections. Objective 2.4 of the National
Action Plan is to ‘‘enhance monitoring
of antibiotic-resistance patterns, as well
as antibiotic sales, usage, and
management practices, at multiple
points in the production chain from
food-animals on-farm, through
processing, and retail meat.’’
The provisions included in this final
rule take into account stakeholder input
received in response to multiple
opportunities for public comment,
including the advance notice of
proposed rulemaking and the proposed
rule.
B. Summary of the Major Provisions of
the Final Rule
The rule amends the records and
reports regulation in part 514 to include
the following:
• Procedures relating to the
submission to us of annual sales and
distribution data reports by sponsors of
approved or conditionally approved
antimicrobial new animal drug products
sold or distributed for use in foodproducing animals. Sponsors are
already submitting such reports as
required by ADUFA 105.
• Procedures relating to the
requirement for sponsors of approved or
conditionally approved antimicrobial
new animal drugs to begin submitting
species-specific estimates of product
sales as a percentage of their total sales.
This new reporting requirement was
included based on our authority under
section 512(l)(1) of the FD&C Act.
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• Procedures applicable to our
preparation and publication of summary
reports on an annual basis based on the
sales and distribution data we receive
from sponsors of approved or
conditionally approved antimicrobial
new animal drug products. The final
rule includes specific parameters for the
content of the annual summary reports
as well as provisions intended to protect
confidential business information and
national security, consistent with
ADUFA 105 and this Agency’s
regulations at § 20.61 (21 CFR 20.61).
• Provisions that will give sponsors of
approved or conditionally approved
antimicrobial new animal drug products
that are sold or distributed for use in
food-producing animals the opportunity
to avoid duplicative reporting of
product sales and distribution data to us
under part 514.
C. Legal Authority
Our legal authority for issuing this
final rule is provided by section 512(l)
of the FD&C Act relating to records and
reports concerning approved and
conditionally approved new animal
drugs. In addition, section 701(a) of the
FD&C Act (21 U.S.C. 371(a)) gives us
general rulemaking authority to issue
regulations for the efficient enforcement
of the FD&C Act.
D. Costs and Benefits
We estimate one-time costs to
industry from this final rule at about
$134,600. We estimate annual costs at
about $57,300. These costs equate to an
estimated total annualized cost of about
$76,500 at a 7 percent discount rate over
10 years and about $73,100 at a 3
percent discount rate over 10 years. The
total annualized costs include the
administrative cost to review the rule
($8,800), plus the cost to those sponsors
who wish to avoid duplicative reporting
requirements under part 514 ($4,900),
plus the cost of providing the speciesspecific estimates of the percent of the
drug product distributed domestically
($62,700).
The final rule provides some
flexibility in terms of the manner in
which new animal drug sponsors report
sales and distribution data under both
§ 514.80(b)(4) and § 514.87, by allowing
the sponsor the option to satisfy its
obligations under both provisions by
making only one set of report
submissions under certain
circumstances. We estimate this will
reduce labor costs for new animal drug
sponsors by $103,200 annually.
Another benefit of the final rule is the
cost savings associated with sponsors
reporting their monthly sales and
distribution data to us in terms of
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product units rather than calculating the
amount of antimicrobial active
ingredients associated with these
monthly product sales and distribution
data, as is currently the case. We
estimate the calculation reductions will
amount to an annual benefit to animal
drug sponsors of about $19,100. We
estimate total annual benefits to
industry at about $122,300.
II. Background
A. Need for the Regulation/History of
the Rulemaking
Section 512(l)(1) of the FD&C Act,
which was added by the Animal Drug
Amendments of 1968 (Pub. L. 90–399),
requires sponsors of approved or
conditionally approved new animal
drugs to establish and maintain records
and make such reports of data relating
to experience and other data or
information received or obtained by the
sponsor with respect to such drug as
required by regulation or order. Part 514
of FDA’s regulations implements section
512(l) of the FD&C Act and requires new
animal drug sponsors to report various
types of information to FDA relating to
their approved drug products, including
periodic drug experience reports under
§ 514.80(b)(4). Such reports must
contain detailed information as
specified in the regulations, including
information concerning the quantities of
the animal drug product distributed
under the sponsor’s approved
application. The requirement for
periodic reports under § 514.80(b)(4)
applies to all sponsors of approved new
animal drug products and is separate
from the reporting requirements
subsequently established under ADUFA
105 relating to antimicrobial new
animal drugs.
This continuous monitoring of
approved new animal drug applications
(NADAs) by collecting post-approval
information from sponsors is important
because data previously submitted to
FDA as part of the approval process may
no longer be adequate, as animal drug
effects can change over time and less
apparent effects including, for example,
on antimicrobial resistance, can
sometimes take years to become evident.
For this reason, post-approval reports
are one of the primary means by which
FDA can obtain information regarding
safety or effectiveness problems with
marketed new animal drugs.
In an effort to address mounting
public health concerns about
antimicrobial drug resistance, Congress,
in 2008, enacted ADUFA 105 to
enhance the reports collected by FDA
concerning marketed new animal drug
products that contain an antimicrobial
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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Rules and Regulations
active ingredient. ADUFA 105 amended
section 512(l) of the FD&C Act by
adding section 512(l)(3). Under new
section 512(l)(3) of the FD&C Act,
sponsors of antimicrobial new animal
drugs approved or conditionally
approved for use in food-producing
animals must submit to us on an annual
basis a report specifying the amount of
each antimicrobial active ingredient in
the drug that is sold or distributed for
use in food-producing animals.
Specifically, sponsors are required to
report the amount of each antimicrobial
active ingredient as follows: (1) By
container size, strength, and dosage
form; (2) by quantities distributed
domestically and quantities exported;
and (3) for each dosage form, a listing
of the target animals, indications, and
production classes that are specified on
the approved label of the product. The
information must be reported for the
preceding calendar year, include
separate information for each month of
the calendar year, and be submitted to
us each year no later than March 31.
The statute also requires FDA to publish
summary reports of the antimicrobial
drug sales and distribution data
collected from the drug sponsors on an
annual basis, and further requires that
such data be reported by antimicrobial
class (section 512(l)(3) of the FD&C Act).
In accordance with the law, sponsors of
the affected antimicrobial new animal
drug products began submitting their
sales and distribution data to us on an
annual basis, and we have published
summaries of such data for each
calendar year beginning with 2009.
In the Federal Register of May 20,
2015 (80 FR 28863), we proposed to
amend our existing animal drug records
and reports regulation in part 514 to
incorporate the antimicrobial drug sales
and distribution data reporting
requirements established by ADUFA
105. We proposed (80 FR 28863 at
28864) to amend part 514 to include
administrative practices and procedures
for sponsors of antimicrobial new
animal drugs sold or distributed for use
in food-producing animals who must
report annually under section 512(l)(3)
of the FD&C Act. We also proposed (80
FR 28863 at 28864) to collect speciesspecific data to assist us in assessing
antimicrobial sales trends in the major
food-producing animal species and
examining how such trends may relate
to antimicrobial resistance. We set forth
the rationale that having the improved
data would support our ongoing efforts
to encourage the judicious use of
antimicrobials in food-producing
animals to help ensure the continued
availability of safe and effective
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antimicrobials for animals and humans
(80 FR 28863 at 28864).
We believe that on-farm use data also
are needed to obtain additional
information necessary to help gauge the
success of antibiotic stewardship efforts
and guide their continued evolution and
optimization, and assess associations
between antibiotic use practices and
resistance. Shortly after we issued the
proposed rule, in the Federal Register of
August 20, 2015 (80 FR 50638), we
published a notice announcing plans to
hold a public meeting on September 30,
2015, which we jointly sponsored with
the U.S. Department of Agriculture
(USDA) and the Centers for Disease
Control and Prevention (CDC) to obtain
public input on possible approaches for
collecting additional on-farm
antimicrobial drug use and resistance
data. Such additional data are intended
to supplement existing information,
including data on the quantity of
antimicrobials sold or distributed for
use in food-producing animals and data
on antimicrobial use and resistance, for
example, data collected under the
National Animal Health Monitoring
System (NAHMS) and the National
Antimicrobial Resistance Monitoring
System (NARMS). In the notice of
public meeting, we explained that data
from multiple sources are needed to
provide a comprehensive and sciencebased picture of antimicrobial drug use
and resistance in animal agriculture (80
FR 50638 at 50639). Taking into account
the comments received from this public
meeting, we are continuing to work with
the USDA and the CDC in developing
this plan to help ensure the continued
availability of safe and effective
antimicrobials for use in humans and
animals. The information that we will
receive under this final rule is part of
this coordinated, interagency effort to
assess and minimize antimicrobial
resistance to help ensure the continued
availability of safe and effective
antimicrobial drugs for use in treating
infectious disease in animals and
humans.
B. Summary of Comments to the
Proposed Rule
We received approximately 440
individual comments on the proposed
rule from veterinary, feed
manufacturing, and livestock
production associations, as well as
consumer advocacy groups and
individuals, and a member of Congress.
Some comments support our
rulemaking and our ongoing efforts to
address the problem of antimicrobial
resistance, while others express concern
about the manner in which data are
going to be collected, interpreted, and
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used. Some comments offer suggestions
for specific changes for us to consider
making to the subject regulations.
C. General Overview of the Final Rule
This final rule amends our animal
drug records and reports regulation at
part 514 to include administrative
practices and procedures for sponsors of
antimicrobial new animal drugs sold or
distributed for use in food-producing
animals who must report annually
under section 512(l)(3) of the FD&C Act.
In addition, the rule includes a
provision based on our broader
authority under section 512(l)(1) that
requires sponsors to report
antimicrobial new animal drug sales
intended for use in specific foodproducing animal species. In this
rulemaking, we finalize the provisions
in the proposed rule.
III. Legal Authority
Our legal authority for issuing this
final rule is provided by section 512(l)
of the FD&C Act relating to records and
reports concerning approved new
animal drugs and section 701(a) of the
FD&C Act. Section 512(l) gives FDA
broad authority to collect information
from sponsors concerning their
approved or conditionally approved
new animal drug products. Specifically,
under section 512(l)(1) of the FD&C Act,
animal drug sponsors with approved or
conditionally approved NADAs must
‘‘make such reports to the Secretary, of
data relating to experience, including
experience with uses authorized under
subsection (a)(4)(A) [relating to
extralabel use], and other data or
information, received or otherwise
obtained by such applicant with respect
to such drug, or with respect to animal
feeds bearing or containing such drug,
as the Secretary may by general
regulation, or by order with respect to
such application, prescribe on the basis
of a finding that such records and
reports are necessary in order to enable
the Secretary to determine, or facilitate
a determination, whether there is or
may be ground for invoking subsection
(e) or subsection (m)(4) of this section
[authorizing FDA to withdraw approval
of a new animal drug or revoke a license
to manufacture medicated feed].’’ The
statute provides for withdrawal of
approval if FDA finds that new
information shows that the drug is no
longer shown to be safe for use under
the approved conditions of use or the
drug is ineffective for uses prescribed or
recommended in the drug’s labeling (21
U.S.C. 360b(e)(1)).
Pursuant to its authority under
section 512(l)(1) of the FD&C Act, FDA
issued recordkeeping and reporting
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regulations relating to experience with
approved new animal drugs. These
regulations, which are found at part 514,
include the requirement at
§ 514.80(b)(4) for animal drug sponsors
to submit periodic drug experience
reports to FDA every 6 months for the
first 2 years following approval of their
application and subsequently on an
annual basis. The periodic reports that
sponsors are required to submit under
§ 514.80(b)(4) must include detailed
information as specified in the
regulations, including information
concerning the quantities of the animal
drug product distributed under the
sponsor’s approved application. The
requirement for sponsors to submit
distribution data to us under
§ 514.80(b)(4) predates the enactment of
ADUFA 105.
In addition to the broad authority
already granted to FDA under section
512(l)(1) of the FD&C Act, in 2008,
Congress established additional
reporting requirements under ADUFA
105 for sponsors of antimicrobial new
animal drug products. These new
reporting requirements, which are set
out in section 512(l)(3) of the FD&C Act,
did not require the Agency to issue
implementing regulations first in order
for them to take effect. With respect to
approved or conditionally approved
new animal drugs containing an
antimicrobial active ingredient, section
512(l)(3)(A) through (C) of the FD&C Act
requires sponsors of such products to
submit an annual report to FDA on the
‘‘amount of each antimicrobial active
ingredient in the drug that is sold or
distributed for use in food-producing
animals, including information on any
distributor labeled product’’ by March
31 of each year with separate data
included for each month of the
preceding calendar year. In addition,
section 512(l)(3)(E) of the FD&C Act
requires FDA to prepare summaries of
the information reported by drug
sponsors concerning their antimicrobial
new animal drugs and to make those
summaries available to the public. In
accordance with ADUFA 105, sponsors
of the affected antimicrobial new animal
drug products have submitted their
sales and distribution data to us, and we
have published summaries of such data,
for each calendar year since 2009.
In enacting ADUFA 105, Congress
clarified that ‘‘[t]he reports required [to
be submitted by animal drug sponsors]
under section 512(l)(3) of the Federal
Food, Drug, and Cosmetic Act, as added
by subsection (a) [of ADUFA 105], shall
be separate from periodic drug
experience reports that are required
under section 514.80(b)(4) of title 21,
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Code of Federal Regulations.’’ (see
subsection (c) of ADUFA 105).
Section 701(a) of the FD&C Act gives
us general rulemaking authority to issue
regulations for the efficient enforcement
of the FD&C Act.
IV. Comments on the Proposed Rule
and FDA Response
A. Introduction
This section summarizes comments
we received in response to the proposed
rule and our response to those
comments. We received approximately
440 individual comments on the
proposed rule by the close of the
comment period, each addressing one or
more topics. Approximately 400 of
those comments resulted from write-in
campaigns. Several of the comments
were signed by more than one person or
group. We received comments from
veterinary, feed manufacturing, and
livestock production associations, as
well as consumer advocacy groups and
individuals, and a member of Congress.
Some comments support our
rulemaking and our ongoing efforts to
address the problem of antimicrobial
resistance, while others express concern
about the manner in which data are
going to be collected, interpreted, and
used. Some comments offer suggestions
for specific changes for us to consider
making to the subject regulations. We
considered the comments we received
in response to the proposed rule in
preparing this final rule. After
considering these comments, we are not
making any changes to the codified
language that was included in the
proposed rule.
In sections IV.B. through IV.D., we
describe the comments received on the
proposed rule and provide our
responses. To make it easier to identify
the comments and our responses, the
word ‘‘Comment,’’ in parentheses,
appears before the comment’s
description, and the word ‘‘Response,’’
in parentheses, appears before our
response. We have numbered each
comment to help distinguish between
different comments. We have grouped
similar comments together under the
same number and, in some cases, we
have separated different subjects
discussed in the same comment and
designated them as distinct comments
for purposes of our responses. The
number assigned to each comment or
comment topic is purely for
organizational purposes and does not
signify the comment’s value or
importance or the order in which
comments were received.
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B. Description of General Comments
and FDA Response
Many comments make general
remarks supporting or opposing the
proposed rule without focusing on a
particular proposed provision. In the
following paragraphs of this section, we
discuss and respond to such general
comments.
(Comment 1) Many comments from a
variety of stakeholders, including
veterinary, feed manufacturing, and
animal production associations, drug
manufacturing firms, as well as
consumer advocacy groups and
individuals, generally support our
efforts aimed at gathering reliable
information on the use of antimicrobials
in food-producing animals, improving
the manner in which that information is
reported, enhancing our understanding
of antimicrobial animal drug sales
intended for use in specific foodproducing animal species, and working
alongside our Federal partners to share
data for the purpose of minimizing
antimicrobial resistance.
(Response 1) We appreciate the
general support that the comments
express. As noted in section II.A., this
rulemaking is part of a larger effort to
address the problem of antimicrobial
resistance. The rule is expected to
provide us with information on the sales
of antimicrobials intended for use in
food-producing animals, including
information regarding the sales of these
products among the various animal
species for which they are intended.
Having species-specific estimates of
product sales and distribution in the
four major food-producing categories of
animal species (cattle, swine, chickens,
turkeys) will be important in supporting
efforts such as NARMS, the national
surveillance program that tracks trends
related to antimicrobial resistance in
food-producing animals and humans,
and complement data on antimicrobial
use collected under NAHMS. The data
will also complement the data
collection plan with the USDA and the
CDC to obtain additional on-farm use
and resistance data. The collection of
data from multiple sources, including
enhanced sales data, is needed to
provide a comprehensive and sciencebased picture of antimicrobial drug use
and resistance in animal agriculture.
Such information will further enhance
our ongoing activities related to slowing
the development of antimicrobial
resistance to help ensure that safe and
effective antimicrobial new animal
drugs will remain available for use in
human and animal medicine. We intend
to continue working in collaboration
with the USDA, the CDC, the
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pharmaceutical industry, veterinary
organizations, animal producers, and
other stakeholders to address this
important public health issue.
C. Comments on Our Legal Authority
and FDA Response
(Comment 2) Some comments suggest
that we lack the legal authority to
require drug sponsors to report speciesspecific distribution estimates.
Specifically, one comment suggests
that we lack authority under section
512(l)(3) of the FD&C Act, as added by
ADUFA 105, to require species-specific
distribution estimates. The comment
suggests that the lack of express
authority in section 512(l)(3) of the
FD&C Act to require species-specific
distribution estimates thus limits our
broader authority relating to the
collection of records and reports
concerning experiences and other
information with respect to approved
new animal drugs under 512(l)(1) of the
FD&C Act, and precludes us from
requiring the submission of speciesspecific distribution estimates under
that provision as well.
Three comments suggest that in
addition to lacking authority to require
species-specific distribution estimates
under section 512(l)(3) of the FD&C Act,
we also lack authority under section
512(l)(1) of the FD&C Act because we
have not made a ‘‘finding’’ that speciesspecific distribution estimates are
necessary in order to facilitate a
determination of whether there may be
grounds for invoking the withdrawal
provisions of the FD&C Act.
(Response 2) FDA acknowledges that
section 512(l)(3) of the FD&C Act, as
added by ADUFA 105, does not
explicitly address species-specific
distribution estimates. In requiring such
estimates, we rely not on section
512(l)(3) but rather on our broader
authority under section 512(l)(1) of the
FD&C to collect information concerning
approved and conditionally approved
new animal drugs under a regulation or
order issued by FDA. (See Section III.
Legal Authority.) Section 512(l)(1) of the
FD&C Act reads in relevant part, ‘‘In the
case of any new animal drug for which
approval of an application filed
pursuant to subsection (b) or section 571
is in effect, the applicant shall establish
and maintain such records, and make
such reports to the Secretary, of data
relating to experience . . . and other
data or information, received or
otherwise obtained by such applicant
with respect to such drug, or with
respect to animal feeds bearing or
containing such drug, as the Secretary
may by general regulation, or by order
with respect to such application,
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prescribe on the basis of a finding that
such records and reports are necessary
in order to enable the Secretary to
determine, or facilitate a determination,
whether there is or may be ground for’’
withdrawal of approval of the new
animal drug at issue. FDA therefore has
the authority to establish reporting
requirements applicable to approved or
conditionally approved new animal
drugs by regulation or order if it finds
those requirements are necessary to
enable it to determine, or facilitate a
determination, as to whether the drugs
are no longer shown to be safe, are
ineffective, or are otherwise subject to
withdrawal under section 512(e) of the
FD&C Act.
Based on its authority under section
512(l)(1) of the FD&C Act, in March
2003, FDA issued regulations requiring
recordkeeping and reports concerning
experience with approved new animal
drugs at § 514.80. Under § 514.80(b)(4),
sponsors that have approved
applications for new animal drugs,
including sponsors of antimicrobial new
animal drug products, must submit
periodic drug experience reports to FDA
every 6 months for the first 2 years
following approval and annually
thereafter. These periodic drug
experience reports must contain, among
other things, various types of
information about the distribution of the
sponsor’s drug, including data
concerning the quantity of the drug
distributed domestically and the
quantity exported. The requirement in
§ 514.80(b)(4) for sponsors to submit
detailed distribution data concerning
their approved new animal drugs
predates the enactment of ADUFA 105.
In enacting ADUFA 105, Congress left
intact the periodic reporting
requirements under § 514.80(b)(4)—
including the requirement for
distribution data—stating at ADUFA
section 105(c) that the reporting
requirements established under section
512(l)(3) of the FD&C Act for
antimicrobial new animal drugs did not
relieve the sponsors of their separate
obligation to provide periodic drug
experience reports to FDA under
§ 514.80(b)(4). In so doing, Congress
clearly signaled that the reporting
requirements relating to antimicrobial
drugs in 512(l)(3) were intended to
supplement rather than supplant FDA’s
existing authority under section
512(l)(1) to impose distribution data
reporting requirements on the same
parties covered by section 512(l)(3) of
the FD&C Act.
Further, the scant legislative history
relating to ADUFA 105 that exists
supports the conclusion that in
establishing section 512(l)(3) Congress
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meant to enhance, not limit, our general
authority under section 512(l)(1) of the
FD&C Act to require information about
marketed new animal drug products in
order to ensure their continued safety
and effectiveness. For example, in his
remarks to other members of Congress,
Chairman of the House Energy and
Commerce Subcommittee on Health,
Representative Frank Pallone, Jr., stated
that the ADUFA legislation he had
introduced earlier that year would
‘‘improve the uniform collection and
reporting of data to FDA on the sales
about animal drugs that contain an
antibiotic ingredient’’ and that it
‘‘includes language that would enhance
FDA’s current data collection by
creating a new antimicrobial animal
drug use data report for all foodproducing animals. The report puts
critical information in one place for
FDA; otherwise, the agency would have
to search through warehouses of
multiple paper reports.’’ 154
Congressional Record 17,287
(2008)(statement of Rep. Pallone). In
remarks Representative Waxman made
concerning the legislation, he stated,
‘‘The ADUFA bill we are considering
includes a provision to increase the
availability and accessibility of data on
the amount of animal antibiotics being
distributed’’ and that the
‘‘reauthorization [of ADUFA] has also
given us an opportunity to look at
providing FDA with new tools to
address a related public health crisis,
the problem of antibiotic resistance.’’
154 Congressional Record 17,288 (2008)
(statement of Rep. Waxman). These
statements made by members of
Congress strongly suggest that FDA was
viewed as already having the requisite
legal authority under section 512(l) and
that the reason Congress established the
requirement in section 512(l)(3) of the
FD&C Act for an additional report
relating to antimicrobial new animal
drugs sold for use in food-producing
animals was merely to improve the
efficiency of the reporting process for
such drugs so that we could more
effectively address the problem of
resistance associated with the use of
antimicrobial drugs in food animal
production. In addition to improving
efficiency by establishing a more
uniform process for the collection of
important information about approved
antimicrobial new animal drugs sold or
distributed for use in food-producing
animals, ADUFA 105 also streamlined
the process for putting these reporting
requirements in place by eliminating the
need for the Agency to first engage in
time-consuming rulemaking activities
that otherwise would have been
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required under section 512(l)(1) of the
FD&C Act prior to collecting such data.
In light of what we consider to be
clear evidence that Congress intended
section 512(l)(3) of the FD&C Act to
bolster rather than limit our existing
authority to require information to be
reported concerning approved new
animal drugs, we conclude that the
comment’s assertion, that by
establishing section 512(l)(3) Congress
has somehow curtailed our ability to
exercise authority we would otherwise
have under section 512(l)(1), is without
merit.
We now respond to the comments
asserting that we may not rely on
section 512(l)(1) of the FD&C Act absent
a finding that species-specific
distribution estimates are necessary in
order to facilitate a determination of
whether there may be grounds for
invoking the withdrawal provisions of
the FD&C Act. Although we stated in
the proposed rule that collection of
species-specific sales and distribution
estimates would help to ensure ‘‘the
continued availability of safe and
effective antimicrobials for animals and
humans,’’ we agree that language more
clearly stating our finding is
appropriate. Accordingly, we find that
the collection of species-specific sales
and distribution estimates, in addition
to other information about antimicrobial
use in food-producing animals and drug
resistance, is necessary to enable us to
determine, or to facilitate a
determination, as to whether there may
be grounds for additional measures
short of and, where appropriate,
including withdrawal of approval or
specific portions of the approval in
certain instances in the future to
minimize antimicrobial resistance and
ensure the continued availability of safe
and effective antimicrobials for use in
treating animals and humans. In
particular, such information is needed,
among other reasons, to support ongoing
efforts to promote the judicious use of
antimicrobials in food-producing
animals and evaluate the success of
those efforts; to aid in our assessment of
antimicrobial sales trends in the major
food-producing animal species and our
examination of how these speciesspecific sales trends may relate to
antimicrobial resistance; and to help
inform microbial food safety risk
assessments. In addition, because many
antimicrobial drugs are approved for use
in multiple species, in those instances
where we believe appropriate grounds
may exist to withdraw approval, having
species-specific information also will be
necessary to help us determine which
specific portions of the approval may
need to be withdrawn.
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D. Specific Comments and FDA
Response
Many comments make specific
remarks supporting or opposing a
particular proposed provision. In this
section, we discuss and respond to such
comments. The order of the discussion
reflects the order in the regulatory text.
(Comment 3) Several comments
support our effort to eliminate
duplicative reporting of sales and
distribution data by sponsors of
antimicrobial new animal drugs.
(Response 3) We agree with the
comments and therefore, in this final
rule, we are keeping language as
proposed at § 514.80(b)(4)(i)(B). As
described in the proposed rule (80 FR
28863 at 28871), we are providing an
opportunity for sponsors of
antimicrobial new animal drugs to
modify the reporting period for these
drug products in order to eliminate
duplicative reporting of quantity
marketed under current § 514.80(b)(4)
and new § 514.87.
(Comment 4) Several comments
support reporting of sales and
distribution data but suggest
modification of the proposed
requirement in § 514.87(a) and (b)(1) to
report the antimicrobial active
ingredient. One comment suggests that
we reduce the scope of what we require
to be reported so that we only collect
data for what it characterizes as
‘‘medically important antimicrobials.’’
Another comment suggests that we
expand the scope of what we require to
be reported to include data on what the
comment characterizes as live cultures
and complex products ‘‘intentionally
developed and marketed for
antimicrobial production.’’
(Response 4) We have carefully
considered the comments’ suggested
changes to the scope of reporting of the
antimicrobial active ingredient. The
requirement to report the antimicrobial
active ingredient under § 514.87(a)
reflects the requirement, under section
512(l)(3) of the FD&C Act, for each
sponsor of a new animal drug product
that is approved or conditionally
approved and contains an antimicrobial
active ingredient, to report to us on an
annual basis the amount of each
antimicrobial active ingredient in the
drug product that is sold or distributed
for use in food-producing animals. This
includes products that are the subject of
an approved NADA or abbreviated
NADA, as well as products that are
conditionally approved under section
571 of the FD&C Act (21 U.S.C. 360ccc).
The requirement in § 514.87(a) also
incorporates the requirement from
section 512(l)(3) of the FD&C Act for
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animal drug sponsors to capture in their
sales and distribution data reports
information regarding any distributor
labeled products (see section
512(l)(3)(A) of the FD&C Act). We
decline to implement the suggestion to
limit the reporting to ‘‘medically
important antimicrobials’’ due to the
statutory reporting requirements under
section 512(l)(3) of the FD&C Act, which
apply to a new animal drug product that
is approved or conditionally approved
and contains an antimicrobial active
ingredient without limitation.
With regard to the comment about
live cultures and complex products, we
understand the comment to be referring
to products that contain one or more
microorganisms. We carefully
considered the issues the comment
raises and are finalizing the proposed
rule without change. Currently, there
are no approved new animal drug
products that contain microorganisms
and such products do not appear in
Appendix A, GFI #152 as being
important in human clinical medicine
(https://www.fda.gov/downloads/
AnimalVeterinary/
GuidanceComplianceEnforcement/
GuidanceforIndustry/ucm052519.pdf).
A live culture or complex product could
potentially be the subject of a NADA if
because of its intended use the
particular product at issue meets the
statutory definition of a drug in section
201(g) of the FD&C Act (21 U.S.C.
321(g)) (an article intended for use in
the diagnosis, cure, mitigation,
treatment, or prevention of disease or an
article (other than food) intended to
affect the structure or any function of
the body) and the statutory definition of
a new animal drug in section 201(v) of
the FD&C Act. Furthermore, should a
live culture or complex product be
approved as a new animal drug, and
should any of the active ingredients of
that product be approved specifically
for an antimicrobial use or be known to
have antimicrobial properties, then
sponsors of such an approved product
would be required to submit data to us
on the amount of each such ingredient
in this drug product sold or distributed
for use in food-producing animals.
(Comment 5) Comments on the
proposed rule generally support our
effort to learn more about antimicrobial
resistance, but several comments
disagree with our proposal to collect
species-specific estimates as proposed
in § 514.87(c). Several comments
question the utility of the information
that would result from species-specific
data. Several comments suggest that it
was unclear how species-specific
estimates will scientifically support
NARMS, or complement NAHMS. Other
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comments state that species-specific
sales estimates are inappropriate to
report because the resulting data would
not constitute sound scientific data.
These comments assert that such data
would be inaccurate due to
complications and inconsistencies of
data collection, would not reflect actual
usage, would be subject to
misinterpretation due to lack of
complete information, and would not
constitute sufficient data to evaluate the
impact of policies and trends in
antimicrobial resistance. Other
comments support our collection of
species-specific sales and distribution
data as proposed in § 514.87(c). These
comments assert that the resulting data
would be beneficial to understanding
how antimicrobials are used in foodproducing animals, the relationship
between sales/use and antimicrobial
resistance, and the impact of our
policies and practices to mitigate
antimicrobial resistance.
(Response 5) We have carefully
considered the comments in favor of
and opposing the reporting of speciesspecific sales and distribution data as
specified in proposed § 514.87(c). We
recognize the comments’ concerns with
regard to utility of the information but
we respectfully disagree with the
request to remove species-specific
reporting from the rule. As we discussed
in our response to Comment 1, having
species-specific estimates of product
sales and distribution for use in the four
major food-producing categories of
animal species (cattle, swine, chickens,
turkeys) will be essential in supporting
efforts to assess antimicrobial drug use
and resistance in animal agriculture.
This additional sales and distribution
data will help inform microbial food
safety risk assessments by providing a
better indication of the extent to which
a drug or drug class is used in a specific
food animal species by a specific route
of administration. Aggregate sales data
do not provide this information and are
more subject to misinterpretation.
As noted in our response to comment
1, we also intend to consider estimates
of species-specific sales and distribution
data in conjunction with on-farm
species-specific data on antimicrobial
use, such as that collected under
NAHMS. We expect such data to help
us better understand the extent of
antimicrobial use in the various major
food animal species and provide
additional context as we examine
resistance data, such as those collected
under NARMS. Data from multiple
sources are needed to provide a
comprehensive and science-based
picture of antimicrobial drug use and
resistance in animal agriculture. Such
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information is critical to our ongoing
activities related to slowing the
development of antimicrobial resistance
and ensuring the continued availability
of safe and effective antimicrobials for
use in treating animals and humans. For
the reasons discussed here and in
response to comments 1 and 2, we are
retaining the requirement for sponsors
to provide species-specific sales and
distribution estimates as set forth in
§ 514.87(c).
(Comment 6) Several comments we
received suggest that, instead of
collecting species-specific sales
estimates as proposed in § 514.87(c),
antimicrobial use in food-producing
animals should be monitored at the farm
level. Some comments raise concerns
about using sales data alone in analyses
of antimicrobial drug use and resistance.
There were multiple comments
requesting that we collaborate with the
USDA and the CDC to enhance existing
collection efforts of on-farm
antimicrobial use data that are accurate,
detailed, and quantitative to supplement
species-specific estimates of product
sales. The commenters further request
that we use the data to evaluate the
impact of policies, understand the
relationship between usage and
resistance trends, and construct targeted
interventions.
(Response 6) We disagree with the
request to remove species-specific
reporting from the rule for the reasons
discussed in our responses to comments
1, 2, and 5. We recognize that gathering
information on the way medically
important antimicrobials are used in
food-producing animals is essential to:
(1) Assess the rate at which sponsors are
voluntarily revising their FDA-approved
labeled use conditions to promote the
judicious use of medically important
antimicrobial drugs in food-producing
animals, (2) help gauge the success of
antibiotic stewardship efforts and guide
their continued evolution and
optimization, and (3) assess associations
between antibiotic use practices and
resistance.
We agree with the suggestion to
collaborate with the USDA and the CDC
to enhance existing collection efforts of
on-farm antimicrobial use data. We are
collaborating with the USDA and the
CDC to develop a plan for collecting
additional on-farm data on
antimicrobial use and resistance. Such
data are intended to supplement
existing information, including data on
the quantity of antimicrobials sold or
distributed for use in food-producing
animals (reported under § 514.87 as
established under this final rule) and
data on antimicrobial use and
resistance, for example, data collected
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under the NAHMS and NARMS
programs. Data from multiple sources
are needed to provide a comprehensive
and science-based picture of
antimicrobial drug use and resistance in
animal agriculture and ensure the
continued availability of safe and
effective antimicrobials for use in
treating animals and humans. Each
source provides unique species-specific
data; collecting species-specific sales
and distribution data will support
evaluation of other species-specific data,
such as data collected under the
NAHMS and NARMS programs.
As discussed in section I.A. Purpose
of the Final Rule, in December 2013, we
published GFI #213, a guidance that
calls on sponsors of approved medically
important antimicrobial new animal
drugs administered through medicated
feed or water to voluntarily make
changes to remove production uses
(growth promotion and feed efficiency)
from their product labels and bring the
remaining therapeutic uses of these
products (to treat, control, or prevent
disease) under the oversight of a
veterinarian by the end of December
2016. The sales data collected under
this final rule will assist us in assessing
the rate at which sponsors are
voluntarily revising their FDA-approved
labeled use conditions to align with GFI
#213.
As also discussed in section I.A., the
National Action Plan, issued by the
White House in March 2015, is intended
to guide the activities of the U.S.
Government as well as the actions of
public health, health care, and
veterinary partners in a common effort
to address the urgent and serious public
health threat of drug-resistant bacterial
infections. Objective 2.4 of the National
Action Plan is to enhance monitoring of
antibiotic resistance patterns, as well as
antibiotic sales, usage, and management
practices, at multiple points in the
production chain for food animals and
retail meat. Sub-Objective 2.4.3 of the
National Action Plan calls for the USDA
and FDA to seek public input on a plan
for collecting drug use and resistance
data on farms. We are continuing to
work with both the USDA and the CDC
to develop this plan. A joint public
meeting was held on September 30,
2015, to provide an opportunity for
public comment on possible approaches
for collecting additional antimicrobial
drug use data.
(Comment 7) Some comments suggest
that, instead of or in addition to
collecting the species-specific estimates
that would be required as proposed in
§ 514.87(c), we should collect and report
the information already provided in
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veterinary feed directive (VFD) orders
and information related to these orders.
(Response 7) The VFD regulation
outlines the process for authorizing use
of VFD drugs (animal drugs intended for
use in or on animal feed that require the
supervision of a licensed veterinarian)
and provides veterinarians in all States
with a framework for authorizing the
use of these VFD drugs, including
medically important antimicrobials,
when needed for specific animal health
purposes. The VFD regulation provides
that all distributors, regardless of
whether or not they manufacture animal
feeds bearing or containing VFD drugs,
must keep records of receipt and
distribution for 2 years from the date of
issuance in accordance with 21 CFR
558.6(c)(3).
We appreciate the commenters’
suggestions that we gather the
information provided in VFD orders and
information related to these orders.
While there are some limitations to the
gathering of such information, we agree
that this information has value. For that
reason, we continue to consider options
to capture such information.
We believe that VFD records are an
important source of information for
assessing veterinary oversight of VFD
drugs and compliance with the VFD
regulation. These records are required to
be made available to FDA during
inspections. Therefore, as part of these
inspectional activities, we intend to use
these records to review compliance with
the VFD regulations, to ensure that the
VFD drug and VFD feed are used
according to the conditions and
indications of use as specified in the
approval, conditional approval, or index
listing, and within the supervision and
oversight of a licensed veterinarian.
(Comment 8) One comment generally
supports the collection of sales data, but
suggests that we provide a specific
methodology for making speciesspecific sales estimates to reduce the
likelihood of inaccurate reporting of
these estimates.
(Response 8) We appreciate the
commenter’s interest in obtaining the
most accurate data and their suggestion
that we identify a specific methodology
for developing species-specific sales
estimates. We appreciate and agree with
the need to gather the best data. We also
recognize that the sponsors who are
required to report have different ways of
managing their businesses, including
different ways of capturing sales and
distribution data. In other words,
different sponsors gather sales data on
similar drug products in different ways
and, sometimes, the same sponsor may
gather sales data on different drug
products within their own drug product
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portfolio in different ways. Because of
these differences, it seems likely that
sponsors’ methods of gathering these
sales data will vary considerably.
We believe that animal drug sponsors
currently have access to information
obtained in the ordinary course of their
business (for example, through
proprietary marketing analyses) that can
be used to formulate the methodology to
estimate the percentage of annual
product sales that are sold or distributed
domestically for use in any of the four
major food-producing species that
appear on the approved product label.
In addition, sponsors have different
business models that determine the
manner in which they gather sales data;
thus, specific methodologies to
accurately estimate species-specific
sales will likely differ among sponsors.
As we finalize this rule and establish
the requirement that sponsors estimate
species-specific sales for the major foodproducing species, we recognize that
specifying a uniform methodology for
estimating species-specific sales might
cause a firm to provide estimates in a
manner not best suited to their
individual business processes, leading
the firm to expend more time to provide
species-specific sales estimates that may
be less accurate than those derived from
utilizing their own methodology. The
provision at § 514.87(c) requires that
firms provide species-specific sales
estimates. We expect these estimates to
be based on the methodology that
provides the sponsor’s most accurate
estimate of these sales.
Also, as we noted in the proposed
rule, this provision is not intended to
require animal drug sponsors to conduct
studies of on-farm drug use practices (80
FR 28863 at 28866). For these reasons,
we decline at this time to provide a
standard methodology for developing
species-specific sales estimates.
(Comment 9) One comment suggests
that we should not collect the speciesspecific sales and distribution estimates
that we proposed to require under
§ 514.87(c) until legal challenges over
disclosure of confidential commercial
information are resolved.
(Response 9) We have carefully
considered the issues regarding the
protection of confidential commercial
information. As we stated in the
proposed rule, ‘‘[s]ince it is likely that
many sponsors would consider their
species-specific sales and distribution
estimates as proprietary information,
and that such estimates may often be
derived from proprietary marketing
analyses, FDA would, as described in
proposed paragraph (e) [of § 514.87],
consider the species-specific
information reported by individual
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sponsors under paragraph (c) [of
§ 514.87] to be confidential business
information consistent with section 512
(l)(3) of the FD&C Act and this Agency’s
regulations at 21 CFR 20.61.’’ (80 FR
28863 at 28867). In recognition of this
concern, we further stated in the
proposed rule that, consistent with the
statute, FDA would not ‘‘independently
report those antimicrobial classes with
fewer than three distinct sponsors, and
would further require that, in reporting
the antimicrobial drug sales and
distribution data it receives from drug
sponsors, FDA must do so in a manner
consistent with protecting both national
security and confidential business
information (see section 512(l)(3)(E)(i)
and (ii) of the FD&C Act).’’ (80 FR 28863
at 28867.) After considering the
comments received in response to the
proposed rule, we conclude there are
sufficient safeguards in place to ensure
the protection of confidential
commercial information, including the
species-specific information required to
be submitted by individual firms in
accordance with § 514.87(c). Therefore,
we are not removing the requirement for
species-specific sales and distribution
estimates under § 514.87(c) for
confidentiality reasons as the comment
requests and are finalizing the provision
at § 514.87(e) relating to the
confidentiality of sales and distribution
data as proposed.
(Comment 10) One comment suggests
that we modify proposed § 514.87(c) to
include fish on the list of animal species
categories for which sponsors are
required to report species-specific
estimates.
(Response 10) We carefully
considered the suggestion to include
fish on the list of animal species
categories for which species-specific
estimates must be submitted and
decided to retain the categories that
were identified in proposed § 514.87(c)
without modification. We consider the
most significant risk to the public health
associated with antimicrobial resistance
related to the use of antimicrobial drugs
in animal agriculture to be human
exposure to food containing
antimicrobial-resistant bacteria resulting
from the exposure of food-producing
animals to antimicrobials. However,
when considering the foodborne
pathway, the potential for human
exposure to antimicrobial-resistant
pathogens currently is significantly less
for food derived from minor species
than it is for food derived from the foodproducing major species. The exposure
potential is less in part because the
amount of food derived from cattle,
swine, and poultry is much greater than
the amount of food derived from sheep,
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goats, and aquaculture, the minor
species from which the most food is
derived (Refs. 1 and 2). In the United
States, human foodborne illnesses are
attributed mostly to plant and land
animal commodities (Ref. 3).
Furthermore, the majority of illnesses
attributed to fish exposure are
intoxications rather than bacterial
illnesses (Ref. 4). Additionally, most
fish and seafood consumed in the
United States are imported products
(Ref. 5).
In addition, as discussed in the
proposed rule, we believe having
species-specific estimates of product
sales and distribution for use in the four
major food-producing categories of
animal species (cattle, swine, chickens,
turkeys) will be important in supporting
efforts such as NARMS, a surveillance
program that monitors trends in
antimicrobial resistance among
foodborne bacteria from humans, retail
meats, and animals. NARMS retail meat
and animal sampling focus on the same
four major food-producing species
included in § 514.87(c). NARMS does
not currently have a surveillance system
for antimicrobial resistance pathogens
from aquaculture products. Since there
is currently limited resistance data
related to minor food-producing animals
(including fish) and companion
animals, requiring estimates of these
additional species at this time would
cause additional burden without clear
benefit to our understanding of
antimicrobial resistance. NARMS does
collect some resistance data on import
isolates of Salmonella, which include
some seafood isolates; however, because
these data are from imports, data on
domestic distribution and sales of
antimicrobials for use in aquaculture
would not be informative to NARMS
and our overall efforts to assess
antimicrobial use and resistance
domestically.
(Comment 11) One comment suggests
that we modify proposed § 514.87(c) to
remove the category ‘‘other species/
unknown’’ and replace it with two
categories, ‘‘other species’’ and
‘‘unknown’’, so that those estimates
could be independently reported.
(Response 11) We appreciate the
suggestion to collect sales data on both
‘‘other species’’ and ‘‘unknown’’;
however, we have determined that there
is not a clear benefit to having this
information reported separately at this
time. As noted in our response to
comment 1, one of the reasons we
believe that having species-specific
estimates of product sales and
distribution in the four major foodproducing categories of animal species
(cattle, swine, chickens, turkeys) will be
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important is to support data we obtain
from NARMS. NARMS retail meat and
animal sampling focus on the same four
major food-producing species. The
category ‘‘other species/unknown’’ will
be used to capture the percentage of
each new animal drug product that was
sold or distributed for use in animal
species other than the four major foodproducing species or otherwise
unknown to the reporting drug sponsor.
Since there is currently limited
resistance data related to minor foodproducing animals and companion
animals, requiring estimates of these
additional species would cause
additional burden without clear benefit.
(Comment 12) One comment suggests
that we should not report speciesspecific information in our annual
reports, arguing that by doing so we
would disclose confidential commercial
information in violation of proposed
§ 514.87(e).
(Response 12) As discussed in our
response to comment 9, we have
carefully considered the issues
regarding the protection of confidential
commercial information and the
disclosure of species-specific
information in our annual summary
reports. After considering the comments
received in response to the proposed
rule, we are not persuaded that
reporting species-specific information in
our annual summary reports will lead to
the disclosure of confidential
commercial information. We will only
provide sales data in our summary
reports that has been aggregated to avoid
disclosing confidential commercial
information. We are finalizing the rule
as proposed, which includes safeguards
for the protection of confidential
business information related to the
reporting of species-specific estimates of
sales by drug sponsors, consistent with
section 512(l)(3)(E) of the FD&C Act and
our disclosure regulations at § 20.61.
(Comment 13) Several comments
suggest we report a wider scope of
information in our annual summary
reports that would be required under
proposed § 514.87(f). One comment
suggests we should provide more
detailed information on why
antimicrobials are used; for example, to
distinguish use for growth promotion or
disease prevention from use for disease
control or treatment. Another comment
suggests that we should collaborate with
the USDA and the CDC to develop a
communication plan to explain the
implications of collected data for human
and animal health.
(Response 13) We appreciate the
comment that we report a wider scope
of information in our annual summary
reports. As required by ADUFA 105,
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29137
sponsors of the affected antimicrobial
new animal drug products began
submitting their sales and distribution
data to us on an annual basis, and we
have published summary reports of
such data for each calendar year
beginning with 2009. Starting in 2014,
we increased the amount of data
provided in our annual summary
reports by including ‘‘additional data
tables on the importance of each drug
class in human medicine, the approved
routes of administration for these
antimicrobials, whether these
antimicrobials are available over-thecounter or require veterinary oversight,
and whether the antimicrobial drug
products are approved for therapeutic
purposes, or both therapeutic and
production purposes.’’ (80 FR 28863 at
28867.)
Sponsors currently are not required to
report sales and distribution data broken
out by the specific purpose for which
these drug products are used. Many
sales of antimicrobials by drug sponsors
are to distributors who, in turn, may sell
to other distributors or to end users (e.g.,
feed mills or animal producers). Thus,
this type of information (i.e., how the
drug product sold by the sponsor is
ultimately used in a labeled species) is
generally not even known by the drug
sponsor. Also, as we note in our
response to comment 8, reporting
species-specific estimates of sales and
distribution under § 514.87 is not
intended to require animal drug
sponsors to conduct studies of on-farm
drug use practices (80 FR 28863 at
28866) (e.g., use in particular species for
particular indications). Because the
sales and distribution data we are
collecting from drug sponsors does not
include information about how the
drugs were ultimately used, such data
also will not be included in our annual
summary reports.
As we note in our response to
comments 1, 5, and 6, we recognize that
data from multiple sources are needed
to provide a comprehensive and
science-based picture of antimicrobial
drug use and resistance in animal
agriculture. We are collaborating with
the USDA and the CDC to develop a
plan for collecting additional on-farm
data on antimicrobial use and
resistance. Such data are intended to
supplement existing information,
including data on the quantity of
antimicrobials sold or distributed for
use in food-producing animals (reported
under § 514.87 as established under this
final rule) and data on antimicrobial use
and resistance, for example, data
collected under the NAHMS and
NARMS programs.
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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Rules and Regulations
We appreciate the comment
suggesting that we collaborate with the
USDA and the CDC to develop a
communication plan to explain the
implications of collected data for human
and animal health. We will also
continue to work with the USDA, the
CDC, and other government agencies to
analyze and report on the implications
of the collected data.
(Comment 14) We received several
comments suggesting modifications to
how we report the data that we
proposed to collect. One comment
suggests we should make as much of
this data as possible available to the
public, while protecting confidential
business information. Other comments
suggest we should publish monthly
sales data and State- or regional-level
data.
(Response 14) We plan to report
aggregate data on domestic sales and
distribution for the entire reporting year,
but not to include separate information
for each month of the reporting year.
ADUFA 105 requires drug sponsors to
report sales and distribution data to us
broken out by month; however,
antimicrobial drug products may be
used at any time up to several years
after distribution. As noted in the
proposed rule, we consider monthly
fluctuations in drug product sales to be
of limited value in reflecting when
products may actually be administered
to animals and interpreting
antimicrobial resistance trends, since
much of monthly patterns are more
reflective of distribution and business
practices rather than of any fluctuations
in use by or sales to the end user (80 FR
28863 at 28867).
Regarding the suggestion that we
report State- or regional-level data,
sponsors are not required to report sales
and distribution data broken out by
States or regions. As we note in our
response to comment 13, many sales of
antimicrobials by drug sponsors are to
distributors who, in turn, may sell to
other distributors or to end users (e.g.,
feed mills or animal producers). Thus,
geographic distribution of sales as
detailed as State- or regional-level sales
data are generally not even known by
the drug sponsors. For these reasons, we
decline to make the modifications to our
summary reports suggested by the
commenters and are finalizing the
language in § 514.87(f) as proposed.
(Comment 15) Several comments ask
that we adhere to the proposed deadline
of December 31st of the following year
for the annual reporting of sales data.
(Response 15) We plan to publish our
annual summary report for each
calendar year by December 31st of the
following year. We note that this
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deadline is widely supported by
advocacy groups and some animal
industry groups. Adhering to this
deadline would provide up-to-date data
to the stakeholders and would be
necessary to inform current regulatory
decisions.
In addition to the comments specific
to this rulemaking that we addressed
previously in this preamble, we
received general comments expressing
views about the use of antimicrobials,
antimicrobial resistance, animal health
and husbandry practices, the expansion
of NARMS sampling, the enhancement
of on-farm collection of information,
and human antimicrobial drug use.
These comments express broad policy
views and do not address specific points
related to this rulemaking. Therefore,
these general comments do not require
a response.
V. Effective and Compliance Dates
This rule is effective July 11, 2016.
Sponsors must comply with the
reporting requirements in the final rule
when submitting their reports covering
the period of calendar year 2016.
VI. Economic Analysis of Impacts
We have examined the impacts of the
final rule under Executive Order 12866,
Executive Order 13563, the Regulatory
Flexibility Act (5 U.S.C. 601–612), and
the Unfunded Mandates Reform Act of
1995 (Pub. L. 104–4). Executive Orders
12866 and 13563 direct us to assess all
costs and benefits of available regulatory
alternatives and, when regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety,
and other advantages; distributive
impacts; and equity). We have
developed a comprehensive Economic
Analysis of Impacts that assesses the
impacts of the final rule. We believe that
this final rule is not a significant
regulatory action as defined by
Executive Order 12866.
The Regulatory Flexibility Act
requires us to analyze regulatory options
that would minimize any significant
impact of a rule on small entities.
Because the final rule will impose
average annualized costs that amount to
less than 0.01 percent of average annual
revenues on those small entities that we
expect to sponsor NADAs, we have
determined that the final rule will not
have a significant economic impact on
a substantial number of small entities.
The Unfunded Mandates Reform Act
of 1995 (section 202(a)) requires us to
prepare a written statement, which
includes an assessment of anticipated
costs and benefits, before issuing ‘‘any
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Fmt 4700
Sfmt 4700
rule that includes any Federal mandate
that may result in the expenditure by
State, local, and tribal governments, in
the aggregate, or by the private sector, of
$100,000,000 or more (adjusted
annually for inflation) in any one year.’’
The current threshold after adjustment
for inflation is $144 million, using the
most current (2014) Implicit Price
Deflator for the Gross Domestic Product.
This final rule would not result in an
expenditure in any year that meets or
exceeds this amount.
The Economic Analysis of Impacts of
the final rule performed in accordance
with Executive Order 12866, Executive
Order 13563, the Regulatory Flexibility
Act, and the Unfunded Mandates
Reform Act is available at https://
www.regulations.gov under the docket
number(s) for this final rule and at
https://www.fda.gov/AboutFDA/
ReportsManualsForms/Reports/
EconomicAnalyses/default.htm.
VII. Analysis of Environmental Impact
We have determined under 21 CFR
25.30(h) that this action is of a type that
does not individually or cumulatively
have a significant effect on the human
environment. Therefore, neither an
environmental assessment nor an
environmental impact statement is
required.
VIII. Paperwork Reduction Act of 1995
This final rule contains information
collection provisions that are subject to
review by the Office of Management and
Budget (OMB) under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3520). The title, description, and
respondent description of the
information collection provisions are
shown in the following paragraphs with
an estimate of the one-time and annual
reporting and recordkeeping burdens.
Included in the estimate is the time for
reviewing instructions, searching
existing data sources, gathering and
maintaining the data needed, and
completing and reviewing each
collection of information.
Title: Antimicrobial Animal Drug
Distribution Reports and Recordkeeping
(21 CFR part 514)—OMB Control No.
0910–0659—Revision
Description: The ADUFA 105
legislation was enacted in 2008 to
address the problem of antimicrobial
resistance and to help ensure that we
have the necessary information to
examine safety concerns related to the
use of antibiotics in food-producing
animals. ADUFA 105 amended section
512 of the FD&C Act to require that
sponsors of approved or conditionally
approved applications for new animal
drugs containing an antimicrobial active
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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Rules and Regulations
ingredient submit an annual report to us
on the amount of each such ingredient
in the drug that is sold or distributed for
use in food-producing animals. Each
report must specify: (1) The amount of
each antimicrobial active ingredient by
container size, strength, and dosage
form; (2) quantities distributed
domestically and quantities exported;
and (3) a listing of the target animals,
indications, and production classes that
are specified on the approved label of
the product. The report must cover the
period of the preceding calendar year
and include separate information for
each month of the calendar year. This
rule also includes an additional
reporting provision intended to further
enhance our understanding of
antimicrobial animal drug sales
intended for use in specific foodproducing animal species. ADUFA 105
also requires us to publish annual
summary reports of the data we receive.
In accordance with ADUFA 105,
sponsors of the affected antimicrobial
new animal drug products have
submitted their sales and distribution
data to us, and we have published
summaries of such data, for each
calendar year since 2009. Collection of
information on the amount of animal
antimicrobials being distributed,
including species-specific information,
is necessary to support our ongoing
efforts to encourage the judicious use of
antimicrobials in food-producing
animals to help ensure the continued
availability of safe and effective
antimicrobials for animals and humans.
We intend to use these data to
supplement existing information,
including data collected under the
NAHMS and NARMS programs. Data
from multiple sources are needed to
provide a comprehensive and science-
based picture of antimicrobial drug use
and resistance in animal agriculture.
The final rule amends our records and
reports regulation in part 514 to include
the following:
• Procedures relating to the
submission to us of annual sales and
distribution data reports by sponsors of
approved or conditionally approved
antimicrobial new animal drug products
sold or distributed for use in foodproducing animals.
• Procedures relating to the
requirement that such sponsors submit
species-specific estimates of product
sales as a percentage of total sales.
• Procedures applicable to our
preparation and publication of summary
reports on an annual basis based on the
sales and distribution data we receive
from sponsors of approved
antimicrobial new animal drug
products. The final rule includes
specific parameters for the content of
the annual summary reports as well as
provisions intended to protect
confidential business information and
national security, consistent with
ADUFA 105 and this Agency’s
regulations at § 20.61.
• Provisions that give sponsors of
approved or conditionally approved
antimicrobial new animal drug products
that are sold or distributed for use in
food-producing animals the opportunity
to avoid duplicative reporting of
product sales and distribution data to us
under part 514.
The final rule codifies in part 514 the
reporting requirements established in
ADUFA 105 and includes an additional
reporting provision intended to enhance
our understanding of new animal drug
sales intended for use in specific foodproducing animal species. The final rule
also revises Form FDA 3744 by
providing for species-specific
information to be reported.
29139
Consequently FDA is revising the
reporting requirements in the associated
information collection. However, the
final rule does not change the
recordkeeping provisions already
approved under OMB control number
0910–0659.
Therefore, in compliance with the
Paperwork Reduction Act of 1995 (44
U.S.C. 3506(c)(2)(B)), we requested
public comment on the information
collection provisions of the proposed
rule (80 FR 28863 at 28868). We
received some public comments on the
information collection topics solicited
in the proposed rule as addressed
previously in section IV (supporting our
effort to eliminate duplicative reporting,
suggesting specific modifications and
different approaches, questioning or
supporting the utility of the
information, suggesting we wait for
resolution of the current legal disputes
over disclosure of confidential
commercial information and suggesting
we provide a specific methodology for
making species-specific sales estimates).
However, none of the comments
suggests that we modify our burden
estimates.
Description of Respondents: Animal
Drug Manufacturers (Sponsors).
The total annual estimated burden for
this collection of information is 9,759
hours and 538 responses. This reflects a
marginal increase in burden to that
currently approved under OMB control
number 0910–0659 resulting from the
revised reporting provisions associated
with the final rule. At the same time, a
review of our records reflects an overall
increase in respondents to the program
from 26 to 27 and we have therefore
adjusted our respondent numbers
accordingly.
We estimate the burden of this
collection of information as follows:
TABLE 1—ESTIMATED ONE-TIME NUMBER REPORTING BURDEN 1
514.87(a) through (e)—Administrative Review of the Rule:
Sponsors With Active Applications ..................................
514.87(a) through (e)—Administrative Review of the Rule:
Sponsors With Inactive Applications ................................
514.87(c)—Report Species-Specific Estimate of Percent of
Products Distributed Domestically ...................................
jstallworth on DSK7TPTVN1PROD with RULES
Total ..............................................................................
1 There
Number of
responses per
respondent
Number of
respondents
21 CFR Section
Average
burden per
response
Total annual
responses
Total hours
20
1
20
24
480
7
1
7
1
7
20
7.50
150
2
300
........................
........................
........................
........................
787
are no capital costs or operating and maintenance costs associated with this collection of information.
We base our estimate of the average
burden per response on our recent
experience with the existing
antimicrobial animal drug distribution
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reports program. We base our estimate
of the number of affected respondents
reported in tables 1 and 2 on a review
of our records of sponsors with active
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and inactive applications, which show
that in the past 3 years the number of
sponsors have increased from 26 to 27.
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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Rules and Regulations
inactive applications will take 1 hour to
complete the review and will not need
to develop a compliance plan.
We also estimate that the 20 sponsors
with 150 applications will each spend
approximately 2 hours to discuss and
settle upon a method to calculate the
species-specific information required
under § 514.87(c). This estimate is
reflected in row 3.
on our records, we estimate there are a
total of 27 sponsors, where 20 sponsors
hold active (i.e., currently marketed)
applications and 7 sponsors hold only
inactive applications, as reflected in
rows 1 and 2. We estimate that the 20
sponsors with active applications will
take 24 hours to complete the review
and develop a compliance plan. We
expect that the seven sponsors with
Table 1 shows the estimated one-time
burden associated with the new
reporting provisions of this final rule.
We expect that current sponsors of
approved or conditionally approved
applications for antimicrobial new
animal drugs sold or distributed for use
in food-producing animals will need to
review the provisions of the final rule
and develop a compliance plan. Based
TABLE 2—ESTIMATED ANNUAL REPORTING BURDEN 1
21 CFR Section
FDA form
514.87(a) through (e)—Annual Reports
for Sponsors With Active Applications—Paper Submission .....................
514.87(a) through (e)—Annual Reports
for Sponsors With Active Applications—Electronic Submission ...............
514.87(a) through (e)—Annual Reports
for Sponsors With Inactive Applications—Paper Submission .....................
514.87(a) through (e)—Annual Reports
for Sponsors With Inactive Applications—Electronic Submission ...............
Total ..................................................
jstallworth on DSK7TPTVN1PROD with RULES
1 There
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
Total annual
responses
Total hours
3744
10
7.5
75
62
4,650
3744
10
7.5
75
52
3,900
3744
4
26.5
106
2
212
3744
3
35
105
2
210
........................
........................
........................
........................
........................
8,972
are no capital costs or operating and maintenance costs associated with this collection of information.
Table 2 shows the estimated recurring
annual reporting burden associated with
the final rule. While we expect new
§ 514.87(c) will require 3 burden hours
resulting from including speciesspecific estimates, we believe 1 hour
will be saved by eliminating the
requirement for sponsors to calculate
the amount of antimicrobial active
ingredients associated with their
monthly product sales and distribution
data (§ 514.80(b)(4)(i)(A)). Consequently,
we estimate that the 20 sponsors with
active applications will each expend
approximately 2 additional reporting
hours annually for new § 514.87.
Because the Agency, upon
implementation of the rule, will accept
both paper and electronic submissions,
and we assume that half of the
respondents will report electronically,
we estimate 10 respondents for each
submission method as shown in rows 1
and 2.
While we estimate no increase in
burden for the seven sponsors of
inactive applications, we similarly will
accept both paper and electronic
submissions. Accordingly we have
reported, unchanged, the 2 hours of
burden already approved under OMB
control number 0910–0659 in rows 3
and 4.
This final rule also refers to other
currently approved collections of
information found in our regulations.
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These collections of information are
subject to review by OMB under the
Paperwork Reduction Act of 1995. The
collections of information in § 514.80
are approved under OMB control
number 0910–0284. The collections of
information in 21 CFR 211.196 are
approved under OMB control number
0910–0139.
The information collection provisions
of this final rule have been submitted to
OMB for review as required by section
3507(d) of the Paperwork Reduction Act
of 1995. Prior to the effective date of this
final rule, FDA will publish a notice in
the Federal Register announcing OMB’s
decision to approve, modify, or
disapprove the information collection
provisions in this final rule. An Agency
may not conduct or sponsor, and a
person is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number.
IX. Federalism
We have analyzed this final rule in
accordance with the principles set forth
in Executive Order 13132. We have
determined that the rule does not
contain policies that have substantial
direct effects on the States, on the
relationship between the National
Government and the States, or on the
distribution of power and
responsibilities among the various
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Fmt 4700
Sfmt 4700
levels of government. Accordingly, we
conclude that the rule does not contain
policies that have federalism
implications as defined in the Executive
Order and, consequently, a federalism
summary impact statement is not
required.
X. References
The following references are on
display in the Division of Dockets
Management (see ADDRESSES) and are
available for viewing by interested
persons between 9 a.m. and 4 p.m.
Monday through Friday; they are also
available electronically at https://
www.regulations.gov. FDA has verified
the Web site addresses, as of the date
this document publishes in the Federal
Register, but Web sites are subject to
change over time.
1. USDA, ‘‘Livestock & Meat Domestic Data,’’
https://www.ers.usda.gov/data-products/
livestock-meat-domestic-data.
2. ‘‘Food Fish Production and Sales by
Species, by Size Category, by State and
United States: 2005,’’ https://www.
agcensus.usda.gov/Publications/2002/
Aquaculture/aquacen2005_08.pdf.
3. Painter, J. A., R. M. Hoekstra, T. Ayers, et
al., ‘‘Attribution of Foodborne Illnesses,
Hospitalizations, and Deaths to Food
Commodities by Using Outbreak Data,
United States, 1998–2008,’’ Emerging
Infectious Diseases, 19(3):407–415, 2013.
4. Gould, L. H., K. A. Walsh, A. R. Vieira, et
al., ‘‘Surveillance for Foodborne Disease
Outbreaks—United States, 1998–2008,’’
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Morbidity and Mortality Weekly Report.
Surveillance Summaries, 62(2):1–34,
2013.
5. ‘‘Aquaculture in the United States,’’ https://
www.nmfs.noaa.gov/aquaculture/
aquaculture_in_us.html.
List of Subjects in 21 CFR Part 514
Administrative practice and
procedure, Animal drugs, Confidential
business information, Reporting and
recordkeeping requirements.
Therefore, under the Federal Food,
Drug, and Cosmetic Act and under
authority delegated to the Commissioner
of Food and Drugs, 21 CFR part 514 is
amended as follows:
PART 514—NEW ANIMAL DRUG
APPLICATIONS
1. The authority citation for part 514
is revised to read as follows:
■
Authority: 21 U.S.C. 321, 331, 351, 352,
354, 356a, 360b, 360ccc, 371, 379e, 381.
2. In § 514.80, revise the fifth sentence
of paragraph (b)(4) introductory text and
paragraph (b)(4)(i) to read as follows:
■
§ 514.80 Records and reports concerning
experience with approved new animal
drugs.
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*
*
*
*
*
(b) * * *
(4) * * * The yearly periodic drug
experience reports must be submitted
within 90 days of the anniversary date
of the approval of the NADA or
ANADA. * * *
(i) Distribution data. (A) Information
about the distribution of each new
animal drug product, including
information on any distributor-labeled
product. This information must include
the total number of distributed units of
each size, strength, or potency (e.g.,
100,000 bottles of 100 5-milligram
tablets; 50,000 10-milliliter vials of 5percent solution). This information
must be presented in two categories:
Quantities distributed domestically and
quantities exported.
(B) Applicants submitting annual
sales and distribution reports for
antimicrobial new animal drug products
under § 514.87 have the option not to
report distribution data under paragraph
(b)(4)(i)(A) of this section for the
approved applications that include
these same products, but only provided
each of the following conditions are
met:
(1) Applicants must have submitted
complete periodic drug experience
reports under this section for such
applications for at least 2 full years after
the date of their initial approval.
(2) Applicants must ensure that the
beginning of the reporting period for the
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annual periodic drug experience reports
for such applications is January 1. For
applications that currently have a
reporting period that begins on a date
other than January 1, applicants must
request a change in reporting
submission date such that the reporting
period begins on January 1 and ends on
December 31, as described in paragraph
(b)(4) of this section.
(3) Applicants that change their
reporting submission date must also
submit a special drug experience report,
as described in paragraph (b)(5)(i) of this
section, that addresses any gaps in
distribution data caused by the change
in date of submission.
(4) Applicants who choose not to
report under paragraph (b)(4)(i)(A) of
this section must ensure that full sales
and distribution data for each product
approved under such applications are
alternatively reported under § 514.87,
including products that are labeled for
use only in nonfood-producing animals.
*
*
*
*
*
■ 3. Add § 514.87 to subpart B to read
as follows:
§ 514.87 Annual reports for antimicrobial
animal drug sales and distribution.
(a) The applicant for each new animal
drug product approved under section
512 of the Federal Food, Drug, and
Cosmetic Act, or conditionally approved
under section 571 of the Federal Food,
Drug, and Cosmetic Act, and containing
an antimicrobial active ingredient, must
submit an annual report to FDA on the
amount of each such antimicrobial
active ingredient in the drug that is sold
or distributed in the reporting year for
use in food-producing animal species,
including information on any
distributor-labeled product.
(b) This report must identify the
approved or conditionally approved
application and must include the
following information for each new
animal drug product described in
paragraph (a) of this section:
(1) A listing of each antimicrobial
active ingredient contained in the
product;
(2) A description of each product sold
or distributed by unit, including the
container size, strength, and dosage
form of such product units;
(3) For each such product, a listing of
the target animal species, indications,
and production classes that are
specified on the approved label;
(4) For each such product, the number
of units sold or distributed in the United
States (i.e., domestic sales) for each
month of the reporting year; and
(5) For each such product, the number
of units sold or distributed outside the
PO 00000
Frm 00031
Fmt 4700
Sfmt 9990
29141
United States (i.e., quantities exported)
for each month of the reporting year.
(c) Each report must also provide a
species-specific estimate of the
percentage of each product described in
paragraph (b)(2) of this section that was
sold or distributed domestically in the
reporting year for use in any of the
following animal species categories, but
only for such species that appear on the
approved label: Cattle, swine, chickens,
turkeys. The total of the species-specific
percentages reported for each product
must account for 100 percent of its sales
and distribution; therefore, a fifth
category of ‘‘other species/unknown’’
must also be reported.
(d) Each report must:
(1) Be submitted not later than March
31 each year;
(2) Cover the period of the preceding
calendar year; and
(3) Be submitted using Form FDA
3744, ‘‘Antimicrobial Animal Drug
Distribution Report.’’
(e) Sales and distribution data and
information reported under this section
will be considered to fall within the
exemption for confidential commercial
information established in § 20.61 of
this chapter and will not be publicly
disclosed, except that summary reports
of such information aggregated in such
a way that does not reveal information
that is not available for public
disclosure under this provision will be
prepared by FDA and made available to
the public as provided in paragraph (f)
of this section.
(f) FDA will publish an annual
summary report of the data and
information it receives under this
section for each calendar year by
December 31 of the following year. Such
annual reports must include a summary
of sales and distribution data and
information by antimicrobial drug class
and may include additional summary
data and information as determined by
FDA. In order to protect confidential
commercial information, each
individual datum appearing in the
summary report must:
(1) Reflect combined product sales
and distribution data and information
obtained from three or more distinct
sponsors of approved products that
were actively sold or distributed that
reporting year, and
(2) Be reported in a manner consistent
with protecting both national security
and confidential commercial
information.
Dated: May 6, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016–11082 Filed 5–10–16; 8:45 am]
BILLING CODE 4164–01–P
E:\FR\FM\11MYR1.SGM
11MYR1
Agencies
[Federal Register Volume 81, Number 91 (Wednesday, May 11, 2016)]
[Rules and Regulations]
[Pages 29129-29141]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11082]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
21 CFR Part 514
[Docket No. FDA-2012-N-0447]
RIN 0910-AG45
Antimicrobial Animal Drug Sales and Distribution Reporting
AGENCY: Food and Drug Administration, HHS.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or we) is issuing a
final rule to require that the sponsor of each approved or
conditionally approved new animal drug product that contains an
antimicrobial active ingredient submit an annual report to us on the
amount of each such ingredient in the drug product that is sold or
distributed for use in food-producing animals, including information on
any distributor-labeled product. This final rule codifies the reporting
requirements established in section 105 of the Animal Drug User Fee
Amendments of 2008 (ADUFA). The final rule also includes an additional
reporting provision intended to enhance our understanding of
antimicrobial new animal drug sales intended for use in specific food-
producing animal species and the relationship between such sales and
antimicrobial resistance.
DATES: This rule is effective July 11, 2016. For the applicable
compliance dates, please see section V, ``Effective and Compliance
Dates'' in SUPPLEMENTARY INFORMATION.
ADDRESSES: For access to the docket to read background documents or
comments received, go to https://www.regulations.gov and insert the
docket number found in brackets in the heading of this final rule into
the ``Search'' box and follow the prompts, and/or go to the Division of
Dockets Management, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT: With regard to the final rule: Neal
Bataller, Center for Veterinary Medicine (HFV-210), Food and Drug
Administration, 7519 Standish Pl., Rockville, MD 20855, 240-402-5745,
Neal.Bataller@fda.hhs.gov.
With regard to the information collection: FDA PRA Staff, Office of
Operations, Food and Drug Administration, 8455 Colesville Rd., COLE-
14526, Silver Spring, MD 20993-0002, PRAStaff@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Executive Summary
A. Purpose of the Final Rule
B. Summary of the Major Provisions of the Final Rule
C. Legal Authority
D. Costs and Benefits
II. Background
A. Need for the Regulation/History of the Rulemaking
B. Summary of Comments to the Proposed Rule
C. General Overview of the Final Rule
III. Legal Authority
IV. Comments on the Proposed Rule and FDA Response
A. Introduction
B. Description of General Comments and FDA Response
C. Comments on our Legal Authority and FDA Response
D. Specific Comments and FDA Response
V. Effective and Compliance Dates
VI. Economic Analysis of Impacts
VII. Analysis of Environmental Impact
VIII. Paperwork Reduction Act of 1995
IX. Federalism
X. References
I. Executive Summary
A. Purpose of the Final Rule
The purpose of this rulemaking is to change the way we collect and
report information related to the distribution and sale of approved or
conditionally approved antimicrobial new animal drug products for use
in food-producing animals.
Sponsors of approved or conditionally approved applications for new
animal drugs containing an antimicrobial active ingredient are required
by section 512 of the Federal Food, Drug, and Cosmetic Act (the FD&C
Act) (21 U.S.C. 360b), as amended by section 105 of ADUFA (ADUFA 105)
(Title I of Pub. L. 110-316), to submit to us an annual report on the
amount of each such ingredient in the drug that is sold or distributed
for use in food-producing animals. We are also required by ADUFA 105 to
publish annual summary reports of the data we receive from animal drug
sponsors. In accordance with the law, sponsors of the affected
antimicrobial new animal drug products began submitting their sales and
distribution data to us on an annual basis, and we have published
summaries of such data for each calendar year beginning with 2009.
Since that time, we have published two documents inviting public input
on potential changes to our regulations relating to records and reports
for approved new animal drugs, including an advance notice of proposed
rulemaking (77 FR 44177, July 27, 2012) and a proposed rule (80 FR
28863, May 20, 2015). This final rule amends our existing records and
reports regulation in part 514 (21 CFR part 514) to incorporate the
sales and distribution data reporting requirements specific to
antimicrobial new animal drugs that were added to the FD&C Act by ADUFA
105. ADUFA 105 was enacted to assist us in our continuing analysis of
the interactions (including drug resistance), efficacy, and safety of
antimicrobials approved for use in both humans and food-producing
animals for the purpose of mitigating the public health risk associated
with antimicrobial resistance. This rule includes an additional
reporting provision intended to improve our understanding of
antimicrobial animal drug sales intended for use in specific food-
producing animal species. This additional provision assists us in
assessing antimicrobial sales trends in the major food-producing animal
species and examining how such trends may relate to antimicrobial
resistance.
Finalizing this rule will assist us in assessing the rate at which
sponsors are voluntarily revising their FDA-approved labeled use
conditions to promote the judicious use of medically important
antimicrobial drugs in food-producing animals. In December 2013, we
published guidance for industry (GFI) #213 (https://www.fda.gov/downloads/AnimalVeterinary/GuidanceComplianceEnforcement/GuidanceforIndustry/UCM299624.pdf), a guidance that calls on sponsors
of approved medically important antimicrobial new animal drugs
administered through medicated feed or water to voluntarily make
changes to remove production uses (growth promotion and feed
efficiency) from their product labels and bring the remaining
therapeutic uses of these products (to treat, control, or prevent
disease) under the oversight of a veterinarian by the end of December
2016. All affected drug sponsors committed to implementing the changes
described in guidance for industry (GFI) #213 by the December 2016
target date. Once the changes are fully implemented, it will be illegal
to use these medically important antibiotics for production purposes,
and animal producers will first need to obtain authorization from a
licensed veterinarian to use them for therapeutic
[[Page 29130]]
purposes (i.e., prevention, control, or treatment of a specifically
identified disease).
Finalizing this rule also implements Sub-Objective 2.4.2 (``Enhance
collection and reporting of data regarding antibiotic drugs sold and
distributed for use in food-producing animals'') of the ``National
Action Plan for Combating Antibiotic-Resistant Bacteria'' (National
Action Plan) (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf).
The National Action Plan, released by the White House on March 27,
2015, was developed in response to Executive Order 13676: Combating
Antibiotic-Resistant Bacteria, which was issued by President Barack
Obama on September 18, 2014, in conjunction with the National Strategy
for Combating Antibiotic-Resistant Bacteria. The National Action Plan
is intended to guide the activities of the U.S. Government as well as
the actions of public health, health care, and veterinary partners in a
common effort to address the urgent and serious public health threat of
drug-resistant bacterial infections. Objective 2.4 of the National
Action Plan is to ``enhance monitoring of antibiotic-resistance
patterns, as well as antibiotic sales, usage, and management practices,
at multiple points in the production chain from food-animals on-farm,
through processing, and retail meat.''
The provisions included in this final rule take into account
stakeholder input received in response to multiple opportunities for
public comment, including the advance notice of proposed rulemaking and
the proposed rule.
B. Summary of the Major Provisions of the Final Rule
The rule amends the records and reports regulation in part 514 to
include the following:
Procedures relating to the submission to us of annual
sales and distribution data reports by sponsors of approved or
conditionally approved antimicrobial new animal drug products sold or
distributed for use in food-producing animals. Sponsors are already
submitting such reports as required by ADUFA 105.
Procedures relating to the requirement for sponsors of
approved or conditionally approved antimicrobial new animal drugs to
begin submitting species-specific estimates of product sales as a
percentage of their total sales. This new reporting requirement was
included based on our authority under section 512(l)(1) of the FD&C
Act.
Procedures applicable to our preparation and publication
of summary reports on an annual basis based on the sales and
distribution data we receive from sponsors of approved or conditionally
approved antimicrobial new animal drug products. The final rule
includes specific parameters for the content of the annual summary
reports as well as provisions intended to protect confidential business
information and national security, consistent with ADUFA 105 and this
Agency's regulations at Sec. 20.61 (21 CFR 20.61).
Provisions that will give sponsors of approved or
conditionally approved antimicrobial new animal drug products that are
sold or distributed for use in food-producing animals the opportunity
to avoid duplicative reporting of product sales and distribution data
to us under part 514.
C. Legal Authority
Our legal authority for issuing this final rule is provided by
section 512(l) of the FD&C Act relating to records and reports
concerning approved and conditionally approved new animal drugs. In
addition, section 701(a) of the FD&C Act (21 U.S.C. 371(a)) gives us
general rulemaking authority to issue regulations for the efficient
enforcement of the FD&C Act.
D. Costs and Benefits
We estimate one-time costs to industry from this final rule at
about $134,600. We estimate annual costs at about $57,300. These costs
equate to an estimated total annualized cost of about $76,500 at a 7
percent discount rate over 10 years and about $73,100 at a 3 percent
discount rate over 10 years. The total annualized costs include the
administrative cost to review the rule ($8,800), plus the cost to those
sponsors who wish to avoid duplicative reporting requirements under
part 514 ($4,900), plus the cost of providing the species-specific
estimates of the percent of the drug product distributed domestically
($62,700).
The final rule provides some flexibility in terms of the manner in
which new animal drug sponsors report sales and distribution data under
both Sec. 514.80(b)(4) and Sec. 514.87, by allowing the sponsor the
option to satisfy its obligations under both provisions by making only
one set of report submissions under certain circumstances. We estimate
this will reduce labor costs for new animal drug sponsors by $103,200
annually.
Another benefit of the final rule is the cost savings associated
with sponsors reporting their monthly sales and distribution data to us
in terms of product units rather than calculating the amount of
antimicrobial active ingredients associated with these monthly product
sales and distribution data, as is currently the case. We estimate the
calculation reductions will amount to an annual benefit to animal drug
sponsors of about $19,100. We estimate total annual benefits to
industry at about $122,300.
II. Background
A. Need for the Regulation/History of the Rulemaking
Section 512(l)(1) of the FD&C Act, which was added by the Animal
Drug Amendments of 1968 (Pub. L. 90-399), requires sponsors of approved
or conditionally approved new animal drugs to establish and maintain
records and make such reports of data relating to experience and other
data or information received or obtained by the sponsor with respect to
such drug as required by regulation or order. Part 514 of FDA's
regulations implements section 512(l) of the FD&C Act and requires new
animal drug sponsors to report various types of information to FDA
relating to their approved drug products, including periodic drug
experience reports under Sec. 514.80(b)(4). Such reports must contain
detailed information as specified in the regulations, including
information concerning the quantities of the animal drug product
distributed under the sponsor's approved application. The requirement
for periodic reports under Sec. 514.80(b)(4) applies to all sponsors
of approved new animal drug products and is separate from the reporting
requirements subsequently established under ADUFA 105 relating to
antimicrobial new animal drugs.
This continuous monitoring of approved new animal drug applications
(NADAs) by collecting post-approval information from sponsors is
important because data previously submitted to FDA as part of the
approval process may no longer be adequate, as animal drug effects can
change over time and less apparent effects including, for example, on
antimicrobial resistance, can sometimes take years to become evident.
For this reason, post-approval reports are one of the primary means by
which FDA can obtain information regarding safety or effectiveness
problems with marketed new animal drugs.
In an effort to address mounting public health concerns about
antimicrobial drug resistance, Congress, in 2008, enacted ADUFA 105 to
enhance the reports collected by FDA concerning marketed new animal
drug products that contain an antimicrobial
[[Page 29131]]
active ingredient. ADUFA 105 amended section 512(l) of the FD&C Act by
adding section 512(l)(3). Under new section 512(l)(3) of the FD&C Act,
sponsors of antimicrobial new animal drugs approved or conditionally
approved for use in food-producing animals must submit to us on an
annual basis a report specifying the amount of each antimicrobial
active ingredient in the drug that is sold or distributed for use in
food-producing animals. Specifically, sponsors are required to report
the amount of each antimicrobial active ingredient as follows: (1) By
container size, strength, and dosage form; (2) by quantities
distributed domestically and quantities exported; and (3) for each
dosage form, a listing of the target animals, indications, and
production classes that are specified on the approved label of the
product. The information must be reported for the preceding calendar
year, include separate information for each month of the calendar year,
and be submitted to us each year no later than March 31. The statute
also requires FDA to publish summary reports of the antimicrobial drug
sales and distribution data collected from the drug sponsors on an
annual basis, and further requires that such data be reported by
antimicrobial class (section 512(l)(3) of the FD&C Act). In accordance
with the law, sponsors of the affected antimicrobial new animal drug
products began submitting their sales and distribution data to us on an
annual basis, and we have published summaries of such data for each
calendar year beginning with 2009.
In the Federal Register of May 20, 2015 (80 FR 28863), we proposed
to amend our existing animal drug records and reports regulation in
part 514 to incorporate the antimicrobial drug sales and distribution
data reporting requirements established by ADUFA 105. We proposed (80
FR 28863 at 28864) to amend part 514 to include administrative
practices and procedures for sponsors of antimicrobial new animal drugs
sold or distributed for use in food-producing animals who must report
annually under section 512(l)(3) of the FD&C Act. We also proposed (80
FR 28863 at 28864) to collect species-specific data to assist us in
assessing antimicrobial sales trends in the major food-producing animal
species and examining how such trends may relate to antimicrobial
resistance. We set forth the rationale that having the improved data
would support our ongoing efforts to encourage the judicious use of
antimicrobials in food-producing animals to help ensure the continued
availability of safe and effective antimicrobials for animals and
humans (80 FR 28863 at 28864).
We believe that on-farm use data also are needed to obtain
additional information necessary to help gauge the success of
antibiotic stewardship efforts and guide their continued evolution and
optimization, and assess associations between antibiotic use practices
and resistance. Shortly after we issued the proposed rule, in the
Federal Register of August 20, 2015 (80 FR 50638), we published a
notice announcing plans to hold a public meeting on September 30, 2015,
which we jointly sponsored with the U.S. Department of Agriculture
(USDA) and the Centers for Disease Control and Prevention (CDC) to
obtain public input on possible approaches for collecting additional
on-farm antimicrobial drug use and resistance data. Such additional
data are intended to supplement existing information, including data on
the quantity of antimicrobials sold or distributed for use in food-
producing animals and data on antimicrobial use and resistance, for
example, data collected under the National Animal Health Monitoring
System (NAHMS) and the National Antimicrobial Resistance Monitoring
System (NARMS). In the notice of public meeting, we explained that data
from multiple sources are needed to provide a comprehensive and
science-based picture of antimicrobial drug use and resistance in
animal agriculture (80 FR 50638 at 50639). Taking into account the
comments received from this public meeting, we are continuing to work
with the USDA and the CDC in developing this plan to help ensure the
continued availability of safe and effective antimicrobials for use in
humans and animals. The information that we will receive under this
final rule is part of this coordinated, interagency effort to assess
and minimize antimicrobial resistance to help ensure the continued
availability of safe and effective antimicrobial drugs for use in
treating infectious disease in animals and humans.
B. Summary of Comments to the Proposed Rule
We received approximately 440 individual comments on the proposed
rule from veterinary, feed manufacturing, and livestock production
associations, as well as consumer advocacy groups and individuals, and
a member of Congress. Some comments support our rulemaking and our
ongoing efforts to address the problem of antimicrobial resistance,
while others express concern about the manner in which data are going
to be collected, interpreted, and used. Some comments offer suggestions
for specific changes for us to consider making to the subject
regulations.
C. General Overview of the Final Rule
This final rule amends our animal drug records and reports
regulation at part 514 to include administrative practices and
procedures for sponsors of antimicrobial new animal drugs sold or
distributed for use in food-producing animals who must report annually
under section 512(l)(3) of the FD&C Act. In addition, the rule includes
a provision based on our broader authority under section 512(l)(1) that
requires sponsors to report antimicrobial new animal drug sales
intended for use in specific food-producing animal species. In this
rulemaking, we finalize the provisions in the proposed rule.
III. Legal Authority
Our legal authority for issuing this final rule is provided by
section 512(l) of the FD&C Act relating to records and reports
concerning approved new animal drugs and section 701(a) of the FD&C
Act. Section 512(l) gives FDA broad authority to collect information
from sponsors concerning their approved or conditionally approved new
animal drug products. Specifically, under section 512(l)(1) of the FD&C
Act, animal drug sponsors with approved or conditionally approved NADAs
must ``make such reports to the Secretary, of data relating to
experience, including experience with uses authorized under subsection
(a)(4)(A) [relating to extralabel use], and other data or information,
received or otherwise obtained by such applicant with respect to such
drug, or with respect to animal feeds bearing or containing such drug,
as the Secretary may by general regulation, or by order with respect to
such application, prescribe on the basis of a finding that such records
and reports are necessary in order to enable the Secretary to
determine, or facilitate a determination, whether there is or may be
ground for invoking subsection (e) or subsection (m)(4) of this section
[authorizing FDA to withdraw approval of a new animal drug or revoke a
license to manufacture medicated feed].'' The statute provides for
withdrawal of approval if FDA finds that new information shows that the
drug is no longer shown to be safe for use under the approved
conditions of use or the drug is ineffective for uses prescribed or
recommended in the drug's labeling (21 U.S.C. 360b(e)(1)).
Pursuant to its authority under section 512(l)(1) of the FD&C Act,
FDA issued recordkeeping and reporting
[[Page 29132]]
regulations relating to experience with approved new animal drugs.
These regulations, which are found at part 514, include the requirement
at Sec. 514.80(b)(4) for animal drug sponsors to submit periodic drug
experience reports to FDA every 6 months for the first 2 years
following approval of their application and subsequently on an annual
basis. The periodic reports that sponsors are required to submit under
Sec. 514.80(b)(4) must include detailed information as specified in
the regulations, including information concerning the quantities of the
animal drug product distributed under the sponsor's approved
application. The requirement for sponsors to submit distribution data
to us under Sec. 514.80(b)(4) predates the enactment of ADUFA 105.
In addition to the broad authority already granted to FDA under
section 512(l)(1) of the FD&C Act, in 2008, Congress established
additional reporting requirements under ADUFA 105 for sponsors of
antimicrobial new animal drug products. These new reporting
requirements, which are set out in section 512(l)(3) of the FD&C Act,
did not require the Agency to issue implementing regulations first in
order for them to take effect. With respect to approved or
conditionally approved new animal drugs containing an antimicrobial
active ingredient, section 512(l)(3)(A) through (C) of the FD&C Act
requires sponsors of such products to submit an annual report to FDA on
the ``amount of each antimicrobial active ingredient in the drug that
is sold or distributed for use in food-producing animals, including
information on any distributor labeled product'' by March 31 of each
year with separate data included for each month of the preceding
calendar year. In addition, section 512(l)(3)(E) of the FD&C Act
requires FDA to prepare summaries of the information reported by drug
sponsors concerning their antimicrobial new animal drugs and to make
those summaries available to the public. In accordance with ADUFA 105,
sponsors of the affected antimicrobial new animal drug products have
submitted their sales and distribution data to us, and we have
published summaries of such data, for each calendar year since 2009.
In enacting ADUFA 105, Congress clarified that ``[t]he reports
required [to be submitted by animal drug sponsors] under section
512(l)(3) of the Federal Food, Drug, and Cosmetic Act, as added by
subsection (a) [of ADUFA 105], shall be separate from periodic drug
experience reports that are required under section 514.80(b)(4) of
title 21, Code of Federal Regulations.'' (see subsection (c) of ADUFA
105).
Section 701(a) of the FD&C Act gives us general rulemaking
authority to issue regulations for the efficient enforcement of the
FD&C Act.
IV. Comments on the Proposed Rule and FDA Response
A. Introduction
This section summarizes comments we received in response to the
proposed rule and our response to those comments. We received
approximately 440 individual comments on the proposed rule by the close
of the comment period, each addressing one or more topics.
Approximately 400 of those comments resulted from write-in campaigns.
Several of the comments were signed by more than one person or group.
We received comments from veterinary, feed manufacturing, and livestock
production associations, as well as consumer advocacy groups and
individuals, and a member of Congress. Some comments support our
rulemaking and our ongoing efforts to address the problem of
antimicrobial resistance, while others express concern about the manner
in which data are going to be collected, interpreted, and used. Some
comments offer suggestions for specific changes for us to consider
making to the subject regulations. We considered the comments we
received in response to the proposed rule in preparing this final rule.
After considering these comments, we are not making any changes to the
codified language that was included in the proposed rule.
In sections IV.B. through IV.D., we describe the comments received
on the proposed rule and provide our responses. To make it easier to
identify the comments and our responses, the word ``Comment,'' in
parentheses, appears before the comment's description, and the word
``Response,'' in parentheses, appears before our response. We have
numbered each comment to help distinguish between different comments.
We have grouped similar comments together under the same number and, in
some cases, we have separated different subjects discussed in the same
comment and designated them as distinct comments for purposes of our
responses. The number assigned to each comment or comment topic is
purely for organizational purposes and does not signify the comment's
value or importance or the order in which comments were received.
B. Description of General Comments and FDA Response
Many comments make general remarks supporting or opposing the
proposed rule without focusing on a particular proposed provision. In
the following paragraphs of this section, we discuss and respond to
such general comments.
(Comment 1) Many comments from a variety of stakeholders, including
veterinary, feed manufacturing, and animal production associations,
drug manufacturing firms, as well as consumer advocacy groups and
individuals, generally support our efforts aimed at gathering reliable
information on the use of antimicrobials in food-producing animals,
improving the manner in which that information is reported, enhancing
our understanding of antimicrobial animal drug sales intended for use
in specific food-producing animal species, and working alongside our
Federal partners to share data for the purpose of minimizing
antimicrobial resistance.
(Response 1) We appreciate the general support that the comments
express. As noted in section II.A., this rulemaking is part of a larger
effort to address the problem of antimicrobial resistance. The rule is
expected to provide us with information on the sales of antimicrobials
intended for use in food-producing animals, including information
regarding the sales of these products among the various animal species
for which they are intended. Having species-specific estimates of
product sales and distribution in the four major food-producing
categories of animal species (cattle, swine, chickens, turkeys) will be
important in supporting efforts such as NARMS, the national
surveillance program that tracks trends related to antimicrobial
resistance in food-producing animals and humans, and complement data on
antimicrobial use collected under NAHMS. The data will also complement
the data collection plan with the USDA and the CDC to obtain additional
on-farm use and resistance data. The collection of data from multiple
sources, including enhanced sales data, is needed to provide a
comprehensive and science-based picture of antimicrobial drug use and
resistance in animal agriculture. Such information will further enhance
our ongoing activities related to slowing the development of
antimicrobial resistance to help ensure that safe and effective
antimicrobial new animal drugs will remain available for use in human
and animal medicine. We intend to continue working in collaboration
with the USDA, the CDC, the
[[Page 29133]]
pharmaceutical industry, veterinary organizations, animal producers,
and other stakeholders to address this important public health issue.
C. Comments on Our Legal Authority and FDA Response
(Comment 2) Some comments suggest that we lack the legal authority
to require drug sponsors to report species-specific distribution
estimates.
Specifically, one comment suggests that we lack authority under
section 512(l)(3) of the FD&C Act, as added by ADUFA 105, to require
species-specific distribution estimates. The comment suggests that the
lack of express authority in section 512(l)(3) of the FD&C Act to
require species-specific distribution estimates thus limits our broader
authority relating to the collection of records and reports concerning
experiences and other information with respect to approved new animal
drugs under 512(l)(1) of the FD&C Act, and precludes us from requiring
the submission of species-specific distribution estimates under that
provision as well.
Three comments suggest that in addition to lacking authority to
require species-specific distribution estimates under section 512(l)(3)
of the FD&C Act, we also lack authority under section 512(l)(1) of the
FD&C Act because we have not made a ``finding'' that species-specific
distribution estimates are necessary in order to facilitate a
determination of whether there may be grounds for invoking the
withdrawal provisions of the FD&C Act.
(Response 2) FDA acknowledges that section 512(l)(3) of the FD&C
Act, as added by ADUFA 105, does not explicitly address species-
specific distribution estimates. In requiring such estimates, we rely
not on section 512(l)(3) but rather on our broader authority under
section 512(l)(1) of the FD&C to collect information concerning
approved and conditionally approved new animal drugs under a regulation
or order issued by FDA. (See Section III. Legal Authority.) Section
512(l)(1) of the FD&C Act reads in relevant part, ``In the case of any
new animal drug for which approval of an application filed pursuant to
subsection (b) or section 571 is in effect, the applicant shall
establish and maintain such records, and make such reports to the
Secretary, of data relating to experience . . . and other data or
information, received or otherwise obtained by such applicant with
respect to such drug, or with respect to animal feeds bearing or
containing such drug, as the Secretary may by general regulation, or by
order with respect to such application, prescribe on the basis of a
finding that such records and reports are necessary in order to enable
the Secretary to determine, or facilitate a determination, whether
there is or may be ground for'' withdrawal of approval of the new
animal drug at issue. FDA therefore has the authority to establish
reporting requirements applicable to approved or conditionally approved
new animal drugs by regulation or order if it finds those requirements
are necessary to enable it to determine, or facilitate a determination,
as to whether the drugs are no longer shown to be safe, are
ineffective, or are otherwise subject to withdrawal under section
512(e) of the FD&C Act.
Based on its authority under section 512(l)(1) of the FD&C Act, in
March 2003, FDA issued regulations requiring recordkeeping and reports
concerning experience with approved new animal drugs at Sec. 514.80.
Under Sec. 514.80(b)(4), sponsors that have approved applications for
new animal drugs, including sponsors of antimicrobial new animal drug
products, must submit periodic drug experience reports to FDA every 6
months for the first 2 years following approval and annually
thereafter. These periodic drug experience reports must contain, among
other things, various types of information about the distribution of
the sponsor's drug, including data concerning the quantity of the drug
distributed domestically and the quantity exported. The requirement in
Sec. 514.80(b)(4) for sponsors to submit detailed distribution data
concerning their approved new animal drugs predates the enactment of
ADUFA 105. In enacting ADUFA 105, Congress left intact the periodic
reporting requirements under Sec. 514.80(b)(4)--including the
requirement for distribution data--stating at ADUFA section 105(c) that
the reporting requirements established under section 512(l)(3) of the
FD&C Act for antimicrobial new animal drugs did not relieve the
sponsors of their separate obligation to provide periodic drug
experience reports to FDA under Sec. 514.80(b)(4). In so doing,
Congress clearly signaled that the reporting requirements relating to
antimicrobial drugs in 512(l)(3) were intended to supplement rather
than supplant FDA's existing authority under section 512(l)(1) to
impose distribution data reporting requirements on the same parties
covered by section 512(l)(3) of the FD&C Act.
Further, the scant legislative history relating to ADUFA 105 that
exists supports the conclusion that in establishing section 512(l)(3)
Congress meant to enhance, not limit, our general authority under
section 512(l)(1) of the FD&C Act to require information about marketed
new animal drug products in order to ensure their continued safety and
effectiveness. For example, in his remarks to other members of
Congress, Chairman of the House Energy and Commerce Subcommittee on
Health, Representative Frank Pallone, Jr., stated that the ADUFA
legislation he had introduced earlier that year would ``improve the
uniform collection and reporting of data to FDA on the sales about
animal drugs that contain an antibiotic ingredient'' and that it
``includes language that would enhance FDA's current data collection by
creating a new antimicrobial animal drug use data report for all food-
producing animals. The report puts critical information in one place
for FDA; otherwise, the agency would have to search through warehouses
of multiple paper reports.'' 154 Congressional Record 17,287
(2008)(statement of Rep. Pallone). In remarks Representative Waxman
made concerning the legislation, he stated, ``The ADUFA bill we are
considering includes a provision to increase the availability and
accessibility of data on the amount of animal antibiotics being
distributed'' and that the ``reauthorization [of ADUFA] has also given
us an opportunity to look at providing FDA with new tools to address a
related public health crisis, the problem of antibiotic resistance.''
154 Congressional Record 17,288 (2008) (statement of Rep. Waxman).
These statements made by members of Congress strongly suggest that FDA
was viewed as already having the requisite legal authority under
section 512(l) and that the reason Congress established the requirement
in section 512(l)(3) of the FD&C Act for an additional report relating
to antimicrobial new animal drugs sold for use in food-producing
animals was merely to improve the efficiency of the reporting process
for such drugs so that we could more effectively address the problem of
resistance associated with the use of antimicrobial drugs in food
animal production. In addition to improving efficiency by establishing
a more uniform process for the collection of important information
about approved antimicrobial new animal drugs sold or distributed for
use in food-producing animals, ADUFA 105 also streamlined the process
for putting these reporting requirements in place by eliminating the
need for the Agency to first engage in time-consuming rulemaking
activities that otherwise would have been
[[Page 29134]]
required under section 512(l)(1) of the FD&C Act prior to collecting
such data.
In light of what we consider to be clear evidence that Congress
intended section 512(l)(3) of the FD&C Act to bolster rather than limit
our existing authority to require information to be reported concerning
approved new animal drugs, we conclude that the comment's assertion,
that by establishing section 512(l)(3) Congress has somehow curtailed
our ability to exercise authority we would otherwise have under section
512(l)(1), is without merit.
We now respond to the comments asserting that we may not rely on
section 512(l)(1) of the FD&C Act absent a finding that species-
specific distribution estimates are necessary in order to facilitate a
determination of whether there may be grounds for invoking the
withdrawal provisions of the FD&C Act. Although we stated in the
proposed rule that collection of species-specific sales and
distribution estimates would help to ensure ``the continued
availability of safe and effective antimicrobials for animals and
humans,'' we agree that language more clearly stating our finding is
appropriate. Accordingly, we find that the collection of species-
specific sales and distribution estimates, in addition to other
information about antimicrobial use in food-producing animals and drug
resistance, is necessary to enable us to determine, or to facilitate a
determination, as to whether there may be grounds for additional
measures short of and, where appropriate, including withdrawal of
approval or specific portions of the approval in certain instances in
the future to minimize antimicrobial resistance and ensure the
continued availability of safe and effective antimicrobials for use in
treating animals and humans. In particular, such information is needed,
among other reasons, to support ongoing efforts to promote the
judicious use of antimicrobials in food-producing animals and evaluate
the success of those efforts; to aid in our assessment of antimicrobial
sales trends in the major food-producing animal species and our
examination of how these species-specific sales trends may relate to
antimicrobial resistance; and to help inform microbial food safety risk
assessments. In addition, because many antimicrobial drugs are approved
for use in multiple species, in those instances where we believe
appropriate grounds may exist to withdraw approval, having species-
specific information also will be necessary to help us determine which
specific portions of the approval may need to be withdrawn.
D. Specific Comments and FDA Response
Many comments make specific remarks supporting or opposing a
particular proposed provision. In this section, we discuss and respond
to such comments. The order of the discussion reflects the order in the
regulatory text.
(Comment 3) Several comments support our effort to eliminate
duplicative reporting of sales and distribution data by sponsors of
antimicrobial new animal drugs.
(Response 3) We agree with the comments and therefore, in this
final rule, we are keeping language as proposed at Sec.
514.80(b)(4)(i)(B). As described in the proposed rule (80 FR 28863 at
28871), we are providing an opportunity for sponsors of antimicrobial
new animal drugs to modify the reporting period for these drug products
in order to eliminate duplicative reporting of quantity marketed under
current Sec. 514.80(b)(4) and new Sec. 514.87.
(Comment 4) Several comments support reporting of sales and
distribution data but suggest modification of the proposed requirement
in Sec. 514.87(a) and (b)(1) to report the antimicrobial active
ingredient. One comment suggests that we reduce the scope of what we
require to be reported so that we only collect data for what it
characterizes as ``medically important antimicrobials.'' Another
comment suggests that we expand the scope of what we require to be
reported to include data on what the comment characterizes as live
cultures and complex products ``intentionally developed and marketed
for antimicrobial production.''
(Response 4) We have carefully considered the comments' suggested
changes to the scope of reporting of the antimicrobial active
ingredient. The requirement to report the antimicrobial active
ingredient under Sec. 514.87(a) reflects the requirement, under
section 512(l)(3) of the FD&C Act, for each sponsor of a new animal
drug product that is approved or conditionally approved and contains an
antimicrobial active ingredient, to report to us on an annual basis the
amount of each antimicrobial active ingredient in the drug product that
is sold or distributed for use in food-producing animals. This includes
products that are the subject of an approved NADA or abbreviated NADA,
as well as products that are conditionally approved under section 571
of the FD&C Act (21 U.S.C. 360ccc). The requirement in Sec. 514.87(a)
also incorporates the requirement from section 512(l)(3) of the FD&C
Act for animal drug sponsors to capture in their sales and distribution
data reports information regarding any distributor labeled products
(see section 512(l)(3)(A) of the FD&C Act). We decline to implement the
suggestion to limit the reporting to ``medically important
antimicrobials'' due to the statutory reporting requirements under
section 512(l)(3) of the FD&C Act, which apply to a new animal drug
product that is approved or conditionally approved and contains an
antimicrobial active ingredient without limitation.
With regard to the comment about live cultures and complex
products, we understand the comment to be referring to products that
contain one or more microorganisms. We carefully considered the issues
the comment raises and are finalizing the proposed rule without change.
Currently, there are no approved new animal drug products that contain
microorganisms and such products do not appear in Appendix A, GFI #152
as being important in human clinical medicine (https://www.fda.gov/downloads/AnimalVeterinary/GuidanceComplianceEnforcement/GuidanceforIndustry/ucm052519.pdf). A live culture or complex product
could potentially be the subject of a NADA if because of its intended
use the particular product at issue meets the statutory definition of a
drug in section 201(g) of the FD&C Act (21 U.S.C. 321(g)) (an article
intended for use in the diagnosis, cure, mitigation, treatment, or
prevention of disease or an article (other than food) intended to
affect the structure or any function of the body) and the statutory
definition of a new animal drug in section 201(v) of the FD&C Act.
Furthermore, should a live culture or complex product be approved as a
new animal drug, and should any of the active ingredients of that
product be approved specifically for an antimicrobial use or be known
to have antimicrobial properties, then sponsors of such an approved
product would be required to submit data to us on the amount of each
such ingredient in this drug product sold or distributed for use in
food-producing animals.
(Comment 5) Comments on the proposed rule generally support our
effort to learn more about antimicrobial resistance, but several
comments disagree with our proposal to collect species-specific
estimates as proposed in Sec. 514.87(c). Several comments question the
utility of the information that would result from species-specific
data. Several comments suggest that it was unclear how species-specific
estimates will scientifically support NARMS, or complement NAHMS. Other
[[Page 29135]]
comments state that species-specific sales estimates are inappropriate
to report because the resulting data would not constitute sound
scientific data. These comments assert that such data would be
inaccurate due to complications and inconsistencies of data collection,
would not reflect actual usage, would be subject to misinterpretation
due to lack of complete information, and would not constitute
sufficient data to evaluate the impact of policies and trends in
antimicrobial resistance. Other comments support our collection of
species-specific sales and distribution data as proposed in Sec.
514.87(c). These comments assert that the resulting data would be
beneficial to understanding how antimicrobials are used in food-
producing animals, the relationship between sales/use and antimicrobial
resistance, and the impact of our policies and practices to mitigate
antimicrobial resistance.
(Response 5) We have carefully considered the comments in favor of
and opposing the reporting of species-specific sales and distribution
data as specified in proposed Sec. 514.87(c). We recognize the
comments' concerns with regard to utility of the information but we
respectfully disagree with the request to remove species-specific
reporting from the rule. As we discussed in our response to Comment 1,
having species-specific estimates of product sales and distribution for
use in the four major food-producing categories of animal species
(cattle, swine, chickens, turkeys) will be essential in supporting
efforts to assess antimicrobial drug use and resistance in animal
agriculture. This additional sales and distribution data will help
inform microbial food safety risk assessments by providing a better
indication of the extent to which a drug or drug class is used in a
specific food animal species by a specific route of administration.
Aggregate sales data do not provide this information and are more
subject to misinterpretation.
As noted in our response to comment 1, we also intend to consider
estimates of species-specific sales and distribution data in
conjunction with on-farm species-specific data on antimicrobial use,
such as that collected under NAHMS. We expect such data to help us
better understand the extent of antimicrobial use in the various major
food animal species and provide additional context as we examine
resistance data, such as those collected under NARMS. Data from
multiple sources are needed to provide a comprehensive and science-
based picture of antimicrobial drug use and resistance in animal
agriculture. Such information is critical to our ongoing activities
related to slowing the development of antimicrobial resistance and
ensuring the continued availability of safe and effective
antimicrobials for use in treating animals and humans. For the reasons
discussed here and in response to comments 1 and 2, we are retaining
the requirement for sponsors to provide species-specific sales and
distribution estimates as set forth in Sec. 514.87(c).
(Comment 6) Several comments we received suggest that, instead of
collecting species-specific sales estimates as proposed in Sec.
514.87(c), antimicrobial use in food-producing animals should be
monitored at the farm level. Some comments raise concerns about using
sales data alone in analyses of antimicrobial drug use and resistance.
There were multiple comments requesting that we collaborate with the
USDA and the CDC to enhance existing collection efforts of on-farm
antimicrobial use data that are accurate, detailed, and quantitative to
supplement species-specific estimates of product sales. The commenters
further request that we use the data to evaluate the impact of
policies, understand the relationship between usage and resistance
trends, and construct targeted interventions.
(Response 6) We disagree with the request to remove species-
specific reporting from the rule for the reasons discussed in our
responses to comments 1, 2, and 5. We recognize that gathering
information on the way medically important antimicrobials are used in
food-producing animals is essential to: (1) Assess the rate at which
sponsors are voluntarily revising their FDA-approved labeled use
conditions to promote the judicious use of medically important
antimicrobial drugs in food-producing animals, (2) help gauge the
success of antibiotic stewardship efforts and guide their continued
evolution and optimization, and (3) assess associations between
antibiotic use practices and resistance.
We agree with the suggestion to collaborate with the USDA and the
CDC to enhance existing collection efforts of on-farm antimicrobial use
data. We are collaborating with the USDA and the CDC to develop a plan
for collecting additional on-farm data on antimicrobial use and
resistance. Such data are intended to supplement existing information,
including data on the quantity of antimicrobials sold or distributed
for use in food-producing animals (reported under Sec. 514.87 as
established under this final rule) and data on antimicrobial use and
resistance, for example, data collected under the NAHMS and NARMS
programs. Data from multiple sources are needed to provide a
comprehensive and science-based picture of antimicrobial drug use and
resistance in animal agriculture and ensure the continued availability
of safe and effective antimicrobials for use in treating animals and
humans. Each source provides unique species-specific data; collecting
species-specific sales and distribution data will support evaluation of
other species-specific data, such as data collected under the NAHMS and
NARMS programs.
As discussed in section I.A. Purpose of the Final Rule, in December
2013, we published GFI #213, a guidance that calls on sponsors of
approved medically important antimicrobial new animal drugs
administered through medicated feed or water to voluntarily make
changes to remove production uses (growth promotion and feed
efficiency) from their product labels and bring the remaining
therapeutic uses of these products (to treat, control, or prevent
disease) under the oversight of a veterinarian by the end of December
2016. The sales data collected under this final rule will assist us in
assessing the rate at which sponsors are voluntarily revising their
FDA-approved labeled use conditions to align with GFI #213.
As also discussed in section I.A., the National Action Plan, issued
by the White House in March 2015, is intended to guide the activities
of the U.S. Government as well as the actions of public health, health
care, and veterinary partners in a common effort to address the urgent
and serious public health threat of drug-resistant bacterial
infections. Objective 2.4 of the National Action Plan is to enhance
monitoring of antibiotic resistance patterns, as well as antibiotic
sales, usage, and management practices, at multiple points in the
production chain for food animals and retail meat. Sub-Objective 2.4.3
of the National Action Plan calls for the USDA and FDA to seek public
input on a plan for collecting drug use and resistance data on farms.
We are continuing to work with both the USDA and the CDC to develop
this plan. A joint public meeting was held on September 30, 2015, to
provide an opportunity for public comment on possible approaches for
collecting additional antimicrobial drug use data.
(Comment 7) Some comments suggest that, instead of or in addition
to collecting the species-specific estimates that would be required as
proposed in Sec. 514.87(c), we should collect and report the
information already provided in
[[Page 29136]]
veterinary feed directive (VFD) orders and information related to these
orders.
(Response 7) The VFD regulation outlines the process for
authorizing use of VFD drugs (animal drugs intended for use in or on
animal feed that require the supervision of a licensed veterinarian)
and provides veterinarians in all States with a framework for
authorizing the use of these VFD drugs, including medically important
antimicrobials, when needed for specific animal health purposes. The
VFD regulation provides that all distributors, regardless of whether or
not they manufacture animal feeds bearing or containing VFD drugs, must
keep records of receipt and distribution for 2 years from the date of
issuance in accordance with 21 CFR 558.6(c)(3).
We appreciate the commenters' suggestions that we gather the
information provided in VFD orders and information related to these
orders. While there are some limitations to the gathering of such
information, we agree that this information has value. For that reason,
we continue to consider options to capture such information.
We believe that VFD records are an important source of information
for assessing veterinary oversight of VFD drugs and compliance with the
VFD regulation. These records are required to be made available to FDA
during inspections. Therefore, as part of these inspectional
activities, we intend to use these records to review compliance with
the VFD regulations, to ensure that the VFD drug and VFD feed are used
according to the conditions and indications of use as specified in the
approval, conditional approval, or index listing, and within the
supervision and oversight of a licensed veterinarian.
(Comment 8) One comment generally supports the collection of sales
data, but suggests that we provide a specific methodology for making
species-specific sales estimates to reduce the likelihood of inaccurate
reporting of these estimates.
(Response 8) We appreciate the commenter's interest in obtaining
the most accurate data and their suggestion that we identify a specific
methodology for developing species-specific sales estimates. We
appreciate and agree with the need to gather the best data. We also
recognize that the sponsors who are required to report have different
ways of managing their businesses, including different ways of
capturing sales and distribution data. In other words, different
sponsors gather sales data on similar drug products in different ways
and, sometimes, the same sponsor may gather sales data on different
drug products within their own drug product portfolio in different
ways. Because of these differences, it seems likely that sponsors'
methods of gathering these sales data will vary considerably.
We believe that animal drug sponsors currently have access to
information obtained in the ordinary course of their business (for
example, through proprietary marketing analyses) that can be used to
formulate the methodology to estimate the percentage of annual product
sales that are sold or distributed domestically for use in any of the
four major food-producing species that appear on the approved product
label. In addition, sponsors have different business models that
determine the manner in which they gather sales data; thus, specific
methodologies to accurately estimate species-specific sales will likely
differ among sponsors. As we finalize this rule and establish the
requirement that sponsors estimate species-specific sales for the major
food-producing species, we recognize that specifying a uniform
methodology for estimating species-specific sales might cause a firm to
provide estimates in a manner not best suited to their individual
business processes, leading the firm to expend more time to provide
species-specific sales estimates that may be less accurate than those
derived from utilizing their own methodology. The provision at Sec.
514.87(c) requires that firms provide species-specific sales estimates.
We expect these estimates to be based on the methodology that provides
the sponsor's most accurate estimate of these sales.
Also, as we noted in the proposed rule, this provision is not
intended to require animal drug sponsors to conduct studies of on-farm
drug use practices (80 FR 28863 at 28866). For these reasons, we
decline at this time to provide a standard methodology for developing
species-specific sales estimates.
(Comment 9) One comment suggests that we should not collect the
species-specific sales and distribution estimates that we proposed to
require under Sec. 514.87(c) until legal challenges over disclosure of
confidential commercial information are resolved.
(Response 9) We have carefully considered the issues regarding the
protection of confidential commercial information. As we stated in the
proposed rule, ``[s]ince it is likely that many sponsors would consider
their species-specific sales and distribution estimates as proprietary
information, and that such estimates may often be derived from
proprietary marketing analyses, FDA would, as described in proposed
paragraph (e) [of Sec. 514.87], consider the species-specific
information reported by individual sponsors under paragraph (c) [of
Sec. 514.87] to be confidential business information consistent with
section 512 (l)(3) of the FD&C Act and this Agency's regulations at 21
CFR 20.61.'' (80 FR 28863 at 28867). In recognition of this concern, we
further stated in the proposed rule that, consistent with the statute,
FDA would not ``independently report those antimicrobial classes with
fewer than three distinct sponsors, and would further require that, in
reporting the antimicrobial drug sales and distribution data it
receives from drug sponsors, FDA must do so in a manner consistent with
protecting both national security and confidential business information
(see section 512(l)(3)(E)(i) and (ii) of the FD&C Act).'' (80 FR 28863
at 28867.) After considering the comments received in response to the
proposed rule, we conclude there are sufficient safeguards in place to
ensure the protection of confidential commercial information, including
the species-specific information required to be submitted by individual
firms in accordance with Sec. 514.87(c). Therefore, we are not
removing the requirement for species-specific sales and distribution
estimates under Sec. 514.87(c) for confidentiality reasons as the
comment requests and are finalizing the provision at Sec. 514.87(e)
relating to the confidentiality of sales and distribution data as
proposed.
(Comment 10) One comment suggests that we modify proposed Sec.
514.87(c) to include fish on the list of animal species categories for
which sponsors are required to report species-specific estimates.
(Response 10) We carefully considered the suggestion to include
fish on the list of animal species categories for which species-
specific estimates must be submitted and decided to retain the
categories that were identified in proposed Sec. 514.87(c) without
modification. We consider the most significant risk to the public
health associated with antimicrobial resistance related to the use of
antimicrobial drugs in animal agriculture to be human exposure to food
containing antimicrobial-resistant bacteria resulting from the exposure
of food-producing animals to antimicrobials. However, when considering
the foodborne pathway, the potential for human exposure to
antimicrobial-resistant pathogens currently is significantly less for
food derived from minor species than it is for food derived from the
food-producing major species. The exposure potential is less in part
because the amount of food derived from cattle, swine, and poultry is
much greater than the amount of food derived from sheep,
[[Page 29137]]
goats, and aquaculture, the minor species from which the most food is
derived (Refs. 1 and 2). In the United States, human foodborne
illnesses are attributed mostly to plant and land animal commodities
(Ref. 3). Furthermore, the majority of illnesses attributed to fish
exposure are intoxications rather than bacterial illnesses (Ref. 4).
Additionally, most fish and seafood consumed in the United States are
imported products (Ref. 5).
In addition, as discussed in the proposed rule, we believe having
species-specific estimates of product sales and distribution for use in
the four major food-producing categories of animal species (cattle,
swine, chickens, turkeys) will be important in supporting efforts such
as NARMS, a surveillance program that monitors trends in antimicrobial
resistance among foodborne bacteria from humans, retail meats, and
animals. NARMS retail meat and animal sampling focus on the same four
major food-producing species included in Sec. 514.87(c). NARMS does
not currently have a surveillance system for antimicrobial resistance
pathogens from aquaculture products. Since there is currently limited
resistance data related to minor food-producing animals (including
fish) and companion animals, requiring estimates of these additional
species at this time would cause additional burden without clear
benefit to our understanding of antimicrobial resistance. NARMS does
collect some resistance data on import isolates of Salmonella, which
include some seafood isolates; however, because these data are from
imports, data on domestic distribution and sales of antimicrobials for
use in aquaculture would not be informative to NARMS and our overall
efforts to assess antimicrobial use and resistance domestically.
(Comment 11) One comment suggests that we modify proposed Sec.
514.87(c) to remove the category ``other species/unknown'' and replace
it with two categories, ``other species'' and ``unknown'', so that
those estimates could be independently reported.
(Response 11) We appreciate the suggestion to collect sales data on
both ``other species'' and ``unknown''; however, we have determined
that there is not a clear benefit to having this information reported
separately at this time. As noted in our response to comment 1, one of
the reasons we believe that having species-specific estimates of
product sales and distribution in the four major food-producing
categories of animal species (cattle, swine, chickens, turkeys) will be
important is to support data we obtain from NARMS. NARMS retail meat
and animal sampling focus on the same four major food-producing
species. The category ``other species/unknown'' will be used to capture
the percentage of each new animal drug product that was sold or
distributed for use in animal species other than the four major food-
producing species or otherwise unknown to the reporting drug sponsor.
Since there is currently limited resistance data related to minor food-
producing animals and companion animals, requiring estimates of these
additional species would cause additional burden without clear benefit.
(Comment 12) One comment suggests that we should not report
species-specific information in our annual reports, arguing that by
doing so we would disclose confidential commercial information in
violation of proposed Sec. 514.87(e).
(Response 12) As discussed in our response to comment 9, we have
carefully considered the issues regarding the protection of
confidential commercial information and the disclosure of species-
specific information in our annual summary reports. After considering
the comments received in response to the proposed rule, we are not
persuaded that reporting species-specific information in our annual
summary reports will lead to the disclosure of confidential commercial
information. We will only provide sales data in our summary reports
that has been aggregated to avoid disclosing confidential commercial
information. We are finalizing the rule as proposed, which includes
safeguards for the protection of confidential business information
related to the reporting of species-specific estimates of sales by drug
sponsors, consistent with section 512(l)(3)(E) of the FD&C Act and our
disclosure regulations at Sec. 20.61.
(Comment 13) Several comments suggest we report a wider scope of
information in our annual summary reports that would be required under
proposed Sec. 514.87(f). One comment suggests we should provide more
detailed information on why antimicrobials are used; for example, to
distinguish use for growth promotion or disease prevention from use for
disease control or treatment. Another comment suggests that we should
collaborate with the USDA and the CDC to develop a communication plan
to explain the implications of collected data for human and animal
health.
(Response 13) We appreciate the comment that we report a wider
scope of information in our annual summary reports. As required by
ADUFA 105, sponsors of the affected antimicrobial new animal drug
products began submitting their sales and distribution data to us on an
annual basis, and we have published summary reports of such data for
each calendar year beginning with 2009. Starting in 2014, we increased
the amount of data provided in our annual summary reports by including
``additional data tables on the importance of each drug class in human
medicine, the approved routes of administration for these
antimicrobials, whether these antimicrobials are available over-the-
counter or require veterinary oversight, and whether the antimicrobial
drug products are approved for therapeutic purposes, or both
therapeutic and production purposes.'' (80 FR 28863 at 28867.)
Sponsors currently are not required to report sales and
distribution data broken out by the specific purpose for which these
drug products are used. Many sales of antimicrobials by drug sponsors
are to distributors who, in turn, may sell to other distributors or to
end users (e.g., feed mills or animal producers). Thus, this type of
information (i.e., how the drug product sold by the sponsor is
ultimately used in a labeled species) is generally not even known by
the drug sponsor. Also, as we note in our response to comment 8,
reporting species-specific estimates of sales and distribution under
Sec. 514.87 is not intended to require animal drug sponsors to conduct
studies of on-farm drug use practices (80 FR 28863 at 28866) (e.g., use
in particular species for particular indications). Because the sales
and distribution data we are collecting from drug sponsors does not
include information about how the drugs were ultimately used, such data
also will not be included in our annual summary reports.
As we note in our response to comments 1, 5, and 6, we recognize
that data from multiple sources are needed to provide a comprehensive
and science-based picture of antimicrobial drug use and resistance in
animal agriculture. We are collaborating with the USDA and the CDC to
develop a plan for collecting additional on-farm data on antimicrobial
use and resistance. Such data are intended to supplement existing
information, including data on the quantity of antimicrobials sold or
distributed for use in food-producing animals (reported under Sec.
514.87 as established under this final rule) and data on antimicrobial
use and resistance, for example, data collected under the NAHMS and
NARMS programs.
[[Page 29138]]
We appreciate the comment suggesting that we collaborate with the
USDA and the CDC to develop a communication plan to explain the
implications of collected data for human and animal health. We will
also continue to work with the USDA, the CDC, and other government
agencies to analyze and report on the implications of the collected
data.
(Comment 14) We received several comments suggesting modifications
to how we report the data that we proposed to collect. One comment
suggests we should make as much of this data as possible available to
the public, while protecting confidential business information. Other
comments suggest we should publish monthly sales data and State- or
regional-level data.
(Response 14) We plan to report aggregate data on domestic sales
and distribution for the entire reporting year, but not to include
separate information for each month of the reporting year. ADUFA 105
requires drug sponsors to report sales and distribution data to us
broken out by month; however, antimicrobial drug products may be used
at any time up to several years after distribution. As noted in the
proposed rule, we consider monthly fluctuations in drug product sales
to be of limited value in reflecting when products may actually be
administered to animals and interpreting antimicrobial resistance
trends, since much of monthly patterns are more reflective of
distribution and business practices rather than of any fluctuations in
use by or sales to the end user (80 FR 28863 at 28867).
Regarding the suggestion that we report State- or regional-level
data, sponsors are not required to report sales and distribution data
broken out by States or regions. As we note in our response to comment
13, many sales of antimicrobials by drug sponsors are to distributors
who, in turn, may sell to other distributors or to end users (e.g.,
feed mills or animal producers). Thus, geographic distribution of sales
as detailed as State- or regional-level sales data are generally not
even known by the drug sponsors. For these reasons, we decline to make
the modifications to our summary reports suggested by the commenters
and are finalizing the language in Sec. 514.87(f) as proposed.
(Comment 15) Several comments ask that we adhere to the proposed
deadline of December 31st of the following year for the annual
reporting of sales data.
(Response 15) We plan to publish our annual summary report for each
calendar year by December 31st of the following year. We note that this
deadline is widely supported by advocacy groups and some animal
industry groups. Adhering to this deadline would provide up-to-date
data to the stakeholders and would be necessary to inform current
regulatory decisions.
In addition to the comments specific to this rulemaking that we
addressed previously in this preamble, we received general comments
expressing views about the use of antimicrobials, antimicrobial
resistance, animal health and husbandry practices, the expansion of
NARMS sampling, the enhancement of on-farm collection of information,
and human antimicrobial drug use. These comments express broad policy
views and do not address specific points related to this rulemaking.
Therefore, these general comments do not require a response.
V. Effective and Compliance Dates
This rule is effective July 11, 2016. Sponsors must comply with the
reporting requirements in the final rule when submitting their reports
covering the period of calendar year 2016.
VI. Economic Analysis of Impacts
We have examined the impacts of the final rule under Executive
Order 12866, Executive Order 13563, the Regulatory Flexibility Act (5
U.S.C. 601-612), and the Unfunded Mandates Reform Act of 1995 (Pub. L.
104-4). Executive Orders 12866 and 13563 direct us to assess all costs
and benefits of available regulatory alternatives and, when regulation
is necessary, to select regulatory approaches that maximize net
benefits (including potential economic, environmental, public health
and safety, and other advantages; distributive impacts; and equity). We
have developed a comprehensive Economic Analysis of Impacts that
assesses the impacts of the final rule. We believe that this final rule
is not a significant regulatory action as defined by Executive Order
12866.
The Regulatory Flexibility Act requires us to analyze regulatory
options that would minimize any significant impact of a rule on small
entities. Because the final rule will impose average annualized costs
that amount to less than 0.01 percent of average annual revenues on
those small entities that we expect to sponsor NADAs, we have
determined that the final rule will not have a significant economic
impact on a substantial number of small entities.
The Unfunded Mandates Reform Act of 1995 (section 202(a)) requires
us to prepare a written statement, which includes an assessment of
anticipated costs and benefits, before issuing ``any rule that includes
any Federal mandate that may result in the expenditure by State, local,
and tribal governments, in the aggregate, or by the private sector, of
$100,000,000 or more (adjusted annually for inflation) in any one
year.'' The current threshold after adjustment for inflation is $144
million, using the most current (2014) Implicit Price Deflator for the
Gross Domestic Product. This final rule would not result in an
expenditure in any year that meets or exceeds this amount.
The Economic Analysis of Impacts of the final rule performed in
accordance with Executive Order 12866, Executive Order 13563, the
Regulatory Flexibility Act, and the Unfunded Mandates Reform Act is
available at https://www.regulations.gov under the docket number(s) for
this final rule and at https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm.
VII. Analysis of Environmental Impact
We have determined under 21 CFR 25.30(h) that this action is of a
type that does not individually or cumulatively have a significant
effect on the human environment. Therefore, neither an environmental
assessment nor an environmental impact statement is required.
VIII. Paperwork Reduction Act of 1995
This final rule contains information collection provisions that are
subject to review by the Office of Management and Budget (OMB) under
the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The title,
description, and respondent description of the information collection
provisions are shown in the following paragraphs with an estimate of
the one-time and annual reporting and recordkeeping burdens. Included
in the estimate is the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing each collection of information.
Title: Antimicrobial Animal Drug Distribution Reports and
Recordkeeping (21 CFR part 514)--OMB Control No. 0910-0659--Revision
Description: The ADUFA 105 legislation was enacted in 2008 to
address the problem of antimicrobial resistance and to help ensure that
we have the necessary information to examine safety concerns related to
the use of antibiotics in food-producing animals. ADUFA 105 amended
section 512 of the FD&C Act to require that sponsors of approved or
conditionally approved applications for new animal drugs containing an
antimicrobial active
[[Page 29139]]
ingredient submit an annual report to us on the amount of each such
ingredient in the drug that is sold or distributed for use in food-
producing animals. Each report must specify: (1) The amount of each
antimicrobial active ingredient by container size, strength, and dosage
form; (2) quantities distributed domestically and quantities exported;
and (3) a listing of the target animals, indications, and production
classes that are specified on the approved label of the product. The
report must cover the period of the preceding calendar year and include
separate information for each month of the calendar year. This rule
also includes an additional reporting provision intended to further
enhance our understanding of antimicrobial animal drug sales intended
for use in specific food-producing animal species. ADUFA 105 also
requires us to publish annual summary reports of the data we receive.
In accordance with ADUFA 105, sponsors of the affected antimicrobial
new animal drug products have submitted their sales and distribution
data to us, and we have published summaries of such data, for each
calendar year since 2009. Collection of information on the amount of
animal antimicrobials being distributed, including species-specific
information, is necessary to support our ongoing efforts to encourage
the judicious use of antimicrobials in food-producing animals to help
ensure the continued availability of safe and effective antimicrobials
for animals and humans. We intend to use these data to supplement
existing information, including data collected under the NAHMS and
NARMS programs. Data from multiple sources are needed to provide a
comprehensive and science-based picture of antimicrobial drug use and
resistance in animal agriculture.
The final rule amends our records and reports regulation in part
514 to include the following:
Procedures relating to the submission to us of annual
sales and distribution data reports by sponsors of approved or
conditionally approved antimicrobial new animal drug products sold or
distributed for use in food-producing animals.
Procedures relating to the requirement that such sponsors
submit species-specific estimates of product sales as a percentage of
total sales.
Procedures applicable to our preparation and publication
of summary reports on an annual basis based on the sales and
distribution data we receive from sponsors of approved antimicrobial
new animal drug products. The final rule includes specific parameters
for the content of the annual summary reports as well as provisions
intended to protect confidential business information and national
security, consistent with ADUFA 105 and this Agency's regulations at
Sec. 20.61.
Provisions that give sponsors of approved or conditionally
approved antimicrobial new animal drug products that are sold or
distributed for use in food-producing animals the opportunity to avoid
duplicative reporting of product sales and distribution data to us
under part 514.
The final rule codifies in part 514 the reporting requirements
established in ADUFA 105 and includes an additional reporting provision
intended to enhance our understanding of new animal drug sales intended
for use in specific food-producing animal species. The final rule also
revises Form FDA 3744 by providing for species-specific information to
be reported. Consequently FDA is revising the reporting requirements in
the associated information collection. However, the final rule does not
change the recordkeeping provisions already approved under OMB control
number 0910-0659.
Therefore, in compliance with the Paperwork Reduction Act of 1995
(44 U.S.C. 3506(c)(2)(B)), we requested public comment on the
information collection provisions of the proposed rule (80 FR 28863 at
28868). We received some public comments on the information collection
topics solicited in the proposed rule as addressed previously in
section IV (supporting our effort to eliminate duplicative reporting,
suggesting specific modifications and different approaches, questioning
or supporting the utility of the information, suggesting we wait for
resolution of the current legal disputes over disclosure of
confidential commercial information and suggesting we provide a
specific methodology for making species-specific sales estimates).
However, none of the comments suggests that we modify our burden
estimates.
Description of Respondents: Animal Drug Manufacturers (Sponsors).
The total annual estimated burden for this collection of
information is 9,759 hours and 538 responses. This reflects a marginal
increase in burden to that currently approved under OMB control number
0910-0659 resulting from the revised reporting provisions associated
with the final rule. At the same time, a review of our records reflects
an overall increase in respondents to the program from 26 to 27 and we
have therefore adjusted our respondent numbers accordingly.
We estimate the burden of this collection of information as
follows:
Table 1--Estimated One-Time Number Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of Average
21 CFR Section Number of responses per Total annual burden per Total hours
respondents respondent responses response
----------------------------------------------------------------------------------------------------------------
514.87(a) through (e)-- 20 1 20 24 480
Administrative Review of the
Rule: Sponsors With Active
Applications...................
514.87(a) through (e)-- 7 1 7 1 7
Administrative Review of the
Rule: Sponsors With Inactive
Applications...................
514.87(c)--Report Species- 20 7.50 150 2 300
Specific Estimate of Percent of
Products Distributed
Domestically...................
-------------------------------------------------------------------------------
Total....................... .............. .............. .............. .............. 787
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
We base our estimate of the average burden per response on our
recent experience with the existing antimicrobial animal drug
distribution reports program. We base our estimate of the number of
affected respondents reported in tables 1 and 2 on a review of our
records of sponsors with active and inactive applications, which show
that in the past 3 years the number of sponsors have increased from 26
to 27.
[[Page 29140]]
Table 1 shows the estimated one-time burden associated with the new
reporting provisions of this final rule. We expect that current
sponsors of approved or conditionally approved applications for
antimicrobial new animal drugs sold or distributed for use in food-
producing animals will need to review the provisions of the final rule
and develop a compliance plan. Based on our records, we estimate there
are a total of 27 sponsors, where 20 sponsors hold active (i.e.,
currently marketed) applications and 7 sponsors hold only inactive
applications, as reflected in rows 1 and 2. We estimate that the 20
sponsors with active applications will take 24 hours to complete the
review and develop a compliance plan. We expect that the seven sponsors
with inactive applications will take 1 hour to complete the review and
will not need to develop a compliance plan.
We also estimate that the 20 sponsors with 150 applications will
each spend approximately 2 hours to discuss and settle upon a method to
calculate the species-specific information required under Sec.
514.87(c). This estimate is reflected in row 3.
Table 2--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average
21 CFR Section FDA form Number of responses per Total annual burden per Total hours
respondents respondent responses response
--------------------------------------------------------------------------------------------------------------------------------------------------------
514.87(a) through (e)--Annual Reports for Sponsors With 3744 10 7.5 75 62 4,650
Active Applications--Paper Submission..................
514.87(a) through (e)--Annual Reports for Sponsors With 3744 10 7.5 75 52 3,900
Active Applications--Electronic Submission.............
514.87(a) through (e)--Annual Reports for Sponsors With 3744 4 26.5 106 2 212
Inactive Applications--Paper Submission................
514.87(a) through (e)--Annual Reports for Sponsors With 3744 3 35 105 2 210
Inactive Applications--Electronic Submission...........
-----------------------------------------------------------------------------------------------
Total............................................... .............. .............. .............. .............. .............. 8,972
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
Table 2 shows the estimated recurring annual reporting burden
associated with the final rule. While we expect new Sec. 514.87(c)
will require 3 burden hours resulting from including species-specific
estimates, we believe 1 hour will be saved by eliminating the
requirement for sponsors to calculate the amount of antimicrobial
active ingredients associated with their monthly product sales and
distribution data (Sec. 514.80(b)(4)(i)(A)). Consequently, we estimate
that the 20 sponsors with active applications will each expend
approximately 2 additional reporting hours annually for new Sec.
514.87. Because the Agency, upon implementation of the rule, will
accept both paper and electronic submissions, and we assume that half
of the respondents will report electronically, we estimate 10
respondents for each submission method as shown in rows 1 and 2.
While we estimate no increase in burden for the seven sponsors of
inactive applications, we similarly will accept both paper and
electronic submissions. Accordingly we have reported, unchanged, the 2
hours of burden already approved under OMB control number 0910-0659 in
rows 3 and 4.
This final rule also refers to other currently approved collections
of information found in our regulations. These collections of
information are subject to review by OMB under the Paperwork Reduction
Act of 1995. The collections of information in Sec. 514.80 are
approved under OMB control number 0910-0284. The collections of
information in 21 CFR 211.196 are approved under OMB control number
0910-0139.
The information collection provisions of this final rule have been
submitted to OMB for review as required by section 3507(d) of the
Paperwork Reduction Act of 1995. Prior to the effective date of this
final rule, FDA will publish a notice in the Federal Register
announcing OMB's decision to approve, modify, or disapprove the
information collection provisions in this final rule. An Agency may not
conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB
control number.
IX. Federalism
We have analyzed this final rule in accordance with the principles
set forth in Executive Order 13132. We have determined that the rule
does not contain policies that have substantial direct effects on the
States, on the relationship between the National Government and the
States, or on the distribution of power and responsibilities among the
various levels of government. Accordingly, we conclude that the rule
does not contain policies that have federalism implications as defined
in the Executive Order and, consequently, a federalism summary impact
statement is not required.
X. References
The following references are on display in the Division of Dockets
Management (see ADDRESSES) and are available for viewing by interested
persons between 9 a.m. and 4 p.m. Monday through Friday; they are also
available electronically at https://www.regulations.gov. FDA has
verified the Web site addresses, as of the date this document publishes
in the Federal Register, but Web sites are subject to change over time.
1. USDA, ``Livestock & Meat Domestic Data,'' https://www.ers.usda.gov/data-products/livestock-meat-domestic-data.
2. ``Food Fish Production and Sales by Species, by Size Category, by
State and United States: 2005,'' https://www.agcensus.usda.gov/Publications/2002/Aquaculture/aquacen2005_08.pdf.
3. Painter, J. A., R. M. Hoekstra, T. Ayers, et al., ``Attribution
of Foodborne Illnesses, Hospitalizations, and Deaths to Food
Commodities by Using Outbreak Data, United States, 1998-2008,''
Emerging Infectious Diseases, 19(3):407-415, 2013.
4. Gould, L. H., K. A. Walsh, A. R. Vieira, et al., ``Surveillance
for Foodborne Disease Outbreaks--United States, 1998-2008,''
[[Page 29141]]
Morbidity and Mortality Weekly Report. Surveillance Summaries,
62(2):1-34, 2013.
5. ``Aquaculture in the United States,'' https://www.nmfs.noaa.gov/aquaculture/aquaculture_in_us.html.
List of Subjects in 21 CFR Part 514
Administrative practice and procedure, Animal drugs, Confidential
business information, Reporting and recordkeeping requirements.
Therefore, under the Federal Food, Drug, and Cosmetic Act and under
authority delegated to the Commissioner of Food and Drugs, 21 CFR part
514 is amended as follows:
PART 514--NEW ANIMAL DRUG APPLICATIONS
0
1. The authority citation for part 514 is revised to read as follows:
Authority: 21 U.S.C. 321, 331, 351, 352, 354, 356a, 360b,
360ccc, 371, 379e, 381.
0
2. In Sec. 514.80, revise the fifth sentence of paragraph (b)(4)
introductory text and paragraph (b)(4)(i) to read as follows:
Sec. 514.80 Records and reports concerning experience with approved
new animal drugs.
* * * * *
(b) * * *
(4) * * * The yearly periodic drug experience reports must be
submitted within 90 days of the anniversary date of the approval of the
NADA or ANADA. * * *
(i) Distribution data. (A) Information about the distribution of
each new animal drug product, including information on any distributor-
labeled product. This information must include the total number of
distributed units of each size, strength, or potency (e.g., 100,000
bottles of 100 5-milligram tablets; 50,000 10-milliliter vials of 5-
percent solution). This information must be presented in two
categories: Quantities distributed domestically and quantities
exported.
(B) Applicants submitting annual sales and distribution reports for
antimicrobial new animal drug products under Sec. 514.87 have the
option not to report distribution data under paragraph (b)(4)(i)(A) of
this section for the approved applications that include these same
products, but only provided each of the following conditions are met:
(1) Applicants must have submitted complete periodic drug
experience reports under this section for such applications for at
least 2 full years after the date of their initial approval.
(2) Applicants must ensure that the beginning of the reporting
period for the annual periodic drug experience reports for such
applications is January 1. For applications that currently have a
reporting period that begins on a date other than January 1, applicants
must request a change in reporting submission date such that the
reporting period begins on January 1 and ends on December 31, as
described in paragraph (b)(4) of this section.
(3) Applicants that change their reporting submission date must
also submit a special drug experience report, as described in paragraph
(b)(5)(i) of this section, that addresses any gaps in distribution data
caused by the change in date of submission.
(4) Applicants who choose not to report under paragraph
(b)(4)(i)(A) of this section must ensure that full sales and
distribution data for each product approved under such applications are
alternatively reported under Sec. 514.87, including products that are
labeled for use only in nonfood-producing animals.
* * * * *
0
3. Add Sec. 514.87 to subpart B to read as follows:
Sec. 514.87 Annual reports for antimicrobial animal drug sales and
distribution.
(a) The applicant for each new animal drug product approved under
section 512 of the Federal Food, Drug, and Cosmetic Act, or
conditionally approved under section 571 of the Federal Food, Drug, and
Cosmetic Act, and containing an antimicrobial active ingredient, must
submit an annual report to FDA on the amount of each such antimicrobial
active ingredient in the drug that is sold or distributed in the
reporting year for use in food-producing animal species, including
information on any distributor-labeled product.
(b) This report must identify the approved or conditionally
approved application and must include the following information for
each new animal drug product described in paragraph (a) of this
section:
(1) A listing of each antimicrobial active ingredient contained in
the product;
(2) A description of each product sold or distributed by unit,
including the container size, strength, and dosage form of such product
units;
(3) For each such product, a listing of the target animal species,
indications, and production classes that are specified on the approved
label;
(4) For each such product, the number of units sold or distributed
in the United States (i.e., domestic sales) for each month of the
reporting year; and
(5) For each such product, the number of units sold or distributed
outside the United States (i.e., quantities exported) for each month of
the reporting year.
(c) Each report must also provide a species-specific estimate of
the percentage of each product described in paragraph (b)(2) of this
section that was sold or distributed domestically in the reporting year
for use in any of the following animal species categories, but only for
such species that appear on the approved label: Cattle, swine,
chickens, turkeys. The total of the species-specific percentages
reported for each product must account for 100 percent of its sales and
distribution; therefore, a fifth category of ``other species/unknown''
must also be reported.
(d) Each report must:
(1) Be submitted not later than March 31 each year;
(2) Cover the period of the preceding calendar year; and
(3) Be submitted using Form FDA 3744, ``Antimicrobial Animal Drug
Distribution Report.''
(e) Sales and distribution data and information reported under this
section will be considered to fall within the exemption for
confidential commercial information established in Sec. 20.61 of this
chapter and will not be publicly disclosed, except that summary reports
of such information aggregated in such a way that does not reveal
information that is not available for public disclosure under this
provision will be prepared by FDA and made available to the public as
provided in paragraph (f) of this section.
(f) FDA will publish an annual summary report of the data and
information it receives under this section for each calendar year by
December 31 of the following year. Such annual reports must include a
summary of sales and distribution data and information by antimicrobial
drug class and may include additional summary data and information as
determined by FDA. In order to protect confidential commercial
information, each individual datum appearing in the summary report
must:
(1) Reflect combined product sales and distribution data and
information obtained from three or more distinct sponsors of approved
products that were actively sold or distributed that reporting year,
and
(2) Be reported in a manner consistent with protecting both
national security and confidential commercial information.
Dated: May 6, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-11082 Filed 5-10-16; 8:45 am]
BILLING CODE 4164-01-P