Schedules of Controlled Substances: Placement of Brivaracetam Into Schedule V, 29487-29492 [2016-11245]
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13222, 66 FR 44025, 3 CFR, 2001 Comp., p.
783; Notice of August 7, 2015, 80 FR 48233
(August 11, 2015).
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Dated: May 5, 2016.
Eric L. Hirschhorn,
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[FR Doc. 2016–11047 Filed 5–11–16; 8:45 am]
BILLING CODE 3510–33–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA–435]
Schedules of Controlled Substances:
Placement of Brivaracetam Into
Schedule V
Drug Enforcement
Administration, Department of Justice.
ACTION: Interim final rule, with request
for comments.
AGENCY:
The Drug Enforcement
Administration is placing the substance
brivaracetam ((2S)-2-[(4R)-2-oxo-4propylpyrrolidin-1-yl] butanamide)
(also referred to as BRV; UCB–34714;
Briviact) (including its salts) into
schedule V of the Controlled Substances
Act. This scheduling action is pursuant
to the Controlled Substances Act, as
revised by the Improving Regulatory
Transparency for New Medical
Therapies Act which was signed into
law on November 25, 2015.
DATES: The effective date of this
rulemaking is May 12, 2016. Interested
persons may file written comments on
this rulemaking in accordance with 21
CFR 1308.43(g). Electronic comments
must be submitted, and written
comments must be postmarked, on or
before June 13, 2016. Commenters
should be aware that the electronic
Federal Docket Management System
will not accept comments after 11:59
p.m. Eastern Time on the last day of the
comment period.
Interested persons, defined at 21 CFR
1300.01 as those ‘‘adversely affected or
aggrieved by any rule or proposed rule
issuable pursuant to section 201 of the
Act (21 U.S.C. 811),’’ may file a request
for hearing or waiver of hearing
pursuant to 21 CFR 1308.44. Requests
for hearing and waivers of an
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SUMMARY:
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opportunity for a hearing or to
participate in a hearing must be
received on or before June 13, 2016.
ADDRESSES: To ensure proper handling
of comments, please reference ‘‘Docket
No. DEA–435’’ on all correspondence,
including any attachments.
• Electronic comments: The Drug
Enforcement Administration encourages
that all comments be submitted
electronically through the Federal
eRulemaking Portal, which provides the
ability to type short comments directly
into the comment field on the Web page
or attach a file for lengthier comments.
Please go to https://www.regulations.gov
and follow the online instructions at
that site for submitting comments. Upon
completion of your submission, you will
receive a Comment Tracking Number for
your comment. Please be aware that
submitted comments are not
instantaneously available for public
view on Regulations.gov. If you have
received a Comment Tracking Number,
your comment has been successfully
submitted and there is no need to
resubmit the same comment.
• Paper comments: Paper comments
that duplicate the electronic submission
are not necessary and are discouraged.
Should you wish to mail a paper
comment in lieu of an electronic
comment, it should be sent via regular
or express mail to: Drug Enforcement
Administration, Attn: DEA Federal
Register Representative/ODW, 8701
Morrissette Drive, Springfield, VA
22152.
• Hearing requests: All requests for
hearing and waivers of participation
must be sent to: Drug Enforcement
Administration, Attn: Administrator,
8701 Morrissette Drive, Springfield,
Virginia 22152. All requests for hearing
and waivers of participation should also
be sent to: (1) Drug Enforcement
Administration, Attn: Hearing Clerk/LJ,
8701 Morrissette Drive, Springfield,
Virginia 22152; and (2) Drug
Enforcement Administration, Attn: DEA
Federal Register Representative/ODW,
8701 Morrissette Drive, Springfield,
Virginia 22152.
FOR FURTHER INFORMATION CONTACT:
Barbara J. Boockholdt, Office of
Diversion Control, Drug Enforcement
Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia
22152; Telephone: (202) 598–6812.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments
Please note that all comments
received are considered part of the
public record. They will, unless
reasonable cause is given, be made
available by the Drug Enforcement
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29487
Administration (DEA) for public
inspection online at https://
www.regulations.gov. Such information
includes personal identifying
information (such as your name,
address, etc.) voluntarily submitted by
the commenter. The Freedom of
Information Act (FOIA) applies to all
comments received. If you want to
submit personal identifying information
(such as your name, address, etc.) as
part of your comment, but do not want
it to be made publicly available, you
must include the phrase ‘‘PERSONAL
IDENTIFYING INFORMATION’’ in the
first paragraph of your comment. You
must also place all of the personal
identifying information you do not want
made publicly available in the first
paragraph of your comment and identify
what information you want redacted.
If you want to submit confidential
business information as part of your
comment, but do not want it to be made
publicly available, you must include the
phrase ‘‘CONFIDENTIAL BUSINESS
INFORMATION’’ in the first paragraph
of your comment. You must also
prominently identify the confidential
business information to be redacted
within the comment.
Comments containing personal
identifying information and confidential
business information identified as
directed above will generally be made
publicly available in redacted form. If a
comment has so much confidential
business information or personal
identifying information that it cannot be
effectively redacted, all or part of that
comment may not be made publicly
available. Comments posted to https://
www.regulations.gov may include any
personal identifying information (such
as name, address, and phone number)
included in the text of your electronic
submission that is not identified as
directed above as confidential.
An electronic copy of this document
and supplemental information,
including the complete Department of
Health and Human Services and Drug
Enforcement Administration eight-factor
analyses, to this interim final rule are
available at https://www.regulations.gov
for easy reference.
Request for Hearing, Notice of
Appearance at Hearing, or Waiver of
Participation in Hearing
Pursuant to 21 U.S.C. 811(a), this
action is a formal rulemaking ‘‘on the
record after opportunity for a hearing.’’
Such proceedings are conducted
pursuant to the provisions of the
Administrative Procedure Act (APA), 5
U.S.C. 551–559. 21 CFR 1308.41–
1308.45; 21 CFR part 1316, subpart D.
In accordance with 21 CFR 1308.44(a)–
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(c), requests for a hearing, notices of
appearance, and waivers of an
opportunity for a hearing or to
participate in a hearing may be
submitted only by interested persons,
defined as those ‘‘adversely affected or
aggrieved by any rule or proposed rule
issuable pursuant to section 201 of the
Act (21 U.S.C. 811).’’ 21 CFR 1300.01.
Requests for a hearing and notices of
participation must conform to the
requirements of 21 CFR 1308.44(a) or
(b), as applicable, and include a
statement of the interest of the person in
the proceeding and the objections or
issues, if any, concerning which the
person desires to be heard. Any waiver
of an opportunity for a hearing must
conform to the requirements of 21 CFR
1308.44(c) including a written statement
regarding the interested person’s
position on the matters of fact and law
involved in any hearing.
Please note that pursuant to 21 U.S.C.
811(a), the purpose and subject matter
of the hearing are restricted to ‘‘(A)
find[ing] that such drug or other
substance has a potential for abuse, and
(B) mak[ing] with respect to such drug
or other substance the findings
prescribed by subsection (b) of section
812 of this title for the schedule in
which such drug is to be placed. * * *’’
Requests for a hearing and waivers of
participation in the hearing should be
submitted to DEA using the address
information provided above.
Legal Authority
The DEA implements and enforces
titles II and III of the Comprehensive
Drug Abuse Prevention and Control Act
of 1970, as amended. 21 U.S.C. 801–971.
Titles II and III are referred to as the
‘‘Controlled Substances Act’’ and the
‘‘Controlled Substances Import and
Export Act,’’ respectively, and are
collectively referred to as the
‘‘Controlled Substances Act’’ or the
‘‘CSA’’ for the purpose of this action.
The DEA publishes the implementing
regulations for these statutes in title 21
of the Code of Federal Regulations
(CFR), chapter II. The CSA and its
implementing regulations are designed
to prevent, detect, and eliminate the
diversion of controlled substances and
listed chemicals into the illicit market
while providing for the legitimate
medical, scientific, research, and
industrial needs of the United States.
Controlled substances have the potential
for abuse and dependence and are
controlled to protect the public health
and safety.
Under the CSA, controlled substances
are classified into one of five schedules
based upon their potential for abuse,
their currently accepted medical use in
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treatment in the United States, and the
degree of dependence the substance
may cause. 21 U.S.C. 812. The initial
schedules of controlled substances
established by Congress are found at 21
U.S.C. 812(c), and the current list of all
scheduled substances is published at 21
CFR part 1308.
Pursuant to 21 U.S.C. 811(a)(1), the
Attorney General may, by rule, ‘‘add to
such a schedule or transfer between
such schedules any drug or other
substance if he * * * finds that such
drug or other substance has a potential
for abuse, and * * * makes with respect
to such drug or other substance the
findings prescribed by subsection (b) of
section 812 of this title for the schedule
in which such drug is to be placed
* * *’’ The Attorney General has
delegated this scheduling authority
under 21 U.S.C. 811 to the
Administrator of the DEA. 28 CFR
0.100.
The CSA provides that scheduling of
any drug or other substance may be
initiated by the Attorney General (1) on
her own motion; (2) at the request of the
Secretary of Health and Human Services
(HHS); or (3) on the petition of any
interested party. 21 U.S.C. 811(a). This
action imposes the regulatory controls
and administrative, civil, and criminal
sanctions of schedule V controlled
substances for any person who handles
or proposes to handle BRV.
The Improving Regulatory
Transparency for New Medical
Therapies Act (Pub. L. 114–89) was
signed into law on November 25, 2015.
This law amended 21 U.S.C. 811 and
states that in cases where a new drug is
(1) approved by the Department of
Health and Human Services (HHS) and
(2) HHS recommends control in CSA
schedule II–V, DEA shall issue an
interim final rule scheduling the drug,
within 90 days.
The law further states that the 90-day
timeframe starts the later of (1) the date
DEA receives the HHS scientific and
medical evaluation/scheduling
recommendation or (2) the date DEA
receives notice of drug approval by
HHS. In addition, the law specifies that
the rulemaking shall become
immediately effective as an interim final
rule without requiring the DEA to
demonstrate good cause therefor.
Specifically, Public Law 114–89
revised section 201 of the CSA (21
U.S.C. 811) by inserting after subsection
(i) a new paragraph (j), which requires
that with respect to a drug referred to in
subsection (f), if the Secretary
recommends that the Attorney General
control the drug in schedule II, III, IV,
or V pursuant to subsections (a) and (b),
the Attorney General is required to,
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within 90 days, issue an interim final
rule controlling the drug in accordance
with such subsections and 21 U.S.C.
812(b) using the specified procedures.
For purposes of calculating the 90 days,
Public Law 114–89 states that such date
shall be the later of the date on which
the Attorney General receives the
scientific and medical evaluation and
the scheduling recommendation from
the Secretary in accordance with
subsection (b), or the date on which the
Attorney General receives notification
from the Secretary that the Secretary has
approved an application under section
505(c), 512, or 571 of the Federal Food,
Drug, and Cosmetic Act or section
351(a) of the Public Health Service Act,
or indexed a drug under section 572 of
the Federal Food, Drug, and Cosmetic
Act, with respect to the drug described
in paragraph (1). Public Law 114–89
further stipulates that a rule issued by
the Attorney General under paragraph
(1) becomes immediately effective as an
interim final rule without requiring the
Attorney General to demonstrate good
cause and requires that the interim final
rule give interested persons the
opportunity to comment and to request
a hearing. After the conclusion of such
proceedings, the Attorney General must
issue a final rule in accordance with the
scheduling criteria of subsections 21
U.S.C. 811(b), (c), and (d) of this section
and 21 U.S.C. 812(b).
Background
Brivaracetam ((2S)-2-[(4R)-2-oxo-4propylpyrrolidin-1-yl] butanamide)
(also referred to as BRV; UCB–34714;
Briviact) is a new molecular entity with
central nervous system (CNS)
depressant properties. BRV is known to
be a high affinity ligand for the synaptic
vesicle protein, SV2A, which is found
on excitatory synapses in the brain. On
November 22, 2014, UCB Inc. (Sponsor)
submitted three New Drug Applications
(NDAs) to the U.S. Food and Drug
Administration (FDA) for the tablet,
oral, and intravenous formulations of
BRV. The FDA accepted the NDA filings
for BRV on January 21, 2015.
On March 28, 2016 the DEA received
notification that HHS/FDA approved
BRV as an add-on treatment to other
medications to treat partial onset
seizures in patients age 16 years and
older with epilepsy.
Determination to Schedule BRV
Pursuant to 21 U.S.C. 811(a)(1),
proceedings to add a drug or substance
to those controlled under the CSA may
be initiated by request of the Secretary
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of the HHS.1 On September 8, 2015, the
HHS provided the DEA with a scientific
and medical evaluation document
prepared by the FDA entitled ‘‘Basis for
the Recommendation to Place
Brivaracetam in Schedule V of the
Controlled Substances Act.’’ Pursuant to
21 U.S.C. 811(b), this document
contained an eight-factor analysis of the
abuse potential of BRV as a new drug,
along with the HHS’ recommendation to
control BRV under schedule V of the
CSA.
In response, in December 2015, the
DEA reviewed the scientific and
medical evaluation and scheduling
recommendation provided by the HHS,
along with all other relevant data, and
completed its own eight-factor review
document pursuant to 21 U.S.C. 811(c).
The DEA concluded that BRV met the
21 U.S.C. 812(b)(5) criteria for
placement in schedule V of the CSA.
Subsequently, on March 28, 2016, the
DEA received notification that HHS/
FDA approved three NDAs for BRV (see
Background section).
Pursuant to the provisions of the
Improving Regulatory Transparency for
New Medical Therapies Act (Pub. L.
114–89), and based on the HHS
recommendation, NDA approvals by
HHS/FDA, and DEA’s determination,
DEA is issuing this interim final rule to
schedule brivaracetam ((2S)-2-[(4R)-2oxo-4-propylpyrrolidin-1-yl]
butanamide) (including its salts) as a
controlled substance under the CSA.
Included below is a brief summary of
each factor as analyzed by the HHS and
the DEA, and as considered by the DEA
in its scheduling action. Please note that
both the DEA and HHS analyses are
available in their entirety under
‘‘Supporting Documents’’ in the public
docket for this interim final rule at
https://www.regulations.gov, under
Docket Number ‘‘DEA–435.’’ Full
analysis of, and citations to, the
information referenced in the summary
may also be found in the supporting and
related material.
1. The Drug’s Actual or Relative
Potential for Abuse: BRV is a new
chemical entity and has not been
marketed in the United States or in any
other country; information on actual
abuse of BRV is not available. The HHS
characterized BRV as related in its
1 As set forth in a memorandum of understanding
entered into by the HHS, the FDA, and the National
Institute on Drug Abuse (NIDA), the FDA acts as the
lead agency within the HHS in carrying out the
Secretary’s scheduling responsibilities under the
CSA, with the concurrence of the NIDA. 50 FR
9518, Mar. 8, 1985. The Secretary of the HHS has
delegated to the Assistant Secretary for Health of
the HHS the authority to make domestic drug
scheduling recommendations. 58 FR 35460, July 1,
1993.
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action to lacasamide and ezogabine,
which are both schedule V CNS
depressant anti-epileptics (AEDs). Based
on data submitted by the Sponsor in
their NDAs, the HHS indicated that
administration of BRV in mice, rats, and
dogs resulted in CNS depressant effects,
including decreased locomotor activity
and reactivity, motor incoordination,
and ataxia.
BRV is not self-administered in
animals and, unlike schedule IV
benzodiazepines and the schedule III
AED perampanel, lacks pentobarbitallike (schedule II) discriminative
stimulus and reinforcing effects (HHS
review, 2015). In humans, BRV is most
similar to the schedule V AEDs
lacosamide, ezogabine, and pregabalin
in producing positive subjective effects
without producing sedation and
withdrawal following drug
discontinuation that is observed with
schedule IV benzodiazepines. Based on
this collective evidence, the HHS
concluded that BRV has an abuse
potential that is most similar to AEDs in
schedule V.
2. Scientific Evidence of the Drug’s
Pharmacological Effects, if Known: BRV
selectively binds with high affinity to
synaptic vesicle protein 2A (SV2A). It
produces reverse inhibition caused by
negative modulators of gamma
aminobutyric acid (GABA) and glycine
and inhibits sodium (Na+) channels.
These sites appear to underlie
pharmacological activity of BRV.
In rats, BRV at high doses partially
generalizes to the schedule IV
benzodiazepine chlordiazepoxide. BRV,
across a wide range of doses, neither
initiates nor maintains selfadministration in rats trained to selfadminister cocaine. Human studies have
reported that healthy individuals may
experience euphoria, sedation, and a
drunken-like feeling following BRV
administration. When treatmentemergent adverse events (TEAEs) 2 were
pooled across several clinical BRV
studies, the most common TEAEs were
dizziness and sedative-related events
such as fatigue, extreme drowsiness,
and extreme weakness. In a human
abuse potential study, the oral abuse
potential, safety, tolerability, and
pharmacokinetics of BRV (50 mg, 200
mg, and 1000 mg) were compared to 1.5
and 3.0 mg of the schedule IV CNS
depressant alprazolam (ALP) and
placebo. When surveyed, for all doses of
2 Treatment-emergent adverse event (TEAE): An
event or unexpected medical occurrence (e.g.
adverse event) which first appears during treatment
with a drug or substance. TEAEs are typically
absent prior to the onset of treatment or would have
been exacerbated relative to pre-treatment
conditions.
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BRV, there was an increase of drug
likability, feeling of a high, and taking
the drug again in comparison to
placebo. The HHS mentioned that
individuals who took BRV had fewer
sedative, euphoric, stimulant, dizziness,
and overall negative subjective effects
compared to ALP.
3. The State of Current Scientific
Knowledge Regarding Brivaracetam:
The chemical name for brivaracetam is
(2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1yl] butanamide. Other names include
BRV and UCB–34714. The Chemical
Abstract Services number (CAS #) of
BRV is: 357336–20–0. BRV is a racetam
derivative.3 As the HHS noted, BRV
does not have structural similarities to
any other scheduled AED or to any
major classes of abused sedative drugs
with noted euphoric effects. Chemical
synthesis of BRV is considered highly
complex and includes several steps,
reagents and specialized equipment.
BRV is readily soluble in water at up
to 700 mg/mL. In an in vitro oral tablet
dissolution evaluation, BRV oral tablets
were placed in a buffer (pH 6.4) for 16
hours. Approximately 86–96% of BRV
was released after 16 hours in the buffer;
14–30% of BRV was released following
1 hour and 40–66% BRV was released
after 4 hours.
Following oral ingestion, BRV is
rapidly and completely absorbed. In
healthy young males, the half-life of
BRV was determined to be
approximately 9 hours. According to the
HHS, the half-life of BRV is decreased
to 6 hours when a repeated oral dose of
800 mg/day BRV is administered. The
HHS noted that BRV binds weakly to
plasma proteins and is extensively
metabolized through several pathways.
Clearance through the kidneys
represents 5–10% of the total clearance
and only 3–7% of the parent compound
(BRV) was detected in the urine. The
three main metabolites of BRV were
detected in urine and according to the
HHS, these metabolites are relatively
inactive. One BRV metabolite was
characterized as having a potency that
was 20 times less than BRV, and this
metabolite was not detected in human
plasma and represented less than 3% of
the dose in urine.
4. Its History and Current Pattern of
Abuse: As noted by the HHS,
information on the history and current
pattern of abuse of BRV is not available
since this drug is currently not marketed
in any country. A review of the animal
and human data indicates that BRV has
an abuse potential similar to other
schedule V AEDs. If BRV were to be
3 Racetams are a class of drugs that have a
pyrrolidoline center.
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approved for medical use, the HHS
indicated that BRV would be abused for
its euphoric properties and other abuserelated TEAEs that were reported in
human clinical studies. Based on the
available information, the HHS
concluded that the history and pattern
of abuse of BRV will be similar to other
schedule V CNS depressants.
5. The Scope, Duration, and
Significance of Abuse: As noted by the
HHS, information on the scope,
duration, and significance of abuse of
BRV is not available since this drug is
currently not marketed in any country.
Results from animal and human studies
suggest that there is abuse potential
associated with BRV and if marketed in
the United States, it is likely that BRV
will be abused similar to other AEDs
that are CNS depressants. The HHS
stated that it is unlikely that epileptic
individuals (the population expected to
take this drug) will abuse BRV. The
HHS concluded that based on abuse
potential similarities between BRV and
other schedule V AEDs, it is likely that
the scope, duration, and significance of
abuse of BRV will be similar to these
compounds.
6. What, if any, Risk There is to the
Public Health: The HHS characterized
BRV’s drug abuse potential to be similar
to schedule V AEDs. As such, the public
health risk with BRV will also be similar
to other schedule V AEDs. The HHS
noted that if BRV were approved for
medical use, it would be abused for its
rewarding properties. In healthy
volunteers administered 600 mg or
higher of BRV, cognitive and motor
impairment and sedation were
observed. It is unknown how BRV
would interact in combination with
other CNS depressants and if the
sedative effects would be additive or
even a lethal combination. In an
interaction study with BRV and
intravenous ethanol in healthy
individuals, it was determined that BRV
enhanced the effects of ethanol.
7. Its Psychic or Physiological
Dependence Liability: BRV has limited
psychological dependence and does not
appear to have physical dependence.
When rats were administered BRV for
30 days, no signs of physical
dependence were noted in comparison
to the schedule IV comparator,
chlordiazepoxide. Similarly, in human
clinical studies with healthy volunteers,
there were no reports or adverse events
that noted physical dependence or a
withdrawal syndrome associated with
BRV use. The low potential for physical
dependence observed with BRV is
consistent with other schedule V AEDs.
There is limited evidence for
psychological dependence with BRV.
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Clinical studies have reported
individuals experiencing increasing
euphoria with increasing doses of BRV.
Tolerance does not appear to develop
with respect to BRV treatment on
epileptic seizure reduction.
8. Whether the Substance is an
Immediate Precursor of a Substance
Already Controlled under the CSA: BRV
is not an immediate precursor of any
controlled substance.
Conclusion: After considering the
scientific and medical evaluation
conducted by the HHS, the HHS’
recommendation, and its own eightfactor analysis, the DEA has determined
that these facts and all relevant data
constitute substantial evidence of a
potential for abuse of BRV. As such, the
DEA hereby schedules BRV as a
controlled substance under the CSA.
Determination of Appropriate Schedule
The CSA outlines the findings
required to place a drug or other
substance in any particular schedule (I,
II, III, IV, or V). 21 U.S.C. 812(b). After
consideration of the analysis and
recommendation of the Assistant
Secretary for Health of the HHS and
review of all available data, the Acting
Administrator of the DEA, pursuant to
21 U.S.C. 812(b)(5), finds that:
1. BRV has a low potential for abuse
relative to the drugs or other substances
in schedule IV. The overall abuse
potential of BRV is comparable to
schedule V controlled substances such
as ezogabalin, pregabalin, and
lacosamide;
2. With FDA’s approval of the new
drug applications, BRV has a currently
accepted medical use in the United
States as adjunctive treatment of partial
onset seizures in epileptic individuals
ages 16 and older; and
3. Human and animal studies
demonstrate that BRV has limited
psychological dependence and does not
appear to have physical dependence.
There was no evidence of physical
dependence associated with BRV in
human and animal studies since there
have been no reports of withdrawal
syndromes or other physical
dependence effects. Based on these data,
abuse of BRV may lead to limited
psychological dependence similar to
schedule V AEDs but less than that of
drugs in schedule IV.
Based on these findings, the Acting
Administrator of the DEA concludes
that brivaracetam ((2S)-2-[(4R)-2-oxo-4propylpyrrolidin-1-yl] butanamide)
(also referred to as BRV; UCB–34714;
Briviact), including its salts, warrants
control in schedule V of the CSA. 21
U.S.C. 812(b)(5).
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Requirements for Handling
Brivaracetam
BRV is subject to the CSA’s schedule
V regulatory controls and
administrative, civil, and criminal
sanctions applicable to the manufacture,
distribution, reverse distribution,
dispensing, importing, exporting,
research, and conduct of instructional
activities and chemical analysis with,
and possession involving schedule V
substances, including the following:
1. Registration. Any person who
handles (manufactures, distributes,
reverse distributes, dispenses, imports,
exports, engages in research, or
conducts instructional activities or
chemical analysis with, or possesses)
BRV, or who desires to handle BRV,
must be registered with the DEA to
conduct such activities pursuant to 21
U.S.C. 822, 823, 957, and 958 and in
accordance with 21 CFR parts 1301 and
1312. Any person who currently
handles BRV, and is not registered with
the DEA, must submit an application for
registration and may not continue to
handle BRV, unless the DEA has
approved that application for
registration, pursuant to 21 U.S.C. 822,
823, 957, and 958, and in accordance
with 21 CFR parts 1301 and 1312.
2. Disposal of stocks. Any person who
does not desire or is not able to obtain
a schedule V registration must surrender
all quantities of currently held BRV, or
may transfer all quantities of currently
held BRV to a person registered with the
DEA in accordance with 21 CFR part
1317, in additional to all other
applicable federal, state, local, and tribal
laws.
3. Security. BRV is subject to schedule
III–V security requirements and must be
handled and stored pursuant to 21
U.S.C. 821, 823, and 871(b), and in
accordance with 21 CFR 1301.71–
1301.93.
4. Labeling and Packaging. All labels,
labeling, and packaging for commercial
containers of BRV must comply with 21
U.S.C. 825 and 958(e), and be in
accordance with 21 CFR part 1302.
5. Inventory. Every DEA registrant
who possesses any quantity of BRV
must take an inventory of BRV on hand,
pursuant to 21 U.S.C. 827 and 958, and
in accordance with 21 CFR 1304.03,
1304.04, and 1304.11.
Any person who becomes registered
with the DEA must take an initial
inventory of all stocks of controlled
substances (including BRV) on hand on
the date the registrant first engages in
the handling of controlled substances,
pursuant to 21 U.S.C. 827 and 958, and
in accordance with 21 CFR 1304.03,
1304.04, and 1304.11.
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Federal Register / Vol. 81, No. 92 / Thursday, May 12, 2016 / Rules and Regulations
After the initial inventory, every DEA
registrant must take a new inventory of
all stocks of controlled substances
(including BRV) on hand every two
years, pursuant to 21 U.S.C. 827 and
958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11.
6. Records and Reports. Every DEA
registrant must maintain records and
submit reports for BRV, or products
containing BRV, pursuant to 21 U.S.C.
827 and 958(e), and in accordance with
21 CFR parts 1304, 1312, and 1317.
7. Prescriptions. All prescriptions for
BRV or products containing BRV must
comply with 21 U.S.C. 829, and be
issued in accordance with 21 CFR parts
1306 and 1311, subpart C.
8. Importation and Exportation. All
importation and exportation of BRV
must be in compliance with 21 U.S.C.
952, 953, 957, and 958, and in
accordance with 21 CFR part 1312.
9. Liability. Any activity involving
BRV not authorized by, or in violation
of, the CSA or its implementing
regulations, is unlawful, and may
subject the person to administrative,
civil, and/or criminal sanctions.
Regulatory Analyses
Administrative Procedure Act
Public Law 114–89 was signed into
law, amending 21 U.S.C. 811. This
amendment provides that in cases
where a new drug is (1) approved by the
Department of Health and Human
Services (HHS) and (2) HHS
recommends control in CSA schedule
II–V, the DEA shall issue an interim
final rule scheduling the drug within 90
days. Additionally, the law specifies
that the rulemaking shall become
immediately effective as an interim final
rule without requiring the DEA to
demonstrate good cause. Therefore, the
DEA has determined that the notice and
comment requirements of section 553 of
the APA, 5 U.S.C. 553, do not apply to
this scheduling action.
jstallworth on DSK7TPTVN1PROD with RULES
Executive Orders 12866, Regulatory
Planning and Review, and 13563,
Improving Regulation and Regulatory
Review
In accordance with Public Law 114–
89, this scheduling action is subject to
formal rulemaking procedures
performed ‘‘on the record after
opportunity for a hearing,’’ which are
conducted pursuant to the provisions of
5 U.S.C. 556 and 557. The CSA sets
forth the procedures and criteria for
scheduling a drug or other substance.
Such actions are exempt from review by
the Office of Management and Budget
(OMB) pursuant to section 3(d)(1) of
Executive Order 12866 and the
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13:18 May 11, 2016
Jkt 238001
principles reaffirmed in Executive Order
13563.
Executive Order 12988, Civil Justice
Reform
This regulation meets the applicable
standards set forth in sections 3(a) and
3(b)(2) of Executive Order 12988 to
eliminate drafting errors and ambiguity,
minimize litigation, provide a clear legal
standard for affected conduct, and
promote simplification and burden
reduction.
Executive Order 13132, Federalism
This rulemaking does not have
federalism implications warranting the
application of Executive Order 13132.
The rule does not 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.
Executive Order 13175, Consultation
and Coordination With Indian Tribal
Governments
This rule does not have tribal
implications warranting the application
of Executive Order 13175. It does not
have substantial direct effects on one or
more Indian tribes, on the relationship
between the Federal government and
Indian tribes, or on the distribution of
power and responsibilities between the
Federal government and Indian tribes.
Regulatory Flexibility Act
In accordance with 5 U.S.C. 603(a),
‘‘[w]henever an agency is required by [5
U.S.C. 553], or any other law, to publish
general notice of proposed rulemaking
for any proposed rule, or publishes a
notice of proposed rulemaking for an
interpretive rule involving the internal
revenue laws of the United States, the
agency shall prepare and make available
for public comment an initial regulatory
flexibility analysis.’’ As noted in the
above discussion regarding applicability
of the Administrative Procedure Act, the
DEA has determined that the notice and
comment requirements of section 553 of
the APA, 5 U.S.C. 553, do not apply to
this scheduling action. Consequently,
the RFA does not apply to this interim
final rule.
Unfunded Mandates Reform Act of 1995
In accordance with the Unfunded
Mandates Reform Act (UMRA) of 1995,
2 U.S.C. 1501 et seq., the DEA has
determined and certifies that this action
would not result in any Federal
mandate that may result ‘‘in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
PO 00000
Frm 00021
Fmt 4700
Sfmt 4700
29491
private sector, of $100,000,000 or more
(adjusted for inflation) in any one year.’’
Therefore, neither a Small Government
Agency Plan nor any other action is
required under UMRA of 1995.
Paperwork Reduction Act of 1995
This action does not impose a new
collection of information requirement
under the Paperwork Reduction Act of
1995. 44 U.S.C. 3501–3521. This action
would not impose recordkeeping or
reporting requirements on State or local
governments, individuals, businesses, or
organizations. 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.
Congressional Review Act
This rule is not a major rule as
defined by section 804 of the Small
Business Regulatory Enforcement
Fairness Act of 1996 (Congressional
Review Act (CRA)). This rule will not
result in: An annual effect on the
economy of $100,000,000 or more; a
major increase in costs or prices for
consumers, individual industries,
Federal, State, or local government
agencies, or geographic regions; or
significant adverse effects on
competition, employment, investment,
productivity, innovation, or on the
ability of U.S.-based companies to
compete with foreign based companies
in domestic and export markets.
However, pursuant to the CRA, the DEA
has submitted a copy of this interim
final rule to both Houses of Congress
and to the Comptroller General.
List of Subjects in 21 CFR Part 1308
Administrative practice and
procedure, Drug traffic control,
Reporting and recordkeeping
requirements.
For the reasons set out above, the DEA
amends 21 CFR part 1308:
PART 1308—SCHEDULES OF
CONTROLLED SUBSTANCES
1. The authority citation for 21 CFR
part 1308 continues to read as follows:
■
Authority: 21 U.S.C. 811, 812, 871(b),
unless otherwise noted.
2. Amend § 1308.15 by redesignating
paragraphs (e)(1) through (e)(3) as
paragraphs (e)(2) through (e)(4) and
adding new paragraph (e)(1) to read as
follows:
■
§ 1308.15
*
Schedule V.
*
*
(e) * * *
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*
*
29492
Federal Register / Vol. 81, No. 92 / Thursday, May 12, 2016 / Rules and Regulations
(1) Brivaracetam ((2S)-2-[(4R)-2oxo-4-propylpyrrolidin-1-yl]
butanamide) (also referred to as
BRV; UCB–34714; Briviact) (including its salts) ...........................
*
*
*
*
*
Dated: May 6, 2016.
Chuck Rosenberg,
Acting Administrator.
FOR FURTHER INFORMATION CONTACT:
Barbara J. Boockholdt, Office of
Diversion Control, Drug Enforcement
Administration; Mailing Address: 8701
2710 Morrissette Drive, Springfield, Virginia
22152; Telephone: (202) 598–6812.
SUPPLEMENTARY INFORMATION:
[FR Doc. 2016–11245 Filed 5–11–16; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA–434F]
Schedules of Controlled Substances:
Temporary Placement of Butyryl
Fentanyl and Beta-Hydroxythiofentanyl
Into Schedule I
Drug Enforcement
Administration, Department of Justice.
ACTION: Final order.
AGENCY:
The Administrator of the Drug
Enforcement Administration is issuing
this final order to temporarily schedule
the synthetic opioids, N-(1phenethylpiperidin-4-yl)-Nphenylbutyramide, also known as N-(1phenethylpiperidin-4-yl)-Nphenylbutanamide, (butyryl fentanyl)
and N-[1-[2-hydroxy-2-(thiophen-2yl)ethyl]piperidin-4-yl]-Nphenylpropionamide, also known as N[1-[2-hydroxy-2-(2-thienyl)ethyl]-4piperidinyl]-N-phenylpropanamide,
(beta-hydroxythiofentanyl), and their
isomers, esters, ethers, salts and salts of
isomers, esters and ethers, into schedule
I pursuant to the temporary scheduling
provisions of the Controlled Substances
Act. This action is based on a finding by
the Administrator that the placement of
butyryl fentanyl and betahydroxythiofentanyl into schedule I of
the Controlled Substances Act is
necessary to avoid an imminent hazard
to the public safety. As a result of this
order, the regulatory controls and
administrative, civil, and criminal
sanctions applicable to schedule I
controlled substances will be imposed
on persons who handle (manufacture,
distribute, reverse distribute, import,
export, engage in research, conduct
instructional activities or chemical
analysis, or possess), or propose to
handle, butyryl fentanyl and betahydroxythiofentanyl.
jstallworth on DSK7TPTVN1PROD with RULES
SUMMARY:
This final order is effective on
May 12, 2016.
DATES:
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13:18 May 11, 2016
Jkt 238001
Legal Authority
The Drug Enforcement
Administration (DEA) implements and
enforces titles II and III of the
Comprehensive Drug Abuse Prevention
and Control Act of 1970, as amended. 21
U.S.C. 801–971. Titles II and III are
referred to as the ‘‘Controlled
Substances Act’’ and the ‘‘Controlled
Substances Import and Export Act,’’
respectively, and are collectively
referred to as the ‘‘Controlled
Substances Act’’ or the ‘‘CSA’’ for the
purpose of this action. The DEA
publishes the implementing regulations
for these statutes in title 21 of the Code
of Federal Regulations (CFR), chapter II.
The CSA and its implementing
regulations are designed to prevent,
detect, and eliminate the diversion of
controlled substances and listed
chemicals into the illicit market while
ensuring an adequate supply is available
for the legitimate medical, scientific,
research, and industrial needs of the
United States. Controlled substances
have the potential for abuse and
dependence and are controlled to
protect the public health and safety.
Under the CSA, every controlled
substance is classified into one of five
schedules based upon its potential for
abuse, its currently accepted medical
use in treatment in the United States,
and the degree of dependence the drug
or other substance may cause. 21 U.S.C.
812. The initial schedules of controlled
substances established by Congress are
found at 21 U.S.C. 812(c), and the
current list of all scheduled substances
is published at 21 CFR part 1308.
Section 201 of the CSA, 21 U.S.C. 811,
provides the Attorney General with the
authority to temporarily place a
substance into schedule I of the CSA for
two years without regard to the
requirements of 21 U.S.C. 811(b) if she
finds that such action is necessary to
avoid an imminent hazard to the public
safety. 21 U.S.C. 811(h)(1). In addition,
if proceedings to control a substance are
initiated under 21 U.S.C. 811(a)(1), the
Attorney General may extend the
temporary scheduling for up to one
year. 21 U.S.C. 811(h)(2).
Where the necessary findings are
made, a substance may be temporarily
scheduled if it is not listed in any other
schedule under section 202 of the CSA,
21 U.S.C. 812, or if there is no
exemption or approval in effect for the
PO 00000
Frm 00022
Fmt 4700
Sfmt 4700
substance under section 505 of the
Federal Food, Drug, and Cosmetic Act
(FDCA), 21 U.S.C. 355. 21 U.S.C.
811(h)(1). The Attorney General has
delegated her scheduling authority
under 21 U.S.C. 811 to the
Administrator of the DEA. 28 CFR
0.100.
Background
Section 201(h)(4) of the CSA, 21
U.S.C. 811(h)(4), requires the
Administrator to notify the Secretary of
the Department of Health and Human
Services (HHS) of his intention to
temporarily place a substance into
schedule I of the CSA.1 The
Administrator transmitted the notice of
intent to place butyryl fentanyl and
beta-hydroxythiofentanyl into schedule
I on a temporary basis to the Assistant
Secretary by letter dated December 21,
2015. The Assistant Secretary
responded to this notice by letter dated
January 13, 2016, and advised that
based on review by the Food and Drug
Administration (FDA), there are
currently no investigational new drug
applications or approved new drug
applications for butryl fentanyl or betahydroxythiofentanyl. The Assistant
Secretary also stated that the HHS has
no objection to the temporary placement
of butryl fentanyl or betahydroxythiofentanyl into schedule I of
the CSA. The DEA has taken into
consideration the Assistant Secretary’s
comments as required by 21 U.S.C.
811(h)(4). Neither butryl fentanyl nor
beta-hydroxythiofentanyl is currently
listed in any schedule under the CSA,
and no exemptions or approvals are in
effect for butryl fentanyl or betahydroxythiofentanyl under section 505
of the FDCA, 21 U.S.C. 355. The DEA
has found that the control of butryl
fentanyl and beta-hydroxythiofentanyl
in schedule I on a temporary basis is
necessary to avoid an imminent hazard
to public safety, and as required by 21
U.S.C. 811(h)(1)(A), a notice of intent to
temporarily schedule butryl fentanyl
and beta-hydroxythiofentanyl was
published in the Federal Register on
March 23, 2016. 81 FR 15485.
To find that placing a substance
temporarily into schedule I of the CSA
is necessary to avoid an imminent
hazard to the public safety, the
1 As discussed in a memorandum of
understanding entered into by the Food and Drug
Administration (FDA) and the National Institute on
Drug Abuse (NIDA), the FDA acts as the lead agency
within the HHS in carrying out the Secretary’s
scheduling responsibilities under the CSA, with the
concurrence of NIDA. 50 FR 9518, Mar. 8, 1985.
The Secretary of the HHS has delegated to the
Assistant Secretary for Health of the HHS the
authority to make domestic drug scheduling
recommendations. 58 FR 35460, July 1, 1993.
E:\FR\FM\12MYR1.SGM
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Agencies
[Federal Register Volume 81, Number 92 (Thursday, May 12, 2016)]
[Rules and Regulations]
[Pages 29487-29492]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11245]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA-435]
Schedules of Controlled Substances: Placement of Brivaracetam
Into Schedule V
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Interim final rule, with request for comments.
-----------------------------------------------------------------------
SUMMARY: The Drug Enforcement Administration is placing the substance
brivaracetam ((2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-yl] butanamide)
(also referred to as BRV; UCB-34714; Briviact) (including its salts)
into schedule V of the Controlled Substances Act. This scheduling
action is pursuant to the Controlled Substances Act, as revised by the
Improving Regulatory Transparency for New Medical Therapies Act which
was signed into law on November 25, 2015.
DATES: The effective date of this rulemaking is May 12, 2016.
Interested persons may file written comments on this rulemaking in
accordance with 21 CFR 1308.43(g). Electronic comments must be
submitted, and written comments must be postmarked, on or before June
13, 2016. Commenters should be aware that the electronic Federal Docket
Management System will not accept comments after 11:59 p.m. Eastern
Time on the last day of the comment period.
Interested persons, defined at 21 CFR 1300.01 as those ``adversely
affected or aggrieved by any rule or proposed rule issuable pursuant to
section 201 of the Act (21 U.S.C. 811),'' may file a request for
hearing or waiver of hearing pursuant to 21 CFR 1308.44. Requests for
hearing and waivers of an opportunity for a hearing or to participate
in a hearing must be received on or before June 13, 2016.
ADDRESSES: To ensure proper handling of comments, please reference
``Docket No. DEA-435'' on all correspondence, including any
attachments.
Electronic comments: The Drug Enforcement Administration
encourages that all comments be submitted electronically through the
Federal eRulemaking Portal, which provides the ability to type short
comments directly into the comment field on the Web page or attach a
file for lengthier comments. Please go to https://www.regulations.gov
and follow the online instructions at that site for submitting
comments. Upon completion of your submission, you will receive a
Comment Tracking Number for your comment. Please be aware that
submitted comments are not instantaneously available for public view on
Regulations.gov. If you have received a Comment Tracking Number, your
comment has been successfully submitted and there is no need to
resubmit the same comment.
Paper comments: Paper comments that duplicate the
electronic submission are not necessary and are discouraged. Should you
wish to mail a paper comment in lieu of an electronic comment, it
should be sent via regular or express mail to: Drug Enforcement
Administration, Attn: DEA Federal Register Representative/ODW, 8701
Morrissette Drive, Springfield, VA 22152.
Hearing requests: All requests for hearing and waivers of
participation must be sent to: Drug Enforcement Administration, Attn:
Administrator, 8701 Morrissette Drive, Springfield, Virginia 22152. All
requests for hearing and waivers of participation should also be sent
to: (1) Drug Enforcement Administration, Attn: Hearing Clerk/LJ, 8701
Morrissette Drive, Springfield, Virginia 22152; and (2) Drug
Enforcement Administration, Attn: DEA Federal Register Representative/
ODW, 8701 Morrissette Drive, Springfield, Virginia 22152.
FOR FURTHER INFORMATION CONTACT: Barbara J. Boockholdt, Office of
Diversion Control, Drug Enforcement Administration; Mailing Address:
8701 Morrissette Drive, Springfield, Virginia 22152; Telephone: (202)
598-6812.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments
Please note that all comments received are considered part of the
public record. They will, unless reasonable cause is given, be made
available by the Drug Enforcement Administration (DEA) for public
inspection online at https://www.regulations.gov. Such information
includes personal identifying information (such as your name, address,
etc.) voluntarily submitted by the commenter. The Freedom of
Information Act (FOIA) applies to all comments received. If you want to
submit personal identifying information (such as your name, address,
etc.) as part of your comment, but do not want it to be made publicly
available, you must include the phrase ``PERSONAL IDENTIFYING
INFORMATION'' in the first paragraph of your comment. You must also
place all of the personal identifying information you do not want made
publicly available in the first paragraph of your comment and identify
what information you want redacted.
If you want to submit confidential business information as part of
your comment, but do not want it to be made publicly available, you
must include the phrase ``CONFIDENTIAL BUSINESS INFORMATION'' in the
first paragraph of your comment. You must also prominently identify the
confidential business information to be redacted within the comment.
Comments containing personal identifying information and
confidential business information identified as directed above will
generally be made publicly available in redacted form. If a comment has
so much confidential business information or personal identifying
information that it cannot be effectively redacted, all or part of that
comment may not be made publicly available. Comments posted to https://www.regulations.gov may include any personal identifying information
(such as name, address, and phone number) included in the text of your
electronic submission that is not identified as directed above as
confidential.
An electronic copy of this document and supplemental information,
including the complete Department of Health and Human Services and Drug
Enforcement Administration eight-factor analyses, to this interim final
rule are available at https://www.regulations.gov for easy reference.
Request for Hearing, Notice of Appearance at Hearing, or Waiver of
Participation in Hearing
Pursuant to 21 U.S.C. 811(a), this action is a formal rulemaking
``on the record after opportunity for a hearing.'' Such proceedings are
conducted pursuant to the provisions of the Administrative Procedure
Act (APA), 5 U.S.C. 551-559. 21 CFR 1308.41-1308.45; 21 CFR part 1316,
subpart D. In accordance with 21 CFR 1308.44(a)-
[[Page 29488]]
(c), requests for a hearing, notices of appearance, and waivers of an
opportunity for a hearing or to participate in a hearing may be
submitted only by interested persons, defined as those ``adversely
affected or aggrieved by any rule or proposed rule issuable pursuant to
section 201 of the Act (21 U.S.C. 811).'' 21 CFR 1300.01. Requests for
a hearing and notices of participation must conform to the requirements
of 21 CFR 1308.44(a) or (b), as applicable, and include a statement of
the interest of the person in the proceeding and the objections or
issues, if any, concerning which the person desires to be heard. Any
waiver of an opportunity for a hearing must conform to the requirements
of 21 CFR 1308.44(c) including a written statement regarding the
interested person's position on the matters of fact and law involved in
any hearing.
Please note that pursuant to 21 U.S.C. 811(a), the purpose and
subject matter of the hearing are restricted to ``(A) find[ing] that
such drug or other substance has a potential for abuse, and (B)
mak[ing] with respect to such drug or other substance the findings
prescribed by subsection (b) of section 812 of this title for the
schedule in which such drug is to be placed. * * *'' Requests for a
hearing and waivers of participation in the hearing should be submitted
to DEA using the address information provided above.
Legal Authority
The DEA implements and enforces titles II and III of the
Comprehensive Drug Abuse Prevention and Control Act of 1970, as
amended. 21 U.S.C. 801-971. Titles II and III are referred to as the
``Controlled Substances Act'' and the ``Controlled Substances Import
and Export Act,'' respectively, and are collectively referred to as the
``Controlled Substances Act'' or the ``CSA'' for the purpose of this
action. The DEA publishes the implementing regulations for these
statutes in title 21 of the Code of Federal Regulations (CFR), chapter
II. The CSA and its implementing regulations are designed to prevent,
detect, and eliminate the diversion of controlled substances and listed
chemicals into the illicit market while providing for the legitimate
medical, scientific, research, and industrial needs of the United
States. Controlled substances have the potential for abuse and
dependence and are controlled to protect the public health and safety.
Under the CSA, controlled substances are classified into one of
five schedules based upon their potential for abuse, their currently
accepted medical use in treatment in the United States, and the degree
of dependence the substance may cause. 21 U.S.C. 812. The initial
schedules of controlled substances established by Congress are found at
21 U.S.C. 812(c), and the current list of all scheduled substances is
published at 21 CFR part 1308.
Pursuant to 21 U.S.C. 811(a)(1), the Attorney General may, by rule,
``add to such a schedule or transfer between such schedules any drug or
other substance if he * * * finds that such drug or other substance has
a potential for abuse, and * * * makes with respect to such drug or
other substance the findings prescribed by subsection (b) of section
812 of this title for the schedule in which such drug is to be placed *
* *'' The Attorney General has delegated this scheduling authority
under 21 U.S.C. 811 to the Administrator of the DEA. 28 CFR 0.100.
The CSA provides that scheduling of any drug or other substance may
be initiated by the Attorney General (1) on her own motion; (2) at the
request of the Secretary of Health and Human Services (HHS); or (3) on
the petition of any interested party. 21 U.S.C. 811(a). This action
imposes the regulatory controls and administrative, civil, and criminal
sanctions of schedule V controlled substances for any person who
handles or proposes to handle BRV.
The Improving Regulatory Transparency for New Medical Therapies Act
(Pub. L. 114-89) was signed into law on November 25, 2015. This law
amended 21 U.S.C. 811 and states that in cases where a new drug is (1)
approved by the Department of Health and Human Services (HHS) and (2)
HHS recommends control in CSA schedule II-V, DEA shall issue an interim
final rule scheduling the drug, within 90 days.
The law further states that the 90-day timeframe starts the later
of (1) the date DEA receives the HHS scientific and medical evaluation/
scheduling recommendation or (2) the date DEA receives notice of drug
approval by HHS. In addition, the law specifies that the rulemaking
shall become immediately effective as an interim final rule without
requiring the DEA to demonstrate good cause therefor.
Specifically, Public Law 114-89 revised section 201 of the CSA (21
U.S.C. 811) by inserting after subsection (i) a new paragraph (j),
which requires that with respect to a drug referred to in subsection
(f), if the Secretary recommends that the Attorney General control the
drug in schedule II, III, IV, or V pursuant to subsections (a) and (b),
the Attorney General is required to, within 90 days, issue an interim
final rule controlling the drug in accordance with such subsections and
21 U.S.C. 812(b) using the specified procedures. For purposes of
calculating the 90 days, Public Law 114-89 states that such date shall
be the later of the date on which the Attorney General receives the
scientific and medical evaluation and the scheduling recommendation
from the Secretary in accordance with subsection (b), or the date on
which the Attorney General receives notification from the Secretary
that the Secretary has approved an application under section 505(c),
512, or 571 of the Federal Food, Drug, and Cosmetic Act or section
351(a) of the Public Health Service Act, or indexed a drug under
section 572 of the Federal Food, Drug, and Cosmetic Act, with respect
to the drug described in paragraph (1). Public Law 114-89 further
stipulates that a rule issued by the Attorney General under paragraph
(1) becomes immediately effective as an interim final rule without
requiring the Attorney General to demonstrate good cause and requires
that the interim final rule give interested persons the opportunity to
comment and to request a hearing. After the conclusion of such
proceedings, the Attorney General must issue a final rule in accordance
with the scheduling criteria of subsections 21 U.S.C. 811(b), (c), and
(d) of this section and 21 U.S.C. 812(b).
Background
Brivaracetam ((2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-yl]
butanamide) (also referred to as BRV; UCB-34714; Briviact) is a new
molecular entity with central nervous system (CNS) depressant
properties. BRV is known to be a high affinity ligand for the synaptic
vesicle protein, SV2A, which is found on excitatory synapses in the
brain. On November 22, 2014, UCB Inc. (Sponsor) submitted three New
Drug Applications (NDAs) to the U.S. Food and Drug Administration (FDA)
for the tablet, oral, and intravenous formulations of BRV. The FDA
accepted the NDA filings for BRV on January 21, 2015.
On March 28, 2016 the DEA received notification that HHS/FDA
approved BRV as an add-on treatment to other medications to treat
partial onset seizures in patients age 16 years and older with
epilepsy.
Determination to Schedule BRV
Pursuant to 21 U.S.C. 811(a)(1), proceedings to add a drug or
substance to those controlled under the CSA may be initiated by request
of the Secretary
[[Page 29489]]
of the HHS.\1\ On September 8, 2015, the HHS provided the DEA with a
scientific and medical evaluation document prepared by the FDA entitled
``Basis for the Recommendation to Place Brivaracetam in Schedule V of
the Controlled Substances Act.'' Pursuant to 21 U.S.C. 811(b), this
document contained an eight-factor analysis of the abuse potential of
BRV as a new drug, along with the HHS' recommendation to control BRV
under schedule V of the CSA.
---------------------------------------------------------------------------
\1\ As set forth in a memorandum of understanding entered into
by the HHS, the FDA, and the National Institute on Drug Abuse
(NIDA), the FDA acts as the lead agency within the HHS in carrying
out the Secretary's scheduling responsibilities under the CSA, with
the concurrence of the NIDA. 50 FR 9518, Mar. 8, 1985. The Secretary
of the HHS has delegated to the Assistant Secretary for Health of
the HHS the authority to make domestic drug scheduling
recommendations. 58 FR 35460, July 1, 1993.
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In response, in December 2015, the DEA reviewed the scientific and
medical evaluation and scheduling recommendation provided by the HHS,
along with all other relevant data, and completed its own eight-factor
review document pursuant to 21 U.S.C. 811(c). The DEA concluded that
BRV met the 21 U.S.C. 812(b)(5) criteria for placement in schedule V of
the CSA. Subsequently, on March 28, 2016, the DEA received notification
that HHS/FDA approved three NDAs for BRV (see Background section).
Pursuant to the provisions of the Improving Regulatory Transparency
for New Medical Therapies Act (Pub. L. 114-89), and based on the HHS
recommendation, NDA approvals by HHS/FDA, and DEA's determination, DEA
is issuing this interim final rule to schedule brivaracetam ((2S)-2-
[(4R)-2-oxo-4-propylpyrrolidin-1-yl] butanamide) (including its salts)
as a controlled substance under the CSA.
Included below is a brief summary of each factor as analyzed by the
HHS and the DEA, and as considered by the DEA in its scheduling action.
Please note that both the DEA and HHS analyses are available in their
entirety under ``Supporting Documents'' in the public docket for this
interim final rule at https://www.regulations.gov, under Docket Number
``DEA-435.'' Full analysis of, and citations to, the information
referenced in the summary may also be found in the supporting and
related material.
1. The Drug's Actual or Relative Potential for Abuse: BRV is a new
chemical entity and has not been marketed in the United States or in
any other country; information on actual abuse of BRV is not available.
The HHS characterized BRV as related in its action to lacasamide and
ezogabine, which are both schedule V CNS depressant anti-epileptics
(AEDs). Based on data submitted by the Sponsor in their NDAs, the HHS
indicated that administration of BRV in mice, rats, and dogs resulted
in CNS depressant effects, including decreased locomotor activity and
reactivity, motor incoordination, and ataxia.
BRV is not self-administered in animals and, unlike schedule IV
benzodiazepines and the schedule III AED perampanel, lacks
pentobarbital-like (schedule II) discriminative stimulus and
reinforcing effects (HHS review, 2015). In humans, BRV is most similar
to the schedule V AEDs lacosamide, ezogabine, and pregabalin in
producing positive subjective effects without producing sedation and
withdrawal following drug discontinuation that is observed with
schedule IV benzodiazepines. Based on this collective evidence, the HHS
concluded that BRV has an abuse potential that is most similar to AEDs
in schedule V.
2. Scientific Evidence of the Drug's Pharmacological Effects, if
Known: BRV selectively binds with high affinity to synaptic vesicle
protein 2A (SV2A). It produces reverse inhibition caused by negative
modulators of gamma aminobutyric acid (GABA) and glycine and inhibits
sodium (Na+) channels. These sites appear to underlie pharmacological
activity of BRV.
In rats, BRV at high doses partially generalizes to the schedule IV
benzodiazepine chlordiazepoxide. BRV, across a wide range of doses,
neither initiates nor maintains self-administration in rats trained to
self-administer cocaine. Human studies have reported that healthy
individuals may experience euphoria, sedation, and a drunken-like
feeling following BRV administration. When treatment-emergent adverse
events (TEAEs) \2\ were pooled across several clinical BRV studies, the
most common TEAEs were dizziness and sedative-related events such as
fatigue, extreme drowsiness, and extreme weakness. In a human abuse
potential study, the oral abuse potential, safety, tolerability, and
pharmacokinetics of BRV (50 mg, 200 mg, and 1000 mg) were compared to
1.5 and 3.0 mg of the schedule IV CNS depressant alprazolam (ALP) and
placebo. When surveyed, for all doses of BRV, there was an increase of
drug likability, feeling of a high, and taking the drug again in
comparison to placebo. The HHS mentioned that individuals who took BRV
had fewer sedative, euphoric, stimulant, dizziness, and overall
negative subjective effects compared to ALP.
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\2\ Treatment-emergent adverse event (TEAE): An event or
unexpected medical occurrence (e.g. adverse event) which first
appears during treatment with a drug or substance. TEAEs are
typically absent prior to the onset of treatment or would have been
exacerbated relative to pre-treatment conditions.
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3. The State of Current Scientific Knowledge Regarding
Brivaracetam: The chemical name for brivaracetam is (2S)-2-[(4R)-2-oxo-
4-propylpyrrolidin-1-yl] butanamide. Other names include BRV and UCB-
34714. The Chemical Abstract Services number (CAS #) of BRV is: 357336-
20-0. BRV is a racetam derivative.\3\ As the HHS noted, BRV does not
have structural similarities to any other scheduled AED or to any major
classes of abused sedative drugs with noted euphoric effects. Chemical
synthesis of BRV is considered highly complex and includes several
steps, reagents and specialized equipment.
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\3\ Racetams are a class of drugs that have a pyrrolidoline
center.
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BRV is readily soluble in water at up to 700 mg/mL. In an in vitro
oral tablet dissolution evaluation, BRV oral tablets were placed in a
buffer (pH 6.4) for 16 hours. Approximately 86-96% of BRV was released
after 16 hours in the buffer; 14-30% of BRV was released following 1
hour and 40-66% BRV was released after 4 hours.
Following oral ingestion, BRV is rapidly and completely absorbed.
In healthy young males, the half-life of BRV was determined to be
approximately 9 hours. According to the HHS, the half-life of BRV is
decreased to 6 hours when a repeated oral dose of 800 mg/day BRV is
administered. The HHS noted that BRV binds weakly to plasma proteins
and is extensively metabolized through several pathways. Clearance
through the kidneys represents 5-10% of the total clearance and only 3-
7% of the parent compound (BRV) was detected in the urine. The three
main metabolites of BRV were detected in urine and according to the
HHS, these metabolites are relatively inactive. One BRV metabolite was
characterized as having a potency that was 20 times less than BRV, and
this metabolite was not detected in human plasma and represented less
than 3% of the dose in urine.
4. Its History and Current Pattern of Abuse: As noted by the HHS,
information on the history and current pattern of abuse of BRV is not
available since this drug is currently not marketed in any country. A
review of the animal and human data indicates that BRV has an abuse
potential similar to other schedule V AEDs. If BRV were to be
[[Page 29490]]
approved for medical use, the HHS indicated that BRV would be abused
for its euphoric properties and other abuse-related TEAEs that were
reported in human clinical studies. Based on the available information,
the HHS concluded that the history and pattern of abuse of BRV will be
similar to other schedule V CNS depressants.
5. The Scope, Duration, and Significance of Abuse: As noted by the
HHS, information on the scope, duration, and significance of abuse of
BRV is not available since this drug is currently not marketed in any
country. Results from animal and human studies suggest that there is
abuse potential associated with BRV and if marketed in the United
States, it is likely that BRV will be abused similar to other AEDs that
are CNS depressants. The HHS stated that it is unlikely that epileptic
individuals (the population expected to take this drug) will abuse BRV.
The HHS concluded that based on abuse potential similarities between
BRV and other schedule V AEDs, it is likely that the scope, duration,
and significance of abuse of BRV will be similar to these compounds.
6. What, if any, Risk There is to the Public Health: The HHS
characterized BRV's drug abuse potential to be similar to schedule V
AEDs. As such, the public health risk with BRV will also be similar to
other schedule V AEDs. The HHS noted that if BRV were approved for
medical use, it would be abused for its rewarding properties. In
healthy volunteers administered 600 mg or higher of BRV, cognitive and
motor impairment and sedation were observed. It is unknown how BRV
would interact in combination with other CNS depressants and if the
sedative effects would be additive or even a lethal combination. In an
interaction study with BRV and intravenous ethanol in healthy
individuals, it was determined that BRV enhanced the effects of
ethanol.
7. Its Psychic or Physiological Dependence Liability: BRV has
limited psychological dependence and does not appear to have physical
dependence. When rats were administered BRV for 30 days, no signs of
physical dependence were noted in comparison to the schedule IV
comparator, chlordiazepoxide. Similarly, in human clinical studies with
healthy volunteers, there were no reports or adverse events that noted
physical dependence or a withdrawal syndrome associated with BRV use.
The low potential for physical dependence observed with BRV is
consistent with other schedule V AEDs. There is limited evidence for
psychological dependence with BRV. Clinical studies have reported
individuals experiencing increasing euphoria with increasing doses of
BRV. Tolerance does not appear to develop with respect to BRV treatment
on epileptic seizure reduction.
8. Whether the Substance is an Immediate Precursor of a Substance
Already Controlled under the CSA: BRV is not an immediate precursor of
any controlled substance.
Conclusion: After considering the scientific and medical evaluation
conducted by the HHS, the HHS' recommendation, and its own eight-factor
analysis, the DEA has determined that these facts and all relevant data
constitute substantial evidence of a potential for abuse of BRV. As
such, the DEA hereby schedules BRV as a controlled substance under the
CSA.
Determination of Appropriate Schedule
The CSA outlines the findings required to place a drug or other
substance in any particular schedule (I, II, III, IV, or V). 21 U.S.C.
812(b). After consideration of the analysis and recommendation of the
Assistant Secretary for Health of the HHS and review of all available
data, the Acting Administrator of the DEA, pursuant to 21 U.S.C.
812(b)(5), finds that:
1. BRV has a low potential for abuse relative to the drugs or other
substances in schedule IV. The overall abuse potential of BRV is
comparable to schedule V controlled substances such as ezogabalin,
pregabalin, and lacosamide;
2. With FDA's approval of the new drug applications, BRV has a
currently accepted medical use in the United States as adjunctive
treatment of partial onset seizures in epileptic individuals ages 16
and older; and
3. Human and animal studies demonstrate that BRV has limited
psychological dependence and does not appear to have physical
dependence. There was no evidence of physical dependence associated
with BRV in human and animal studies since there have been no reports
of withdrawal syndromes or other physical dependence effects. Based on
these data, abuse of BRV may lead to limited psychological dependence
similar to schedule V AEDs but less than that of drugs in schedule IV.
Based on these findings, the Acting Administrator of the DEA
concludes that brivaracetam ((2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-
yl] butanamide) (also referred to as BRV; UCB-34714; Briviact),
including its salts, warrants control in schedule V of the CSA. 21
U.S.C. 812(b)(5).
Requirements for Handling Brivaracetam
BRV is subject to the CSA's schedule V regulatory controls and
administrative, civil, and criminal sanctions applicable to the
manufacture, distribution, reverse distribution, dispensing, importing,
exporting, research, and conduct of instructional activities and
chemical analysis with, and possession involving schedule V substances,
including the following:
1. Registration. Any person who handles (manufactures, distributes,
reverse distributes, dispenses, imports, exports, engages in research,
or conducts instructional activities or chemical analysis with, or
possesses) BRV, or who desires to handle BRV, must be registered with
the DEA to conduct such activities pursuant to 21 U.S.C. 822, 823, 957,
and 958 and in accordance with 21 CFR parts 1301 and 1312. Any person
who currently handles BRV, and is not registered with the DEA, must
submit an application for registration and may not continue to handle
BRV, unless the DEA has approved that application for registration,
pursuant to 21 U.S.C. 822, 823, 957, and 958, and in accordance with 21
CFR parts 1301 and 1312.
2. Disposal of stocks. Any person who does not desire or is not
able to obtain a schedule V registration must surrender all quantities
of currently held BRV, or may transfer all quantities of currently held
BRV to a person registered with the DEA in accordance with 21 CFR part
1317, in additional to all other applicable federal, state, local, and
tribal laws.
3. Security. BRV is subject to schedule III-V security requirements
and must be handled and stored pursuant to 21 U.S.C. 821, 823, and
871(b), and in accordance with 21 CFR 1301.71-1301.93.
4. Labeling and Packaging. All labels, labeling, and packaging for
commercial containers of BRV must comply with 21 U.S.C. 825 and 958(e),
and be in accordance with 21 CFR part 1302.
5. Inventory. Every DEA registrant who possesses any quantity of
BRV must take an inventory of BRV on hand, pursuant to 21 U.S.C. 827
and 958, and in accordance with 21 CFR 1304.03, 1304.04, and 1304.11.
Any person who becomes registered with the DEA must take an initial
inventory of all stocks of controlled substances (including BRV) on
hand on the date the registrant first engages in the handling of
controlled substances, pursuant to 21 U.S.C. 827 and 958, and in
accordance with 21 CFR 1304.03, 1304.04, and 1304.11.
[[Page 29491]]
After the initial inventory, every DEA registrant must take a new
inventory of all stocks of controlled substances (including BRV) on
hand every two years, pursuant to 21 U.S.C. 827 and 958, and in
accordance with 21 CFR 1304.03, 1304.04, and 1304.11.
6. Records and Reports. Every DEA registrant must maintain records
and submit reports for BRV, or products containing BRV, pursuant to 21
U.S.C. 827 and 958(e), and in accordance with 21 CFR parts 1304, 1312,
and 1317.
7. Prescriptions. All prescriptions for BRV or products containing
BRV must comply with 21 U.S.C. 829, and be issued in accordance with 21
CFR parts 1306 and 1311, subpart C.
8. Importation and Exportation. All importation and exportation of
BRV must be in compliance with 21 U.S.C. 952, 953, 957, and 958, and in
accordance with 21 CFR part 1312.
9. Liability. Any activity involving BRV not authorized by, or in
violation of, the CSA or its implementing regulations, is unlawful, and
may subject the person to administrative, civil, and/or criminal
sanctions.
Regulatory Analyses
Administrative Procedure Act
Public Law 114-89 was signed into law, amending 21 U.S.C. 811. This
amendment provides that in cases where a new drug is (1) approved by
the Department of Health and Human Services (HHS) and (2) HHS
recommends control in CSA schedule II-V, the DEA shall issue an interim
final rule scheduling the drug within 90 days. Additionally, the law
specifies that the rulemaking shall become immediately effective as an
interim final rule without requiring the DEA to demonstrate good cause.
Therefore, the DEA has determined that the notice and comment
requirements of section 553 of the APA, 5 U.S.C. 553, do not apply to
this scheduling action.
Executive Orders 12866, Regulatory Planning and Review, and 13563,
Improving Regulation and Regulatory Review
In accordance with Public Law 114-89, this scheduling action is
subject to formal rulemaking procedures performed ``on the record after
opportunity for a hearing,'' which are conducted pursuant to the
provisions of 5 U.S.C. 556 and 557. The CSA sets forth the procedures
and criteria for scheduling a drug or other substance. Such actions are
exempt from review by the Office of Management and Budget (OMB)
pursuant to section 3(d)(1) of Executive Order 12866 and the principles
reaffirmed in Executive Order 13563.
Executive Order 12988, Civil Justice Reform
This regulation meets the applicable standards set forth in
sections 3(a) and 3(b)(2) of Executive Order 12988 to eliminate
drafting errors and ambiguity, minimize litigation, provide a clear
legal standard for affected conduct, and promote simplification and
burden reduction.
Executive Order 13132, Federalism
This rulemaking does not have federalism implications warranting
the application of Executive Order 13132. The rule does not 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.
Executive Order 13175, Consultation and Coordination With Indian Tribal
Governments
This rule does not have tribal implications warranting the
application of Executive Order 13175. It does not have substantial
direct effects on one or more Indian tribes, on the relationship
between the Federal government and Indian tribes, or on the
distribution of power and responsibilities between the Federal
government and Indian tribes.
Regulatory Flexibility Act
In accordance with 5 U.S.C. 603(a), ``[w]henever an agency is
required by [5 U.S.C. 553], or any other law, to publish general notice
of proposed rulemaking for any proposed rule, or publishes a notice of
proposed rulemaking for an interpretive rule involving the internal
revenue laws of the United States, the agency shall prepare and make
available for public comment an initial regulatory flexibility
analysis.'' As noted in the above discussion regarding applicability of
the Administrative Procedure Act, the DEA has determined that the
notice and comment requirements of section 553 of the APA, 5 U.S.C.
553, do not apply to this scheduling action. Consequently, the RFA does
not apply to this interim final rule.
Unfunded Mandates Reform Act of 1995
In accordance with the Unfunded Mandates Reform Act (UMRA) of 1995,
2 U.S.C. 1501 et seq., the DEA has determined and certifies that this
action would not result in 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 for
inflation) in any one year.'' Therefore, neither a Small Government
Agency Plan nor any other action is required under UMRA of 1995.
Paperwork Reduction Act of 1995
This action does not impose a new collection of information
requirement under the Paperwork Reduction Act of 1995. 44 U.S.C. 3501-
3521. This action would not impose recordkeeping or reporting
requirements on State or local governments, individuals, businesses, or
organizations. 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.
Congressional Review Act
This rule is not a major rule as defined by section 804 of the
Small Business Regulatory Enforcement Fairness Act of 1996
(Congressional Review Act (CRA)). This rule will not result in: An
annual effect on the economy of $100,000,000 or more; a major increase
in costs or prices for consumers, individual industries, Federal,
State, or local government agencies, or geographic regions; or
significant adverse effects on competition, employment, investment,
productivity, innovation, or on the ability of U.S.-based companies to
compete with foreign based companies in domestic and export markets.
However, pursuant to the CRA, the DEA has submitted a copy of this
interim final rule to both Houses of Congress and to the Comptroller
General.
List of Subjects in 21 CFR Part 1308
Administrative practice and procedure, Drug traffic control,
Reporting and recordkeeping requirements.
For the reasons set out above, the DEA amends 21 CFR part 1308:
PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES
0
1. The authority citation for 21 CFR part 1308 continues to read as
follows:
Authority: 21 U.S.C. 811, 812, 871(b), unless otherwise noted.
0
2. Amend Sec. 1308.15 by redesignating paragraphs (e)(1) through
(e)(3) as paragraphs (e)(2) through (e)(4) and adding new paragraph
(e)(1) to read as follows:
Sec. 1308.15 Schedule V.
* * * * *
(e) * * *
[[Page 29492]]
(1) Brivaracetam ((2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-yl] 2710
butanamide) (also referred to as BRV; UCB-34714; Briviact)
(including its salts).........................................
* * * * *
Dated: May 6, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-11245 Filed 5-11-16; 8:45 am]
BILLING CODE 4410-09-P