Schedules of Controlled Substances: Placement of Zipeprol in Schedule I, 28899-28904 [2020-09592]
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[FR Doc. 2020–10035 Filed 5–13–20; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA–477]
Schedules of Controlled Substances:
Placement of Zipeprol in Schedule I
Drug Enforcement
Administration, Department of Justice.
ACTION: Notice of proposed rulemaking.
AGENCY:
The Drug Enforcement
Administration (DEA) proposes placing
the substance zipeprol (Chemical name:
1-methoxy-3-[4-(2-methoxy-2phenylethyl)piperazin-1-yl]-1phenylpropan-2-ol), including its
isomers, esters, ethers, salts, and salts of
isomers, esters, and ethers, whenever
the existence of such isomers, esters,
ethers and salts is possible, in schedule
I of the Controlled Substances Act. This
action is being taken to enable the
United States to meet its obligations
under the 1971 Convention on
SUMMARY:
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28899
Psychotropic Substances. If finalized,
this action would impose the regulatory
controls and administrative, civil, and
criminal sanctions applicable to
schedule I controlled substances on
persons who handle (manufacture,
distribute, reverse distribute, import,
export, engage in research, conduct
instructional activities or chemical
analysis with, or possess), or propose to
handle zipeprol.
DATES: Comments must be submitted
electronically or postmarked on or
before July 13, 2020.
Interested persons may file a request
for hearing or waiver of hearing
pursuant to 21 Code of Federal
Regulations (CFR) 1308.44 and in
accordance with 21 CFR 1316.45 and/or
1316.47, as applicable. Requests for
hearing and waivers of an opportunity
for a hearing or to participate in a
hearing must be received on or before
June 15, 2020.
ADDRESSES: Interested persons may file
written comments on this proposal in
accordance with 21 CFR 1308.43(g).
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. To ensure
proper handling of comments, please
reference ‘‘Docket No. DEA–477’’ on all
electronic and written correspondence,
including any attachments.
• Electronic comments: DEA
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 electronic submissions
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/DPW, 8701
Morrissette Drive, Springfield, Virginia
22152.
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Federal Register / Vol. 85, No. 94 / Thursday, May 14, 2020 / Proposed Rules
• Hearing requests: All requests for a
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/DPW,
8701 Morrissette Drive, Springfield,
Virginia 22152.
FOR FURTHER INFORMATION CONTACT:
Scott A. Brinks, Regulatory Drafting and
Policy Support Section, Diversion
Control Division, Drug Enforcement
Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia
22152; Telephone: (571) 362–3261.
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An electronic copy of this document
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Request for Hearing or Waiver of
Participation in Hearing
Pursuant to 21 United States Code
(U.S.C.) 811(a), this action is a formal
rulemaking ‘‘on the record after
opportunity for a hearing.’’ Such
proceedings are conducted pursuant to
the provisions of the Administrative
Procedure Act, 5 U.S.C. 551–559. 21
CFR 1308.41–1308.45; 21 CFR part
1316, subpart D. Interested persons may
file requests for a hearing or notices of
intent to participate in a hearing in
conformity with the requirements of 21
CFR 1308.44(a) or (b), and include a
statement of interest in the proceeding
and the objections or issues, if any,
concerning which the person desires to
be heard. Any interested person may file
a waiver of an opportunity for a hearing
or to participate in a hearing together
with a written statement regarding the
interested person’s position on the
matters of fact and law involved in any
hearing as set forth in 21 CFR
1308.44(c).
All requests for hearing and waivers
of participation must be sent to DEA
using the address information provided
above.
Legal Authority
The United States is a party to the
1971 United Nations Convention on
Psychotropic Substances (1971
Convention), February 21, 1971, 32
U.S.T. 543, 1019 U.N.T.S. 175, as
amended. Procedures respecting
changes in drug schedules under the
1971 Convention are governed
domestically by 21 U.S.C. 811(d). When
the United States receives notification of
a scheduling decision pursuant to
Article 2 of the 1971 Convention
indicating that a drug or other substance
has been added or transferred to a
schedule specified in the notification,
the Secretary of the Department of
Health and Human Services (HHS),1
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 HHS in carrying out the Secretary’s
scheduling responsibilities under the Controlled
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after consultation with the Attorney
General, shall first determine whether
existing legal controls under subchapter
I of the Controlled Substances Act (CSA)
and the Federal Food, Drug, and
Cosmetic Act (FDCA) meet the
requirements of the schedule specified
in the notification with respect to the
specific drug or substance. 21 U.S.C.
811(d)(3). If such requirements are not
met by existing controls and the
Secretary of the HHS concurs in the
scheduling decision, the Secretary shall
recommend to the Attorney General that
he initiate proceedings for scheduling
the drug or substance under the
appropriate schedule pursuant to 21
U.S.C. 811(a) and (b). 21 U.S.C.
811(d)(3)(B). 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 21 U.S.C. 812(b)
for the schedule in which such drug is
to be placed. The Attorney General has
delegated this scheduling authority to
the Administrator of the DEA
(Administrator). 28 CFR 0.100.
Background
Zipeprol, known chemically as 1methoxy-3-[4-(2-methoxy-2phenylethyl)piperazin-1-yl]-1phenylpropan-2-ol, is
pharmacologically an opioid drug with
some hallucinogenic properties that has
no approved medical use in the United
States.
In June 1994 and January 1995, the
Food and Drug Administration (FDA),
on behalf of the Secretary of the HHS,
published notices in the Federal
Register regarding zipeprol to comply
with 21 U.S.C. 811(d)(2). The 1994
notice requested information to be
considered by the World Health
Organization (WHO) in preparing its
scientific and medical evaluation for
zipeprol.2 The 1995 notice solicited
public comment regarding a
recommendation by the WHO to impose
international controls on zipeprol.3 In
Substances Act, with the concurrence of NIDA. 50
FR 9518 (March 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).
2 FDA notice, International Drug Scheduling;
Convention on Psychotropic Substances; Certain
Stimulant/Hallucinogenic Drugs and Certain
Nonbarbiturate Sedative Drugs, 59 FR 31639 (June
20, 1994).
3 FDA notice, International Drug Scheduling;
Convention on Psychotropic Substances; World
Health Organization Scheduling Recommendations
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March 1995, the United Nations
Commission on Narcotic Drugs (CND),
on the advice of the Director-General of
the WHO, placed zipeprol in Schedule
II of the 1971 Convention.4
As a party to the 1971 Convention, the
United States is taking action to place
appropriate controls on zipeprol by
scheduling it under the CSA after
determining that no existing legal
controls under subchapter I of the CSA
and the FDCA meet the requirements of
the scheduling decision with respect to
zipeprol. 21 U.S.C. 811(d)(3).
Specifically, DEA is proposing to place
zipeprol in schedule I of the CSA.
Placing zipeprol in schedule I of the
CSA would satisfy the United States’
international obligations as set forth in
Article 2, paragraph 7(b) of the 1971
Convention, and as implemented by the
CSA. 21 U.S.C. 811(d)(3).
Article 2, paragraph 7(b), of the 1971
Convention sets forth the minimum
requirements that the United States
must meet when a substance has been
added to Schedule II of the 1971
Convention. Pursuant to the 1971
Convention, the United States must
require licenses for the manufacture,
export and import, and distribution of
zipeprol. This license requirement is
accomplished by the CSA’s registration
requirement as set forth in 21 U.S.C.
822, 823, 957, 958, and in accordance
with 21 CFR parts 1301 and 1312. In
addition, the United States must adhere
to specific export and import provisions
set forth in the 1971 Convention. This
requirement is accomplished by the
CSA’s export and import provisions
established in 21 U.S.C. 952, 953, 957,
958, and in accordance with 21 CFR
part 1312. Likewise, under Article 13,
paragraphs 1 and 2, of the 1971
Convention, a party to the 1971
Convention may notify another party,
through the Secretary-General of the
United Nations, that it prohibits the
importation of a substance in Schedule
II, III, or IV of the Convention. If such
notice is presented to the United States,
the United States shall take measures to
ensure that the named substance is not
exported to the notifying country. This
requirement is also accomplished by the
CSA’s export provisions mentioned
above. Under Article 16, paragraph 4, of
the 1971 Convention, the United States
is required to provide annual statistical
reports to the International Narcotics
for Seven Drug Substances, 60 FR 4169, 4173
(January 20, 1995).
4 United Nations Office on Drugs and Crime,
CND. Decision 2 (XXXVIII). Inclusion of zipeprol in
Schedule II of the Convention on Psychotropic
Substances of 1971. https://www.unodc.org/pdf/
decisions/decision2_38.pdf (last retrieved October
3, 2018).
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Control Board (INCB). Using INCB Form
P, the United States shall provide the
following information: (1) In regard to
each substance in Schedule I and II of
the 1971 Convention, quantities
manufactured, exported to and imported
from each country or region as well as
stocks held by manufacturers; (2) in
regard to each substance in Schedule II
and III of the 1971 Convention,
quantities used in the manufacture of
exempt preparations; and (3) in regard
to each substance in Schedule II—IV of
the 1971 Convention, quantities used for
the manufacture of non-psychotropic
substances or products. Lastly, under
Article 2 of the 1971 Convention, the
United States must adopt measures in
accordance with Article 22 to address
violations of any statutes or regulations
that are adopted pursuant to its
obligations under the 1971 Convention.
The United States complies with this
provision as persons acting outside the
legal framework established by the CSA
are subject to administrative, civil, and/
or criminal action.
Proposed Determination To Schedule
Zipeprol
Pursuant to 21 U.S.C. 811(b), DEA
gathered the necessary data on zipeprol
and on April 3, 2009, submitted it to the
Assistant Secretary for Health of the
HHS with a request for a scientific and
medical evaluation of available
information and a scheduling
recommendation for zipeprol. On May
20, 2013, HHS provided to DEA a
written scientific and medical
evaluation and scheduling
recommendation entitled, ‘‘Basis for the
Recommendation for Control of
Zipeprol and Its Salts in Schedule I of
the Controlled Substances Act.’’
Pursuant to 21 U.S.C. 811(b), this
document contained HHS’ eight-factor
analysis of zipeprol, along with its
recommendation that zipeprol be placed
in schedule I of the CSA.
In response, DEA reviewed the
scientific and medical evaluation and
scheduling recommendation provided
by the HHS and all other relevant data,
and completed its own eight-factor
review document pursuant to 21 U.S.C.
811(c). Since receiving the HHS
recommendation, no additional studies
have been published in the scientific
literature. Included below is a brief
summary of each factor as analyzed by
HHS and DEA in their respective eightfactor analyses, and as considered by
DEA in its proposed scheduling
determination. Please note that both
DEA and HHS analyses are available in
their entirety under ‘‘Supporting
Documents’’ of the public docket for
this proposed rule at https://
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www.regulations.gov under docket
number ‘‘DEA–477.’’
1. The Drug’s Actual or Relative
Potential for Abuse: As reported by
HHS, there are numerous reports
indicating that abuse of zipeprol
resulted in seizures, comas, amnesia,
hallucinations, and death in countries
where zipeprol has been marketed as an
antitussive. The pharmacological effects
of zipeprol are similar to opioids in
schedule II of the CSA such as
morphine; however, zipeprol is a weak
opioid relative to morphine.
Hallucinations, convulsions, and
opioid-like tolerance and dependence
are observed in humans following
zipeprol intake. Zipeprol abuse is
associated with psychological and
physical dependence. Abuse liability
studies suggest that the primary
motivation for zipeprol abuse was
reaching the opioid-like, hypnotic
sedative effects and euphoria associated
with this drug.
2. Scientific Evidence of the Drug’s
Pharmacological Effects, if Known:
Zipeprol binds with low to moderate
affinity to mu and kappa opioid
receptors, has a moderate affinity for
sigma 1 receptors, and has a strong
affinity for sigma 2 receptors. Animal
testing data in monkeys, rats and mice
show that zipeprol is self-administered.
Acute cardiovascular and respiratory
toxicity was observed in animals
continuously infused with zipeprol.
Published clinical reports have
indicated that euphoric effects are
observed at doses ranging from 3- to 10fold higher than the therapeutic daily
dose range (75–150 mg/day).
Generalized seizures were reported at
relatively low doses (375 mg) but still
higher than the therapeutic dose range.
3. The State of Current Scientific
Knowledge Regarding the Drug or Other
Substance: Zipeprol, also known as 1methoxy-3-[4-(2-methoxy-2phenylethyl) piperazin-1-yl]-1phenylpropan-2-ol, has a molecular
weight of 322.37 g/mol. Zipeprol is
extensively metabolized in humans into
four major metabolites. Zipeprol is not
expected to be detected in urine with a
normal pH. When urine pH rises above
6.2, unchanged zipeprol is reabsorbed
whereas under acidic urine conditions
(pH < 5.0), approximately 1–5 percent of
zipeprol is excreted unchanged. There is
no currently accepted medical use of
zipeprol in the United States. In other
countries, zipeprol was used as a cough
suppressant (antitussive), but there is no
longer any reported manufacture of,
consumption of, stocks or trade of
zipeprol.
4. Its History and Current Pattern of
Abuse: There have been numerous
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reports of zipeprol abuse from Brazil,
Chile, France, Italy, Mexico, the
Republic of Korea, Switzerland, and the
former Yugoslavia during the 1980s and
1990s. These reports suggest the
sedative, hallucinogenic, and
euphorigenic effects of zipeprol, and its
ability to suppress some signs of opioid
withdrawal at high doses, may be the
reasons for its abuse. It is important to
note that the ability of one opioid to
suppress withdrawal from a different
opioid does not represent a beneficial
effect. Ease of obtaining zipeprol by
over-the-counter access may have
contributed to its widespread abuse in
some countries. Following these reports,
many countries in Asia, Europe, and
South America discontinued medical
use of zipeprol. Incidences of zipeprol
abuse were not reported after placement
of zipeprol in Schedule II of the 1971
Convention on Psychotropic Substances
in 1995 (CND Dec. 38/2). Queries of
DEA’s System to Retrieve Information
from Drug Evidence (STRIDE)/
STARLiMS 5 and the National Forensic
Laboratory Information System
(NFLIS) 6 databases on October 3, 2018,
did not generate any reports of zipeprol,
suggesting that it is not trafficked in the
United States.
5. The Scope, Duration, and
Significance of Abuse: The lack of abuse
and overdose associated with zipeprol is
most likely due to its lack of availability
for medical use in the United States.
6. What, if any, Risk There is to the
Public Health: Currently in the United
States, zipeprol is not an FDA-approved
drug, and there have been no reports or
epidemiological studies submitted to
FDA regarding its abuse. In countries
where it was available for medical use,
zipeprol became a significant health
problem. Based on the available clinical
data, zipeprol has the same risks to
public health as schedule I or schedule
II substances. Such risks include deaths
due to voluntary or accidental acute
intoxications and the potential for
psychological and physical dependence.
7. Its Psychic or Physiological
Dependence Liability: Psychological and
physiological dependence is associated
5 STRIDE is a database of drug exhibits sent to
DEA laboratories for analysis. Exhibits from the
database are from DEA, other federal agencies, and
law enforcement agencies. On October 1, 2014,
STARLiMS replaced STRIDE as DEA laboratory
drug evidence data system of record.
6 NFLIS is a national drug forensic laboratory
reporting system that systematically collects results
from drug chemistry analyses conducted by state
and local forensic laboratories across the country.
The NFLIS participation rate, defined as the
percentage of the national drug caseload
represented by laboratories that have joined NFLIS,
is over 97 percent. NFLIS includes drug chemistry
results from completed analyses only.
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with zipeprol. Several clinical studies
examined and described physical
dependence and withdrawal effects
associated with zipeprol abuse. Main
signs of zipeprol withdrawal include
sweating, diarrhea, anxiety, insomnia,
dyspnea, yawning, and pain. The
euphoric and hallucinogenic effects
associated with zipeprol and other
opioid-like drugs serve as reinforcers
and can result in psychological
dependence and are supported by case
studies with zipeprol abusers.
8. Whether the Substance is an
Immediate Precursor of a Substance
Already Controlled Under the CSA: DEA
and HHS find that zipeprol is not an
immediate precursor of a substance
already controlled under the CSA.
Conclusion: Based on consideration of
the scientific and medical evaluation
and accompanying recommendation of
HHS, and based on DEA’s consideration
of its own eight-factor analysis, DEA
finds that these facts and all relevant
data constitute substantial evidence of
potential for abuse of zipeprol. As such,
DEA hereby proposes to schedule
zipeprol as a controlled substance under
the CSA.
Proposed Determination of Appropriate
Schedule
The CSA establishes five schedules of
controlled substances known as
schedules I, II, III, IV, and V. The CSA
also outlines the findings required to
place a drug or other substance in any
particular schedule. 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 (Acting
Administrator), pursuant to 21 U.S.C.
812(b)(1), finds that:
(1) Zipeprol has a high potential for
abuse. Widespread reports of zipeprol
abuse have occurred in countries that
have marketed zipeprol. Zipeprol is selfadministered in animals and clinical
studies reported that zipeprol abuse is
related to its opioid, sedative,
hallucinogenic, and euphorigenic
effects. Epidemiological reports on
zipeprol, worldwide, have indicated
that adverse reactions (primarily
seizures) are caused by zipeprol abuse
and dependence.
(2) There are no approved New Drug
Applications for zipeprol and no known
therapeutic applications for zipeprol in
the United States.7 Therefore, zipeprol
7 Although there is no evidence suggesting that
zipeprol has a currently accepted medical use in
treatment in the United States, it bears noting that
a drug cannot be found to have such medical use
unless DEA concludes that it satisfies a five-part
test. Specifically, with respect to a drug that has not
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has no currently accepted medical use
in treatment in the United States.
(3) There is a lack of accepted safety
for use of zipeprol under medical
supervision. Zipeprol was first
approved and introduced as an
antitussive in France and Italy during
the late 1970s. Following several reports
of abuse and overdosing from zipeprol,
this drug was withdrawn in the early to
mid-1990s.
Based on these findings, the Acting
Administrator concludes that zipeprol
warrants control in schedule I of the
CSA. 21 U.S.C. 812(b)(1). More
precisely, because of its opioid effects,
and producing opioid-like tolerance and
dependence in humans, DEA is
proposing to place zipeprol in 21 CFR
1308.11(b) (the opiates category of
schedule I). As such, the proposed
control of zipeprol includes the
substance as well as its isomers, esters,
ethers, salts, and salts of isomers, esters
and ethers, whenever the existence of
such isomers, esters, ethers and salts is
possible within the specific chemical
designation.
Requirements for Handling Zipeprol
If this rule is finalized as proposed,
zipeprol would be subject to the CSA’s
schedule I regulatory controls and
administrative, civil, and criminal
sanctions applicable to the manufacture,
distribution, reverse distribution,
import, export, engagement in research,
conduct of instructional activities or
chemical analysis with, and possession
of schedule I controlled substances,
including the following:
1. Registration. Any person who
handles (manufactures, distributes,
reverse distributes, imports, exports,
engages in research, or conducts
instructional activities or chemical
analysis with, or possesses) zipeprol, or
who desires to handle zipeprol, would
need to be registered with DEA to
conduct such activities pursuant to 21
U.S.C. 822, 823, 957, 958, and in
accordance with 21 CFR parts 1301 and
1312 as of the effective date of a final
scheduling action. Any person who
currently handles zipeprol, and is not
registered with DEA, would need to
submit an application for registration
been approved by the FDA, to have a currently
accepted medical use in treatment in the United
States, all of the following must be demonstrated:
i. the drug’s chemistry must be known and
reproducible;
ii. there must be adequate safety studies;
iii. there must be adequate and well-controlled
studies proving efficacy;
iv. the drug must be accepted by qualified
experts; and
v. the scientific evidence must be widely
available.
57 FR 10499 (1992).
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Federal Register / Vol. 85, No. 94 / Thursday, May 14, 2020 / Proposed Rules
and may not continue to handle
zipeprol after the effective date of a final
scheduling action unless DEA has
approved that application for
registration pursuant to 21 U.S.C. 822,
823, 957, 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 I registration would be
required to surrender all quantities of
currently held zipeprol, or transfer all
quantities of currently held zipeprol to
a person registered with DEA before the
effective date of a final scheduling
action in accordance with all applicable
federal, state, local, and tribal laws. As
of the effective date of a final scheduling
action, zipeprol would be required to be
disposed of in accordance with 21 CFR
part 1317, in addition to all other
applicable federal, state, local, and tribal
laws.
3. Security. Zipeprol would be subject
to schedule I security requirements and
would need to be handled and stored
pursuant to 21 U.S.C. 821 and 823, and
in accordance with 21 CFR 1301.71–
1301.93 as of the effective date of a final
scheduling action.
4. Labeling and Packaging. All labels,
labeling, and packaging for commercial
containers of zipeprol would need to be
in compliance with 21 U.S.C. 825 and
958(e), and be in accordance with 21
CFR part 1302 as of the effective date of
a final scheduling action.
5. Quota. Only registered
manufacturers would be permitted to
manufacture zipeprol in accordance
with a quota assigned pursuant to 21
U.S.C. 826 and in accordance with 21
CFR part 1303 as of the effective date of
a final scheduling action.
6. Inventory. Every DEA registrant
who possesses any quantity of zipeprol
on the effective date of a final
scheduling action would be required to
take an inventory of zipeprol on hand at
that time, pursuant to 21 U.S.C. 827 and
958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11(a) and
(d).
Any person who becomes registered
with DEA on or after the effective date
of the final scheduling action would be
required to take an initial inventory of
all stocks of controlled substances
(including zipeprol) 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(a) and (b).
After the initial inventory, every DEA
registrant would be required to take an
inventory of all controlled substances
(including zipeprol) on hand every two
years, pursuant to 21 U.S.C. 827 and
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Jkt 250001
958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11.
7. Records and Reports. Every DEA
registrant would be required to maintain
records and submit reports pursuant to
21 U.S.C. 827 and 958, and in
accordance with 21 CFR parts 1304,
1312, and 1317 as of the effective date
of a final scheduling action.
Manufacturers and distributors would
be required to submit reports regarding
zipeprol to the Automation of Reports
and Consolidated Order System
pursuant to 21 U.S.C. 827 and in
accordance with 21 CFR parts 1304 and
1312 as of the effective date of a final
scheduling action.
8. Order Forms. Every DEA registrant
who distributes zipeprol would be
required to comply with order form
requirements, pursuant to 21 U.S.C. 828,
and in accordance with 21 CFR part
1305 as of the effective date of a final
scheduling action.
9. Importation and Exportation. All
importation and exportation of zipeprol
would need to be in compliance with 21
U.S.C. 952, 953, 957, and 958, and in
accordance with 21 CFR part 1312 as of
the effective date of a final scheduling
action.
10. Liability. Any activity involving
zipeprol not authorized by, or in
violation of, the CSA or its
implementing regulations, would be
unlawful, and may subject the person to
administrative, civil, and/or criminal
sanctions.
Regulatory Analyses
Executive Orders 12866, 13563, and
13771, Regulatory Planning and Review,
Improving Regulation and Regulatory
Review, and Reducing Regulation and
Controlling Regulatory Costs
In accordance with 21 U.S.C. 811(a),
this proposed 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.
This rulemaking is not an Executive
Order 13771 regulatory action because
this rule is not significant under
Executive Order 12866.
Executive Order 12988, Civil Justice
Reform
This proposed regulation meets the
applicable standards set forth in
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Fmt 4702
Sfmt 4702
28903
sections 3(a) and 3(b)(2) of Executive
Order 12988, Civil Justice Reform, 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 proposed rulemaking does not
have federalism implications warranting
the application of Executive Order
13132. The proposed rule does not have
substantial direct effects on the States,
on the relationship between the national
government and the States, or the
distribution of power and
responsibilities among the various
levels of government.
Executive Order 13175, Consultation
and Coordination With Indian Tribal
Governments
This proposed 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.
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).
Regulatory Flexibility Act
The Acting Administrator, in
accordance with the Regulatory
Flexibility Act (RFA), 5 U.S.C. 601–602,
has reviewed this proposed rule, and by
approving it, certifies that it will not
have a significant economic impact on
a substantial number of small entities.
DEA proposes placing the substance
zipeprol (chemical name: 1-methoxy-3[4-(2-methoxy-2-phenylethyl)piperazin1-yl]-1-phenylpropan-2-ol), including its
isomers, esters, ethers, salts, and salts of
isomers, esters, and ethers, whenever
the existence of such isomers, esters,
ethers and salts is possible, in schedule
I of the CSA. This action is being taken
to enable the United States to meet its
obligations under the 1971 Convention
on Psychotropic Substances. If finalized,
this action would impose the regulatory
controls and administrative, civil, and
criminal sanctions applicable to
schedule I controlled substances on
persons who handle (manufacture,
distribute, reverse distribute, import,
export, engage in research, conduct
instructional activities or chemical
E:\FR\FM\14MYP1.SGM
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28904
Federal Register / Vol. 85, No. 94 / Thursday, May 14, 2020 / Proposed Rules
analysis with, or possess), or propose to
handle zipeprol.
According to HHS, zipeprol has a
high potential for abuse, has no
currently accepted medical use in
treatment in the United States, and lacks
accepted safety for use under medical
supervision. DEA’s research confirms
that there is no commercial market for
zipeprol in the United States.
Additionally, queries of DEA’s STRIDE/
STARLiMS and the NFLIS databases on
October 3, 2018, did not generate any
reports of zipeprol, suggesting that it is
not trafficked in the United States.
Therefore, DEA estimates that no United
States entity currently handles zipeprol
and does not expect any United States
entity to handle zipeprol in the
foreseeable future. DEA concludes that
no United States entity would be
affected by this rule if finalized. As
such, the proposed rule will not have a
significant effect on a substantial
number of small entities.
jbell on DSKJLSW7X2PROD with PROPOSALS
Unfunded Mandates Reform Act of 1995
On the basis of information contained
in the ‘‘Regulatory Flexibility Act’’
section above, DEA has determined and
certifies pursuant to the Unfunded
Mandates Reform Act (UMRA) of 1995
(2 U.S.C. 1501 et seq.), 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 annually for inflation) in any
1 year * * *.’’ Therefore, neither a
Small Government Agency Plan nor any
other action is required under
provisions of the UMRA of 1995.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2020–09592 Filed 5–13–20; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF THE INTERIOR
Office of Surface Mining Reclamation
and Enforcement
30 CFR Parts 733, 736, and 842
[Docket ID: OSM–2019–0010; S1D1S
SS08011000 SX064A000 201S180110;
S2D2S SS08011000 SX064A00 20XS501520]
RIN 1029–AC77
Clarification of Provisions Related to
the Issuance of Ten-Day Notices to
State Regulatory Authorities and
Enhancement of Corrective Action for
State Regulatory Program Issues
Office of Surface Mining
Reclamation and Enforcement, Interior.
ACTION: Proposed rule.
AGENCY:
The Office of Surface Mining
Reclamation and Enforcement (OSMRE)
proposes to clarify the regulations about
notifying regulatory authorities of
possible violations of any requirement
of the Surface Mining Control and
Reclamation Act of 1977 (SMCRA). This
action would streamline the process for
OSMRE’s coordination with regulatory
authorities in order to minimize
duplication of inspections, enforcement,
and administration of SMCRA.
Additionally, the proposed rule would
enhance the procedures for early
identification of, and implementation of
corrective action to address, State
List of Subjects in 21 CFR Part 1308
regulatory program issues.
Administrative practice and
DATES
: OSMRE will accept comments
procedure, Drug traffic control,
received or postmarked on or before
Reporting and recordkeeping
11:59 p.m. Eastern Daylight Time (EDT),
requirements.
June 15, 2020 (the closing date). OSMRE
For the reasons set out above, 21 CFR
must receive comments submitted
part 1308 is proposed to be amended to
electronically using the Federal
read as follows:
eRulemaking Portal (see ADDRESSES
below) by 11:59 p.m. EDT on the closing
PART 1308—SCHEDULES OF
date.
CONTROLLED SUBSTANCES
ADDRESSES: You may submit comments,
■ 1. The authority citation for 21 CFR
identified by RIN 1029–AC77, by any of
part 1308 continues to read as follows:
the following methods:
Authority: 21 U.S.C. 811, 812, 871(b),
(1) Electronically: Go to the Federal
956(b), unless otherwise noted.
eRulemaking Portal: https://
www.regulations.gov. In the search box,
■ 2. In § 1308.11, add paragraph (b)(71)
enter RIN 1029–AC77, which is the
to read as follows:
docket number for this proposed
§ 1308.11 Schedule I.
rulemaking. Then in the search panel on
*
*
*
*
*
the left side of the screen, under the
(b) * * *
Document type heading, click on the
Proposed Rules link to locate this
(71) Zipeprol .................................
9873 document. You may submit a comment
by clicking on ‘‘Comment Now!’’
*
*
*
*
*
VerDate Sep<11>2014
16:27 May 13, 2020
Jkt 250001
SUMMARY:
PO 00000
Frm 00017
Fmt 4702
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(2) By hard copy: Submit by U.S. mail,
other mail delivery service, or handdelivery to: U.S. Department of the
Interior, Office of Surface Mining
Reclamation and Enforcement, 1849 C
Street NW, Mail Stop 4550, Room 4558,
Main Interior Building, Washington, DC
20240, Attention: Division of Regulatory
Support.
OSMRE requests that you send
comments only by the methods
described above. OSMRE will post all
comments on https://
www.regulations.gov. This generally
means that OSMRE will post any
personal information you provide (see
Public Comment Procedures, below, for
more information).
FOR FURTHER INFORMATION CONTACT:
Kathleen G. Vello, OSMRE, Division of
Regulatory Support, 1849 C Street NW,
Mail Stop 4550, Room 4558,
Washington, DC 20240, telephone
number: (202) 208–1908. If you use a
telecommunications device for the deaf
(TDD), call the Federal Relay Service at:
(800) 877–8339.
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Public Comment Procedures
II. Background
III. Discussion of Proposed Rule and Sectionby-Section Analysis
IV. Procedural Matters
I. Public Comment Procedures
You may submit written comments,
identified with the RIN 1029–AC77, by
any of the methods described in the
ADDRESSES section. Written comments
submitted on the proposed rule should
be specific, confined to issues pertinent
to the proposed rule, and should
explain the reason for any
recommended change. Where possible,
your comments should reference the
specific section or paragraph of the
proposal that you are addressing. The
comments and recommendations that
will be most useful and likely to
influence agency decisions are those:
Supported by quantitative information
or studies; based on specific,
identifiable experience; and that include
citations to, and analyses of, the
applicable laws and regulations.
Comments received after the close of
the comment period (see the DATES
section) or delivered to addresses other
than those listed above (see the
ADDRESSES section) may not be
considered or included in the
Administrative Record for the final rule.
Comments, including names and
street addresses of respondent
commenters, will be available for public
review at the address listed under
ADDRESSES during regular business
E:\FR\FM\14MYP1.SGM
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[Federal Register Volume 85, Number 94 (Thursday, May 14, 2020)]
[Proposed Rules]
[Pages 28899-28904]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-09592]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA-477]
Schedules of Controlled Substances: Placement of Zipeprol in
Schedule I
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: The Drug Enforcement Administration (DEA) proposes placing the
substance zipeprol (Chemical name: 1-methoxy-3-[4-(2-methoxy-2-
phenylethyl)piperazin-1-yl]-1-phenylpropan-2-ol), including its
isomers, esters, ethers, salts, and salts of isomers, esters, and
ethers, whenever the existence of such isomers, esters, ethers and
salts is possible, in schedule I of the Controlled Substances Act. This
action is being taken to enable the United States to meet its
obligations under the 1971 Convention on Psychotropic Substances. If
finalized, this action would impose the regulatory controls and
administrative, civil, and criminal sanctions applicable to schedule I
controlled substances on persons who handle (manufacture, distribute,
reverse distribute, import, export, engage in research, conduct
instructional activities or chemical analysis with, or possess), or
propose to handle zipeprol.
DATES: Comments must be submitted electronically or postmarked on or
before July 13, 2020.
Interested persons may file a request for hearing or waiver of
hearing pursuant to 21 Code of Federal Regulations (CFR) 1308.44 and in
accordance with 21 CFR 1316.45 and/or 1316.47, as applicable. Requests
for hearing and waivers of an opportunity for a hearing or to
participate in a hearing must be received on or before June 15, 2020.
ADDRESSES: Interested persons may file written comments on this
proposal in accordance with 21 CFR 1308.43(g). 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. To ensure proper handling of comments, please reference
``Docket No. DEA-477'' on all electronic and written correspondence,
including any attachments.
Electronic comments: DEA 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 on-line 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 electronic
submissions 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/DPW, 8701 Morrissette Drive,
Springfield, Virginia 22152.
[[Page 28900]]
Hearing requests: All requests for a 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/DPW, 8701 Morrissette Drive, Springfield, Virginia
22152.
FOR FURTHER INFORMATION CONTACT: Scott A. Brinks, Regulatory Drafting
and Policy Support Section, Diversion Control Division, Drug
Enforcement Administration; Mailing Address: 8701 Morrissette Drive,
Springfield, Virginia 22152; Telephone: (571) 362-3261.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments
Please note that all comments received in response to this docket
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 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 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 to
this proposed rule are available at https://www.regulations.gov for easy
reference.
Request for Hearing or Waiver of Participation in Hearing
Pursuant to 21 United States Code (U.S.C.) 811(a), this action is a
formal rulemaking ``on the record after opportunity for a hearing.''
Such proceedings are conducted pursuant to the provisions of the
Administrative Procedure Act, 5 U.S.C. 551-559. 21 CFR 1308.41-1308.45;
21 CFR part 1316, subpart D. Interested persons may file requests for a
hearing or notices of intent to participate in a hearing in conformity
with the requirements of 21 CFR 1308.44(a) or (b), and include a
statement of interest in the proceeding and the objections or issues,
if any, concerning which the person desires to be heard. Any interested
person may file a waiver of an opportunity for a hearing or to
participate in a hearing together with a written statement regarding
the interested person's position on the matters of fact and law
involved in any hearing as set forth in 21 CFR 1308.44(c).
All requests for hearing and waivers of participation must be sent
to DEA using the address information provided above.
Legal Authority
The United States is a party to the 1971 United Nations Convention
on Psychotropic Substances (1971 Convention), February 21, 1971, 32
U.S.T. 543, 1019 U.N.T.S. 175, as amended. Procedures respecting
changes in drug schedules under the 1971 Convention are governed
domestically by 21 U.S.C. 811(d). When the United States receives
notification of a scheduling decision pursuant to Article 2 of the 1971
Convention indicating that a drug or other substance has been added or
transferred to a schedule specified in the notification, the Secretary
of the Department of Health and Human Services (HHS),\1\ after
consultation with the Attorney General, shall first determine whether
existing legal controls under subchapter I of the Controlled Substances
Act (CSA) and the Federal Food, Drug, and Cosmetic Act (FDCA) meet the
requirements of the schedule specified in the notification with respect
to the specific drug or substance. 21 U.S.C. 811(d)(3). If such
requirements are not met by existing controls and the Secretary of the
HHS concurs in the scheduling decision, the Secretary shall recommend
to the Attorney General that he initiate proceedings for scheduling the
drug or substance under the appropriate schedule pursuant to 21 U.S.C.
811(a) and (b). 21 U.S.C. 811(d)(3)(B). 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 21 U.S.C. 812(b) for the schedule in which such drug is
to be placed. The Attorney General has delegated this scheduling
authority to the Administrator of the DEA (Administrator). 28 CFR
0.100.
---------------------------------------------------------------------------
\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 HHS in
carrying out the Secretary's scheduling responsibilities under the
Controlled Substances Act, with the concurrence of NIDA. 50 FR 9518
(March 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).
---------------------------------------------------------------------------
Background
Zipeprol, known chemically as 1-methoxy-3-[4-(2-methoxy-2-
phenylethyl)piperazin-1-yl]-1-phenylpropan-2-ol, is pharmacologically
an opioid drug with some hallucinogenic properties that has no approved
medical use in the United States.
In June 1994 and January 1995, the Food and Drug Administration
(FDA), on behalf of the Secretary of the HHS, published notices in the
Federal Register regarding zipeprol to comply with 21 U.S.C. 811(d)(2).
The 1994 notice requested information to be considered by the World
Health Organization (WHO) in preparing its scientific and medical
evaluation for zipeprol.\2\ The 1995 notice solicited public comment
regarding a recommendation by the WHO to impose international controls
on zipeprol.\3\ In
[[Page 28901]]
March 1995, the United Nations Commission on Narcotic Drugs (CND), on
the advice of the Director-General of the WHO, placed zipeprol in
Schedule II of the 1971 Convention.\4\
---------------------------------------------------------------------------
\2\ FDA notice, International Drug Scheduling; Convention on
Psychotropic Substances; Certain Stimulant/Hallucinogenic Drugs and
Certain Nonbarbiturate Sedative Drugs, 59 FR 31639 (June 20, 1994).
\3\ FDA notice, International Drug Scheduling; Convention on
Psychotropic Substances; World Health Organization Scheduling
Recommendations for Seven Drug Substances, 60 FR 4169, 4173 (January
20, 1995).
\4\ United Nations Office on Drugs and Crime, CND. Decision 2
(XXXVIII). Inclusion of zipeprol in Schedule II of the Convention on
Psychotropic Substances of 1971. https://www.unodc.org/pdf/decisions/decision2_38.pdf (last retrieved October 3, 2018).
---------------------------------------------------------------------------
As a party to the 1971 Convention, the United States is taking
action to place appropriate controls on zipeprol by scheduling it under
the CSA after determining that no existing legal controls under
subchapter I of the CSA and the FDCA meet the requirements of the
scheduling decision with respect to zipeprol. 21 U.S.C. 811(d)(3).
Specifically, DEA is proposing to place zipeprol in schedule I of the
CSA. Placing zipeprol in schedule I of the CSA would satisfy the United
States' international obligations as set forth in Article 2, paragraph
7(b) of the 1971 Convention, and as implemented by the CSA. 21 U.S.C.
811(d)(3).
Article 2, paragraph 7(b), of the 1971 Convention sets forth the
minimum requirements that the United States must meet when a substance
has been added to Schedule II of the 1971 Convention. Pursuant to the
1971 Convention, the United States must require licenses for the
manufacture, export and import, and distribution of zipeprol. This
license requirement is accomplished by the CSA's registration
requirement as set forth in 21 U.S.C. 822, 823, 957, 958, and in
accordance with 21 CFR parts 1301 and 1312. In addition, the United
States must adhere to specific export and import provisions set forth
in the 1971 Convention. This requirement is accomplished by the CSA's
export and import provisions established in 21 U.S.C. 952, 953, 957,
958, and in accordance with 21 CFR part 1312. Likewise, under Article
13, paragraphs 1 and 2, of the 1971 Convention, a party to the 1971
Convention may notify another party, through the Secretary-General of
the United Nations, that it prohibits the importation of a substance in
Schedule II, III, or IV of the Convention. If such notice is presented
to the United States, the United States shall take measures to ensure
that the named substance is not exported to the notifying country. This
requirement is also accomplished by the CSA's export provisions
mentioned above. Under Article 16, paragraph 4, of the 1971 Convention,
the United States is required to provide annual statistical reports to
the International Narcotics Control Board (INCB). Using INCB Form P,
the United States shall provide the following information: (1) In
regard to each substance in Schedule I and II of the 1971 Convention,
quantities manufactured, exported to and imported from each country or
region as well as stocks held by manufacturers; (2) in regard to each
substance in Schedule II and III of the 1971 Convention, quantities
used in the manufacture of exempt preparations; and (3) in regard to
each substance in Schedule II--IV of the 1971 Convention, quantities
used for the manufacture of non-psychotropic substances or products.
Lastly, under Article 2 of the 1971 Convention, the United States must
adopt measures in accordance with Article 22 to address violations of
any statutes or regulations that are adopted pursuant to its
obligations under the 1971 Convention. The United States complies with
this provision as persons acting outside the legal framework
established by the CSA are subject to administrative, civil, and/or
criminal action.
Proposed Determination To Schedule Zipeprol
Pursuant to 21 U.S.C. 811(b), DEA gathered the necessary data on
zipeprol and on April 3, 2009, submitted it to the Assistant Secretary
for Health of the HHS with a request for a scientific and medical
evaluation of available information and a scheduling recommendation for
zipeprol. On May 20, 2013, HHS provided to DEA a written scientific and
medical evaluation and scheduling recommendation entitled, ``Basis for
the Recommendation for Control of Zipeprol and Its Salts in Schedule I
of the Controlled Substances Act.'' Pursuant to 21 U.S.C. 811(b), this
document contained HHS' eight-factor analysis of zipeprol, along with
its recommendation that zipeprol be placed in schedule I of the CSA.
In response, DEA reviewed the scientific and medical evaluation and
scheduling recommendation provided by the HHS and all other relevant
data, and completed its own eight-factor review document pursuant to 21
U.S.C. 811(c). Since receiving the HHS recommendation, no additional
studies have been published in the scientific literature. Included
below is a brief summary of each factor as analyzed by HHS and DEA in
their respective eight-factor analyses, and as considered by DEA in its
proposed scheduling determination. Please note that both DEA and HHS
analyses are available in their entirety under ``Supporting Documents''
of the public docket for this proposed rule at https://www.regulations.gov under docket number ``DEA-477.''
1. The Drug's Actual or Relative Potential for Abuse: As reported
by HHS, there are numerous reports indicating that abuse of zipeprol
resulted in seizures, comas, amnesia, hallucinations, and death in
countries where zipeprol has been marketed as an antitussive. The
pharmacological effects of zipeprol are similar to opioids in schedule
II of the CSA such as morphine; however, zipeprol is a weak opioid
relative to morphine. Hallucinations, convulsions, and opioid-like
tolerance and dependence are observed in humans following zipeprol
intake. Zipeprol abuse is associated with psychological and physical
dependence. Abuse liability studies suggest that the primary motivation
for zipeprol abuse was reaching the opioid-like, hypnotic sedative
effects and euphoria associated with this drug.
2. Scientific Evidence of the Drug's Pharmacological Effects, if
Known: Zipeprol binds with low to moderate affinity to mu and kappa
opioid receptors, has a moderate affinity for sigma 1 receptors, and
has a strong affinity for sigma 2 receptors. Animal testing data in
monkeys, rats and mice show that zipeprol is self-administered. Acute
cardiovascular and respiratory toxicity was observed in animals
continuously infused with zipeprol. Published clinical reports have
indicated that euphoric effects are observed at doses ranging from 3-
to 10- fold higher than the therapeutic daily dose range (75-150 mg/
day). Generalized seizures were reported at relatively low doses (375
mg) but still higher than the therapeutic dose range.
3. The State of Current Scientific Knowledge Regarding the Drug or
Other Substance: Zipeprol, also known as 1-methoxy-3-[4-(2-methoxy-2-
phenylethyl) piperazin-1-yl]-1-phenylpropan-2-ol, has a molecular
weight of 322.37 g/mol. Zipeprol is extensively metabolized in humans
into four major metabolites. Zipeprol is not expected to be detected in
urine with a normal pH. When urine pH rises above 6.2, unchanged
zipeprol is reabsorbed whereas under acidic urine conditions (pH <
5.0), approximately 1-5 percent of zipeprol is excreted unchanged.
There is no currently accepted medical use of zipeprol in the United
States. In other countries, zipeprol was used as a cough suppressant
(antitussive), but there is no longer any reported manufacture of,
consumption of, stocks or trade of zipeprol.
4. Its History and Current Pattern of Abuse: There have been
numerous
[[Page 28902]]
reports of zipeprol abuse from Brazil, Chile, France, Italy, Mexico,
the Republic of Korea, Switzerland, and the former Yugoslavia during
the 1980s and 1990s. These reports suggest the sedative,
hallucinogenic, and euphorigenic effects of zipeprol, and its ability
to suppress some signs of opioid withdrawal at high doses, may be the
reasons for its abuse. It is important to note that the ability of one
opioid to suppress withdrawal from a different opioid does not
represent a beneficial effect. Ease of obtaining zipeprol by over-the-
counter access may have contributed to its widespread abuse in some
countries. Following these reports, many countries in Asia, Europe, and
South America discontinued medical use of zipeprol. Incidences of
zipeprol abuse were not reported after placement of zipeprol in
Schedule II of the 1971 Convention on Psychotropic Substances in 1995
(CND Dec. 38/2). Queries of DEA's System to Retrieve Information from
Drug Evidence (STRIDE)/STARLiMS \5\ and the National Forensic
Laboratory Information System (NFLIS) \6\ databases on October 3, 2018,
did not generate any reports of zipeprol, suggesting that it is not
trafficked in the United States.
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\5\ STRIDE is a database of drug exhibits sent to DEA
laboratories for analysis. Exhibits from the database are from DEA,
other federal agencies, and law enforcement agencies. On October 1,
2014, STARLiMS replaced STRIDE as DEA laboratory drug evidence data
system of record.
\6\ NFLIS is a national drug forensic laboratory reporting
system that systematically collects results from drug chemistry
analyses conducted by state and local forensic laboratories across
the country. The NFLIS participation rate, defined as the percentage
of the national drug caseload represented by laboratories that have
joined NFLIS, is over 97 percent. NFLIS includes drug chemistry
results from completed analyses only.
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5. The Scope, Duration, and Significance of Abuse: The lack of
abuse and overdose associated with zipeprol is most likely due to its
lack of availability for medical use in the United States.
6. What, if any, Risk There is to the Public Health: Currently in
the United States, zipeprol is not an FDA-approved drug, and there have
been no reports or epidemiological studies submitted to FDA regarding
its abuse. In countries where it was available for medical use,
zipeprol became a significant health problem. Based on the available
clinical data, zipeprol has the same risks to public health as schedule
I or schedule II substances. Such risks include deaths due to voluntary
or accidental acute intoxications and the potential for psychological
and physical dependence.
7. Its Psychic or Physiological Dependence Liability: Psychological
and physiological dependence is associated with zipeprol. Several
clinical studies examined and described physical dependence and
withdrawal effects associated with zipeprol abuse. Main signs of
zipeprol withdrawal include sweating, diarrhea, anxiety, insomnia,
dyspnea, yawning, and pain. The euphoric and hallucinogenic effects
associated with zipeprol and other opioid-like drugs serve as
reinforcers and can result in psychological dependence and are
supported by case studies with zipeprol abusers.
8. Whether the Substance is an Immediate Precursor of a Substance
Already Controlled Under the CSA: DEA and HHS find that zipeprol is not
an immediate precursor of a substance already controlled under the CSA.
Conclusion: Based on consideration of the scientific and medical
evaluation and accompanying recommendation of HHS, and based on DEA's
consideration of its own eight-factor analysis, DEA finds that these
facts and all relevant data constitute substantial evidence of
potential for abuse of zipeprol. As such, DEA hereby proposes to
schedule zipeprol as a controlled substance under the CSA.
Proposed Determination of Appropriate Schedule
The CSA establishes five schedules of controlled substances known
as schedules I, II, III, IV, and V. The CSA also outlines the findings
required to place a drug or other substance in any particular schedule.
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
(Acting Administrator), pursuant to 21 U.S.C. 812(b)(1), finds that:
(1) Zipeprol has a high potential for abuse. Widespread reports of
zipeprol abuse have occurred in countries that have marketed zipeprol.
Zipeprol is self-administered in animals and clinical studies reported
that zipeprol abuse is related to its opioid, sedative, hallucinogenic,
and euphorigenic effects. Epidemiological reports on zipeprol,
worldwide, have indicated that adverse reactions (primarily seizures)
are caused by zipeprol abuse and dependence.
(2) There are no approved New Drug Applications for zipeprol and no
known therapeutic applications for zipeprol in the United States.\7\
Therefore, zipeprol has no currently accepted medical use in treatment
in the United States.
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\7\ Although there is no evidence suggesting that zipeprol has a
currently accepted medical use in treatment in the United States, it
bears noting that a drug cannot be found to have such medical use
unless DEA concludes that it satisfies a five-part test.
Specifically, with respect to a drug that has not been approved by
the FDA, to have a currently accepted medical use in treatment in
the United States, all of the following must be demonstrated:
i. the drug's chemistry must be known and reproducible;
ii. there must be adequate safety studies;
iii. there must be adequate and well-controlled studies proving
efficacy;
iv. the drug must be accepted by qualified experts; and
v. the scientific evidence must be widely available.
57 FR 10499 (1992).
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(3) There is a lack of accepted safety for use of zipeprol under
medical supervision. Zipeprol was first approved and introduced as an
antitussive in France and Italy during the late 1970s. Following
several reports of abuse and overdosing from zipeprol, this drug was
withdrawn in the early to mid-1990s.
Based on these findings, the Acting Administrator concludes that
zipeprol warrants control in schedule I of the CSA. 21 U.S.C.
812(b)(1). More precisely, because of its opioid effects, and producing
opioid-like tolerance and dependence in humans, DEA is proposing to
place zipeprol in 21 CFR 1308.11(b) (the opiates category of schedule
I). As such, the proposed control of zipeprol includes the substance as
well as its isomers, esters, ethers, salts, and salts of isomers,
esters and ethers, whenever the existence of such isomers, esters,
ethers and salts is possible within the specific chemical designation.
Requirements for Handling Zipeprol
If this rule is finalized as proposed, zipeprol would be subject to
the CSA's schedule I regulatory controls and administrative, civil, and
criminal sanctions applicable to the manufacture, distribution, reverse
distribution, import, export, engagement in research, conduct of
instructional activities or chemical analysis with, and possession of
schedule I controlled substances, including the following:
1. Registration. Any person who handles (manufactures, distributes,
reverse distributes, imports, exports, engages in research, or conducts
instructional activities or chemical analysis with, or possesses)
zipeprol, or who desires to handle zipeprol, would need to be
registered with DEA to conduct such activities pursuant to 21 U.S.C.
822, 823, 957, 958, and in accordance with 21 CFR parts 1301 and 1312
as of the effective date of a final scheduling action. Any person who
currently handles zipeprol, and is not registered with DEA, would need
to submit an application for registration
[[Page 28903]]
and may not continue to handle zipeprol after the effective date of a
final scheduling action unless DEA has approved that application for
registration pursuant to 21 U.S.C. 822, 823, 957, 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 I registration would be required to surrender
all quantities of currently held zipeprol, or transfer all quantities
of currently held zipeprol to a person registered with DEA before the
effective date of a final scheduling action in accordance with all
applicable federal, state, local, and tribal laws. As of the effective
date of a final scheduling action, zipeprol would be required to be
disposed of in accordance with 21 CFR part 1317, in addition to all
other applicable federal, state, local, and tribal laws.
3. Security. Zipeprol would be subject to schedule I security
requirements and would need to be handled and stored pursuant to 21
U.S.C. 821 and 823, and in accordance with 21 CFR 1301.71-1301.93 as of
the effective date of a final scheduling action.
4. Labeling and Packaging. All labels, labeling, and packaging for
commercial containers of zipeprol would need to be in compliance with
21 U.S.C. 825 and 958(e), and be in accordance with 21 CFR part 1302 as
of the effective date of a final scheduling action.
5. Quota. Only registered manufacturers would be permitted to
manufacture zipeprol in accordance with a quota assigned pursuant to 21
U.S.C. 826 and in accordance with 21 CFR part 1303 as of the effective
date of a final scheduling action.
6. Inventory. Every DEA registrant who possesses any quantity of
zipeprol on the effective date of a final scheduling action would be
required to take an inventory of zipeprol on hand at that time,
pursuant to 21 U.S.C. 827 and 958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11(a) and (d).
Any person who becomes registered with DEA on or after the
effective date of the final scheduling action would be required to take
an initial inventory of all stocks of controlled substances (including
zipeprol) 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(a) and (b).
After the initial inventory, every DEA registrant would be required
to take an inventory of all controlled substances (including zipeprol)
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.
7. Records and Reports. Every DEA registrant would be required to
maintain records and submit reports pursuant to 21 U.S.C. 827 and 958,
and in accordance with 21 CFR parts 1304, 1312, and 1317 as of the
effective date of a final scheduling action. Manufacturers and
distributors would be required to submit reports regarding zipeprol to
the Automation of Reports and Consolidated Order System pursuant to 21
U.S.C. 827 and in accordance with 21 CFR parts 1304 and 1312 as of the
effective date of a final scheduling action.
8. Order Forms. Every DEA registrant who distributes zipeprol would
be required to comply with order form requirements, pursuant to 21
U.S.C. 828, and in accordance with 21 CFR part 1305 as of the effective
date of a final scheduling action.
9. Importation and Exportation. All importation and exportation of
zipeprol would need to be in compliance with 21 U.S.C. 952, 953, 957,
and 958, and in accordance with 21 CFR part 1312 as of the effective
date of a final scheduling action.
10. Liability. Any activity involving zipeprol not authorized by,
or in violation of, the CSA or its implementing regulations, would be
unlawful, and may subject the person to administrative, civil, and/or
criminal sanctions.
Regulatory Analyses
Executive Orders 12866, 13563, and 13771, Regulatory Planning and
Review, Improving Regulation and Regulatory Review, and Reducing
Regulation and Controlling Regulatory Costs
In accordance with 21 U.S.C. 811(a), this proposed 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.
This rulemaking is not an Executive Order 13771 regulatory action
because this rule is not significant under Executive Order 12866.
Executive Order 12988, Civil Justice Reform
This proposed regulation meets the applicable standards set forth
in sections 3(a) and 3(b)(2) of Executive Order 12988, Civil Justice
Reform, 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 proposed rulemaking does not have federalism implications
warranting the application of Executive Order 13132. The proposed rule
does not have substantial direct effects on the States, on the
relationship between the national government and the States, or the
distribution of power and responsibilities among the various levels of
government.
Executive Order 13175, Consultation and Coordination With Indian Tribal
Governments
This proposed 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.
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).
Regulatory Flexibility Act
The Acting Administrator, in accordance with the Regulatory
Flexibility Act (RFA), 5 U.S.C. 601-602, has reviewed this proposed
rule, and by approving it, certifies that it will not have a
significant economic impact on a substantial number of small entities.
DEA proposes placing the substance zipeprol (chemical name: 1-
methoxy-3-[4-(2-methoxy-2-phenylethyl)piperazin-1-yl]-1-phenylpropan-2-
ol), including its isomers, esters, ethers, salts, and salts of
isomers, esters, and ethers, whenever the existence of such isomers,
esters, ethers and salts is possible, in schedule I of the CSA. This
action is being taken to enable the United States to meet its
obligations under the 1971 Convention on Psychotropic Substances. If
finalized, this action would impose the regulatory controls and
administrative, civil, and criminal sanctions applicable to schedule I
controlled substances on persons who handle (manufacture, distribute,
reverse distribute, import, export, engage in research, conduct
instructional activities or chemical
[[Page 28904]]
analysis with, or possess), or propose to handle zipeprol.
According to HHS, zipeprol has a high potential for abuse, has no
currently accepted medical use in treatment in the United States, and
lacks accepted safety for use under medical supervision. DEA's research
confirms that there is no commercial market for zipeprol in the United
States. Additionally, queries of DEA's STRIDE/STARLiMS and the NFLIS
databases on October 3, 2018, did not generate any reports of zipeprol,
suggesting that it is not trafficked in the United States. Therefore,
DEA estimates that no United States entity currently handles zipeprol
and does not expect any United States entity to handle zipeprol in the
foreseeable future. DEA concludes that no United States entity would be
affected by this rule if finalized. As such, the proposed rule will not
have a significant effect on a substantial number of small entities.
Unfunded Mandates Reform Act of 1995
On the basis of information contained in the ``Regulatory
Flexibility Act'' section above, DEA has determined and certifies
pursuant to the Unfunded Mandates Reform Act (UMRA) of 1995 (2 U.S.C.
1501 et seq.), 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 annually for inflation) in any 1 year *
* *.'' Therefore, neither a Small Government Agency Plan nor any other
action is required under provisions of the UMRA of 1995.
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, 21 CFR part 1308 is proposed to be
amended to read as follows:
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), 956(b), unless otherwise
noted.
0
2. In Sec. 1308.11, add paragraph (b)(71) to read as follows:
Sec. 1308.11 Schedule I.
* * * * *
(b) * * *
(71) Zipeprol.................................................. 9873
* * * * *
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2020-09592 Filed 5-13-20; 8:45 am]
BILLING CODE 4410-09-P