1
DEPARTMENT OF HEALTH AND HUMAN
SERVICES
PUBLIC HEALTH SERVICE
FOOD AND DRUG
ADMINISTRATION
CENTER FOR FOOD SAFETY AND
APPLIED NUTRITION
DIETARY SUPPLEMENTS PUBLIC
MEETING
PRE-MARKET NOTIFICATION
PROGRAM FOR
NEW DIETARY INGREDIENTS
Monday, November 15,
2004
9:04 a.m.
Harvey W. Wiley
Building
5100 Paint Branch
Parkway
College Park,
Maryland 20740
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C O N T E N T S
AGENDA ITEM
PAGE
Welcome - Barbara Schneeman, Ph.D.,
Director,
Office of Nutritional Products, Labeling
and
Dietary Supplements 3
Opening Remarks - Michael Landa, Deputy
Director of
Regulatory Affairs, CFSAN 4
Meeting Introduction - Susan Walker,
M.D.,
Director, Division of Dietary Supplement
Programs 7
Moderator - Vasilios Frankos, Ph.D.,
Special
Assistant to Division Director, Division
of Dietary
Supplement Programs 15
Facilitator - Kelly Williams-Randolph,
D.V.M.,,
M.P.M., Consumer Safety Officer, Division
of
Dietary Supplement Programs 17
Speaker Group 1
Michael McGuffin, President, American
Herbal
Products Association 19
Annette Dickinson, Ph.D., President,
Council for
Responsible Nutrition 39
David Seckman, Executive Director and
CEO, National
Nutritional Foods Association 56
Speaker Group 2
Alan Feldstein, Counsel, and Richard
Collins,
Principal, Collins, McDonald & Gann,
P.C. 69
George A. Burdock, Ph.D., President,
Burdock Group 81
A. Wes Siegner, Jr., Director, Hyman, Phelps
&
McNamara, P.C. 96
Speaker Group 3
John L. Zenk, M.D., Chief Medical
Officer,
Humanetics Corporation 116
Paul Bolar, Vice President, Regulatory
and Legal
Affairs, Pharmavite 121
Willi Hunziker, D.V.M., MBA, CEO,
Hunziker
Consulting
132
Closing Remarks - Vasilios Frankos,
Ph.D. 143
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P R O C E E D I N G S
DR. SCHNEEMAN: Good morning.
If I could
get everyone to please take their seats,
I think
we'd like to get started. We know we have a full
program, and we want to give as much time
as
possible for our presenters and
commenters so that
FDA has an opportunity to hear what it is
you have
to say.
My name is Barbara
Schneeman. I'm the
Director of the Office of Nutritional
Products,
Labeling and Dietary Supplements. That is one of
the offices in the Center for Food Safety
and
Applied Nutrition, and we are definitely
pleased to
welcome you out here to College Park for
this
meeting on new dietary ingredients.
As the meeting has been set up,
FDA is
here to listen. We'll be gathering comments and
analyzing those over the next few weeks,
and we
know that many of you also plan to submit written
comments, and we're looking forward to
those
written comments as well.
Without further, I want to
introduce
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someone from the Center Director's
office, who is
also relatively new to our office, Mike
Landa, who
has been with FDA for quite a number of
years but
has just recently taken the position of
Deputy
Director for Regulatory Affairs in the
Center for
Food Safety and Applied Nutrition. And so I'd like
to ask Mike to make a few opening
comments.
Thank you.
MR. LANDA: Thank you.
Thanks, Barbara.
First, let me welcome
everyone. Thank you
for coming today to share your views with
us. We
hope and expect this meeting will be
instructive
for us, but let me add we don't
anticipate that it
will be interactive; that is, what we
expect it to
be is in what's called listening
mode. The "we,"
as you will learn later this morning,
will consist
of sort of a listening panel, including
myself, Dr.
Schneeman, and several others.
With respect to the NDI notice
itself, let
me just say we know there have been
requests for an
extension of the comment period. We know it's a
long-ish notice, at least in terms of the
number of
5
questions we've asked and areas we've
asked for
comment on. We will be making a decision shortly
on the request for extension, and we'll
let you
know once the decision has been made.
The purpose of the meeting
today, as
Barbara mentioned, is for us to hear
presentations
on the Pre-Market Notification Program
for NDIs.
We're soliciting comments from all
interested
persons, from consumers, from industry,
from
others, concerning the content and
requirements,
format requirements for notifications
made under
the statute and in the agency's
regulations. The
Federal Register notice announcing this
meeting
sets out the questions we're most interested
in
hearing your comments on in great
detail. Copies
of the notice, by the way, are on the
registration
table outside the auditorium.
We'll consider the
presentations we hear
today and any comments we get to the
docket in
deciding what our next step or steps will
be. That
makes it, of course, extremely important
that you
make sure to get your comments to the
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docket--closer? Okay.
Is that better? Is that
worse?
[Laughter.]
MR. LANDA: To briefly recap what I was
saying, but apparently no one heard, a
couple of
points.
One, we're going to be--"we" meaning the
agency folks here--we'll be in listening
mode
today.
We may ask clarifying questions of the
speakers, but we are here primarily to
listen. In
that sense, we don't expect the meeting
to be
interactive.
The second point I made was that we know
we have requests for extension of the
comment
period in-house. The agency has not yet decided
whether to grant that request. We'll let you know
as soon as a decision is made.
The third point was that there are
copies
of the notice available at the
registration desk.
For those of you who don't have a copy
with you,
perhaps during a break you can grab one
out there.
We will, of course, take into accounts
presentations we hear
today and any comments we received
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on the docket in deciding what the next
step or
steps will be in relation to new dietary
ingredient
notifications. It makes it all the more important
that people make sure to get comments to
the
docket.
If they are sent elsewhere in the agency,
they may or may not work themselves to
the docket,
so please send them there.
In just a minute, I'll turn the
program
over to Dr. Susan Walker, who is in what
we call
ONPLDS, with affection. Susan is Director of the
Division of Dietary Supplement Programs
in ONPLDS.
But just before I turn the meeting over
to her, I'd
like to publicly acknowledge the work of
the
division in making this meeting
happen. I think
ONPLDS certainly in general but the
division in
particular really drove this
meeting. I'd also
like to acknowledge the work of a couple
of lawyers
in the Office of Chief Counsel who do
foods work
for us:
Irene Chen and Louisa Nickerson.
I think with that I'll just
turn the
meeting over to Susan.
DR. WALKER: Thank you, Mike, and thank
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you all very much for coming. We're truly glad
that you're all here today, and we've
been looking
forward to this meeting. Let me see if I can
actually remember how to do this
audiovisual piece.
Well, maybe we need an AV
person. Oh,
there we go.
What I'm going to do is very
briefly just
introduce the members of our panel today,
and then
I'll give a very short background about
how we got
to where we are today and why we're
having this
meeting.
And I'd actually like these folks to
stand up because they've done so much
work in
getting us to this point. As Mike said, the
division is within the Office of
Nutritional
Products, Labeling and Dietary
Supplements. Our
Office Director, Dr. Barbara Schneeman,
has been
extremely supportive and completely
behind our
efforts, and we really thank her for
that.
There are three branches in the
division,
and we've got Dr. Bob Moore,
Compliance. I think
you're all pretty familiar with Bob. And then Dr.
Linda Pellicore, Regulations and Review,
and Linda
9
is really the person you have to get
through if
you're going to get through the NDI
program. So
I'd like to introduce Linda especially. And then
Dr. Jason Woo, who's our Clinical Team
Leader.
Also we have Dr. Bill Frankos, Special
Assistant
for Science Review, and Bill has recently
come to
the agency, about a year ago, and he will
be
moderating our session. And we'll talk more about
that in a bit.
Now, I'd like to acknowledge
Dr. Kelly
Williams-Randolph, who was very
instrumental in
setting up our meeting and making sure
this
happened today.
Other members of our panel I'd like to
introduce: Mike Landa, who you just met; Barbara
Schneeman; and then Dr. Jeanne Rader, who
is
Division Director for the Research and
Applied
Technology Division; and then Dr. Alan
Rulis, who
I'm sure you all know, who is currently
the Senior
Advisor for Special Projects.
Now, in our new dietary
ingredient
program, basically we have a variety of
ingredients
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that are notified to us, but this is our
recent
history, which is predominantly
botanicals and
botanically derived substances. So as we move
forward, it's important to remember this
is a very
large part of what we're receiving in our
notification process, and this probably
reflects
the fact that the complexity of this area
really
drives some of the complexity of this
entire
process.
And we really have to be aware of these
substances as we move forward.
Now, in looking at our
notification
program over the past few years, we've
noticed that
there have been many more notifications
and that
FDA has been objecting to a larger percentage
of
these notifications. And looking at these, we
wanted to determine why is this
happening, and
we've identified several factors. These are not
all the factors, but basically they're
issues about
describing the new dietary
ingredient. We need to
know what it is, and that actually sounds
like a
very simple question, but it's a very
complex
issue, particularly with botanicals.
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We need to understand how and
why it's
eligible to be a new dietary
ingredient. We need
to understand what's an adequate amount
of safety
information for the statutory bar in the
law which
is establishing reasonable expectation of
safety.
And then we've noticed there's other
necessary
information that's frequently not there,
just
general identifying information.
All of these are in dockets and
they're
publicly available. Anybody can go in there, can
see all the notifications and see all the
responses
from FDA.
So this is the history in the
past ten
years.
The notifications, obviously we're getting
more and more, and there's a higher and
higher
objection rate. Some folks have pointed out that
it's likely that there are notifications
in here
that may not be new dietary ingredients.
So what's really the key to the
issue
today?
It can be summarized in two slides that I'm
going to put up here. And this is the discussion
we really need to have over the next few
weeks and
12
months.
The first piece is when is a substance an
eligible dietary ingredient under the
statute,
under 201(ff), which has three sections,
so it's
going to be very important to look at the
basic
eligibility of a substance to be a dietary
ingredient.
So once this gate has been
opened and gone
through, the next question is: Was the dietary
ingredient marketed in the U.S. prior to
October
15, 1994?
Because this is the actual statutory
definition of a new dietary ingredient in
DSHEA,
and there are really only two
answers. It's yes or
no.
If it was not, then that substance is a new
dietary ingredient. If it was, then it's not a new
dietary ingredient.
The ramifications of this are large
because if you're a new dietary
ingredient, not all
new dietary ingredients have to
notify. A subset
of new dietary ingredients has to
notify. So the
next question that's going to be very
important is:
What is the group of substances that does
not have
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to notify? The third important question is: For
those that do have to notify, how do we fulfill
both parts of the notification
requirement such
that we don't reach a status where that
product is
adulterated? Because if there exists a history of
use or other evidence of safety,
basically
establishing this reasonable expectation
of safety
and FDA has been notified, then that's a
lawfully
marketed product. If either of these is not met,
that product on its face is adulterated.
So the scope of this meeting
clearly is to
discuss and receive comments on the status
of
substances as new dietary ingredients;
questions
about the chemical identity of a new
dietary
ingredient; when and under what
circumstances does
an ingredient that may have been available
prior to
1994, is there a point at which it
becomes new
because it's been transformed, there's
been a
chemical alteration, there's been a
different
extraction process? We've really got to develop an
understanding of what "marketed
prior to 1994"
really means in terms of safety because
we really
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have to bring this all back to
safety. The intent
of that section of DSHEA I would
imagine--this is
me speaking personally, but it's the
safety
gatekeeper. And if we look at 201(ff), the
identity section, and we look at 413, the
new
dietary ingredients section, those two
pieces taken
together are a very powerful safety tool.
So we need to look at the
standard for
establishing a reasonable expectation of
safety,
what type of information should be
provided. We
need to look at some of the definitions
for new
dietary ingredients. And when we look at all this,
as we said in the notice, we'll determine
if
there's a need for guidance or amending
the
regulations.
So in order to proceed with
this actually
complicated task, we're having this
public meeting
today to get started. We'll receive the comments
to the docket. We'll look at those and then
determine next steps. And for today's meeting, I'd
like to actually introduce Dr. Bill
Frankos, who's
going to serve as our moderator. Bill is a Special
15
Assistant for Science Review within the
division,
and he received his Ph.D. in pharmacology
and
toxicology from the University of
Maryland Pharmacy
School.
He has over 30 years' experience in the
toxicological and pharmacological
evaluation of
data used to assess the safety of
nutritional
supplements, foods and food additives,
drugs,
medical devices, cosmetics, pesticides,
and
environmental and occupational
exposures. And
prior to joining FDA, Bill was a
principal in
Environ Corporation and Associate
Director, Life
Sciences Division, at Clement Associates.
Previous to joining the private
sector, he
was with us in FDA in the Office of the
Commissioner as a
senior toxicologist, and previous to
that at the Office of Food Additive
Safety, I
believe.
So Bill obviously has a lot of
experience. He's going to be very helpful in
moving this process along, and I'd like
to
introduce him today as moderator for our
session.
Thank you.
DR. FRANKOS: Thank you.
I'm quite
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excited at the prospect of starting to
deal with
some of the issues that have been
presented in the
Federal Register notice. The list of questions
that you've all seen is a list that was
developed
after the whole division went back and
carefully
looked at the process of NDI review and
the
problems that occurred. We felt that there were so
many issues that we needed to deal with
that we
needed to open this up to the public, get
input,
and start a process that is certainly
going to take
several months, and we feel that it needs
to be a
public process. This meeting is the first of what
I think will be other meetings that may
have to
occur in order to bring this together.
The panel that Susan introduced
is here to
really listen, but if clarification is
needed, they
certainly will ask questions. The ground rules for
the questioning is that we will only be
asking
questions that are clarifying questions.
Now, if any members of the
audience have a
specific question, a clarifying question
they would
like to ask, if you come to one of these
mikes here
17
and introduce yourselves, we can
recognize you.
But I would like those questions to be
clarifying
questions, not going into areas that have
not been
addressed by the speakers.
I'd like to introduce Kelly
Williams-Randolph. She's been doing a great job
coordinating this notice, and she wants
to go
through a little bit of the housekeeping,
and then
after that we'll start with the
speakers. Thank
you.
DR. WILLIAMS-RANDOLPH: Thanks, Bill.
Good morning. I'd like to start off with a welcome
to the members of the FDA panel, the
folks from
industry, consumers, health
professionals, and
everybody that's here in the
audience. I'd like to
go over some meeting logistics with you,
starting
with today's agenda.
This morning we will spend with
introductory remarks and one speaker
group session.
There will be a morning break at 10:30
a.m. for 15
minutes, and then another speaker group
session.
After the second speaker group session,
we will
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have another 15-minute break, scheduled
for 11:45
a.m., and then have our final speaker
group
session.
Bill Frankos will then give closing
remarks.
In addition, I would also like
to go over
the speaker group session presentation
time limits
and time limits for clarification
questions from
FDA panel and audience members. Each speaker will
have 15 minutes to present, with a
five-minute
follow-up period for clarification
questions
regarding the presentation. We will be using a
color card timing formula for keeping
speaker
presentations on schedule. A green card will
signal the speaker that they have five
remaining
minutes.
A yellow card will indicate the speaker
has one remaining minute. And the red card will
indicate that the speaker should finish
his or her
sentence.
In closing, you can find
bathrooms located
midway between the front entrance of the
building
and the registration tables. Signs are also posted
indicating the location of the restrooms,
and on
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the back of your agendas you'll find a
floor plan.
Thank you, and I hope you will
find today
useful.
Now I'll give the floor back to Bill.
DR. FRANKOS: Thank you.
Our first speaker will be
Michael
McGuffin, who is president of the
American Herbal
Products Association. Michael, can you come up?
MR. McGUFFIN: Thanks, Bill.
How do I get
to my presentation here?
[Pause.]
MR. McGUFFIN: Good morning.
It's a
pleasure to be here, and I appreciate the
opportunity to address you all. I really
appreciate the people from FDA inviting
me.
I already tried to negotiate an
extra five
minutes from Bill, so I hope we can tolerate. I've
got a pretty packed presentation here.
AHPA represents about 200
companies that
sell herbal products, almost exclusively
as dietary
supplements, and my primary comments are
going to
be the impact of this rule on herbal
products.
AHPA will submit substantive comments to
the
20
docket, and just for the record, we would
really
appreciate those extra 60 days. This is a knotty
issue, as you all know, and anything you
can do to
give us the time extension will be
appreciated.
I'm going to just move into
this in the
interest of trying to get through this in
15 or
maybe 18 minutes, and I want to start
with the
definition if a dietary ingredient,
specifically as
that applies to botanicals, and I'm
emphasizing
here with these bold lines that there are
really
two different classes of botanical
ingredients:
the 321(ff)(1)(C), which is an herb or
other
botanical, it's an unprocessed herbal
ingredient;
and then (F) can be a concentrate, a
metabolite, a
constituent, an extract, or a combination
of any of
the above. And I think it's important to think of
these separately. Although much of the information
that's required for a new raw material
herb or a
new constituent or concentrate or extract
are the
same, there are some differences that I'm
going to
point out that I think are important to
keep in
mind.
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I'll get back to this a little
later, but
I want to look, too, at just an overview
of what's
required in a new dietary ingredient
notification.
If you go to 21 CFR 190.6, that's where
the reg is
written, and I class five different
pieces of
information that are required there if
you break
down the various subparagraphs. And I don't need
to say much about the first or the
last. Almost
everybody knows their name and address
and
remembers to sign it. But each of these other
things needs some attention: the name of the
ingredient, which with an herb must
include the
Latin name; a description of the
supplement that
contains the ingredient, including, of
course, the
level of use and conditions of use; and
the big
deal, the thing that we're really after,
the
evidence on which a reasonable
expectation of
safety is based.
I want to point out something
that's not
here.
It does not specifically state in 190.6 that
you need to identify the dietary
ingredient.
There's a requirement for a description of
the
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supplement. There is not a specified requirement
for a description of the ingredient. I'm going to
again come back to that later because
it's
something that we need to pay attention
to.
A quick review. As of last week, there
are 249 notices on the docket. Fifteen of these
are for dietary supplements. They don't belong
here.
There should not be submissions for new
dietary supplements. It's not required. It
confuses the system. But where we end up was 194
unique dietary ingredient
submissions. There are
also a number of duplicates, a few withdrawn,
but
this 249 comes down to 194. And of those 194, I
get slightly different numbers than Susan
did, I
think.
I count 83 non-herbal dietary ingredients
and 111 herbal. And then the herbal breakdown into
that subparagraph (C), the unprocessed
herbs, there
are 33 of those; herbal constituents,
which is one
of the words used in subparagraph (F),
there are 26
of those, and then there are 52 herbal
extracts, or
concentrates or oils or things that
aren't just the
herb but neither are they constituents.
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I don't do as good a job of
drawing these
pretty pictures as Susan also, but here's
just a
pie
graph of--again, you can see over half of these
are botanicals, and they're kind of split
between
these three subclasses of botanicals.
Then here's the outcome, here's
what
happens if you look at these different
subclasses
with regard to the number of
notifications, the
number that are filed. And "filed" is as close as
FDA gets to "accepted." It means they didn't
object to. It means they didn't send you back a
letter with the word
"adulterated" in the letter.
So of the non-herbal ingredients, you can
see 63
percent of those are being filed; 65
percent of the
herbal constituents; but the unprocessed
herbs,
only one out of five is making it through
the
process.
And the extracts, it's a little greater
than one out of three. So there's clearly the
herbal constituents, things like sesamin
from
sesame seed, vinpocetine, those are
getting
through; whereas, the herbs themselves
tend not to.
Now, my interest is herbs, so
I'm, of
24
course, concerned about what is it that's
making it
so that the herbs don't get through, and
so I've
looked at why FDA refuses to file so many
of these.
Some of the issues are very
specific to
herbs:
plant part not named. Again,
though, 190.6
does not specify tell us the part of the
plant.
One of the suggestions that AHPA will
make, 190.6
should specify name the part of the plant
if your
ingredient is a botanical. It's obvious.
You
don't have an ingredient that's a
botanical without
also naming the part. But it's not stated. Some
companies miss that, and we'd like to
help them
address that. This No. 247, that's a mushroom, and
FDA said we don't know what part of the
mushroom.
So those were both objected to or
rejected.
There's confused nomenclature in the last
one
filed, this plum extract, where the
filing company
said we're not sure if it's Terminalia
ferdinandiana or
lapides.
FDA said, well, if you don't
know, then we don't know. It turns out those are
two
different names for the same plant. They
should have called me and I could have
helped them
25
with that. But, nonetheless, that kind of
confusion gets an objection notice. Or in the case
of freeze-dried kimchi--I love it. Somebody wants
to sell us freeze-dried kimchi, but they
didn't
tell us that it was Brassica, so FDA said
we don't
know what to do with that.
Many of the other reasons that
FDA objects
to herbal filings, though, are the same
that they
object to the non-herbal filings, and
Susan pointed
out some of these. I've quoted from some specific
notices.
"It is unclear...whether the test
substances used in the referenced studies
are
qualitatively or quantitatively similar
to" to your
new dietary ingredient. So somebody says I want my
ganiderma product to come to market, and
here's a
whole lot of information about ganiderma
extract,
but they don't clarify that it's, in
fact, their
ganiderma extract. FDA says we don't have any
information that's a basis for knowing
that your
ingredient is safe. I've seen that one over and
over and over. And then as Susan also mentioned,
inadequate information to clearly
identify the
26
ingredient.
There have been other
issues. Things have
been rejected just because they're frank
toxins,
things like extract of oleander--thank
you for
rejecting that one--pokeweed lectins,
illegal
substances like GBL, and then sometimes
because the
described dietary supplement is in a form
that
doesn't fit the definition. My favorite one is an
herbal eyepatch which FDA wisely chose to
reject.
With regard to this second
point here,
though, the inadequate information
presented to
identify the ingredient, I want to repeat,
190.6
does not specifically state identify the
ingredient. Again, it's an obvious recommendation
that AHPA will make that 190.6 should, in
fact,
state that the identification of the
ingredient
must be included.
The next two slides are looking
at the
requirements set in 190.6 and breaking it
down into
the identity, the description of the
supplement in
which the product goes, and the evidence
of safety.
And I have two slides here. This one is for
27
subparagraph (C), which is herb or other
botanical.
And my position is that all you need to
identify an
herb is the name of the herb and the
part. You
don't need chemistry. You don't need anything that
goes further than that because peppermint
leaf is
peppermint leaf if that's what I'm
selling. Now,
that's an old ingredient, but just to
make the
impression. Whereas, if it's anything in (F), if
it's an extract, if it's a concentrate,
clearly you
need a lot more information, and all of
these
points are actually from a document that
AHPA
produced a couple of years ago, a
guidance on
manufacturing of extracts that I will
leave a copy
into the record here.
You have to disclose the
solvents, the
ratios, all other ingredients. You need to
describe the process. Is it a liquid product or a
solid product? And then these bracketed items--the
markers, characterization, and
purity--are often
but not always relevant. It's a much more dense
process once it moves from an unprocessed
herb.
Whereas the dietary supplement
description, it's
28
not any different for the subclass (F),
which are
the extracts and concentrates, than it is
for the
raw herbs. And the only difference that I have on
evidence is that the evidence of the herb
would be
history of use and other evidence,
whereas the
extract you can argue that the history of
use of
similar dietary ingredients, like the raw
herb, has
relevance.
I also want to point out that
in the
description I've made a pointed statement
that
there is not a requirement to identify
the other
dietary ingredients. Most companies want to say,
"My new dietary ingredient is this
ingredient, and
the use is 50 milligrams in a dietary
supplement."
Most of those submissions have gone
through. Most
recently, FDA in one letter said, well,
we don't
know what the other ingredients are, so
how would
we know that the supplement is safe? We want to
argue against FDA taking that any
further.
Old versus new, again, the
class (C) and
the class (F) are different. With regard to just
herbs--roots and leaves and seeds and
things that
29
are just parts of plants--AHPA in 1995
sent out a
call to industry to identify old herbal
dietary
ingredients. The next year we submitted a list of
over 1,600 herbs to FDA, identified those
as
believed to be in commerce prior to the
date, and
in 2000 we published "Herbs of
Commerce," 2nd
edition.
We added about 400 other plants in the
meantime, numerous Chinese plants,
numerous
Ayurvedic plants, fungi, algaes. It's a very
thorough document.
We also disclaimed it in two
different
ways.
The first disclaimer says just because it's
here doesn't mean it was marketed prior
to the
date.
And the second one says just because it's
not doesn't mean it wasn't.
Our thinking here was we
accepted
submissions honorably. We believed that they were
submitted honorably. But we didn't go out and
double-check or prove that chamomile had,
in fact,
been marketed prior to the date. Nonetheless, it
is AHPA's position that even though
"Herbs of
Commerce" may not be authoritative,
this disclaimer
30
should not be read as a reason to abandon
our text.
It should not be seen as assuming that
there is no
relationship whatsoever between the
listing of an
herb in "Herbs of Commerce" and
its marketing prior
to the date. That is what we asked people to tell
us.
We think it has relevance. We
think it does
create a presumption of presence in the
marketplace.
If the agency wants to take it further and
get to something like an authoritative
reference,
AHPA is uniquely positioned. We would be happy to
discuss being actively involved in a
process or
being contracted for a process to do an
old dietary
ingredient substantiation for
botanicals. We know
a lot about this issue.
Then with regard to old herb
extracts--and
by extracts I mean everything in (F)--we
didn't go
out and say tell us all of the
extracts. We didn't
ask that kind of thing a decade ago. But there are
standard accepted extract forms: decoctions,
liquid extracts, dry extracts,
tinctures. There
are long accepted food-grade solvents,
and I've
31
listed numerous of those here;
established
extraction processes. And there is a reason to
think that all of the common herbs were
manufactured by all of these common
processes with
all of these common solvents. And if I've got a
32-percent ethanol chamomile, I shouldn't
have to
prove that a 32-percent ethanolic extract
of
chamomile was marketed because it's in
the range of
reasonableness that it was marketed.
I also want to point out there
are other
solvents that I didn't list here and
other
extraction processes that had come into
the
marketplace, not as extensively, things
like hexane
and
acetone, super-critical gases and
super-critical extraction.
Let me move then to
suggestions, and the
first few here I'm just repeating,
modifications to
190.6, and an assumption that "Herbs
of Commerce"
herbs are "old," as are
extracts by common
processes. I'm repeating, we'd really like to see
the agency just not accept filings for
new dietary
supplements. Those are wrong. They create a
32
bizarre record where now there's a
document that
says that licorice root and ginseng
aren't allowed
to be sold because somebody
submitted--actually,
they don't say that. They say your product may be
adulterated which contains this
ingredient. There
are these lawyers in California that will
make lots
out of that. We'd really like to see that stop.
We'd also like to see the
agency refuse
filings for obvious old dietary
ingredients, and
I've listed a number of them here.
With regard to enforcement, I
think it's
obvious that enforcement needs to be
prioritized
based on safety concerns, and one point
in passing,
Susan mentioned the food exemption if
it's present
in the food supply and not chemically
altered, and
we want to make sure that the agency
thinks what we
think, that international food supply
counts
against that clause.
We'd like to see restraint from overly
broad or maybe I mean overly narrow
interpretations, but
I've given some examples. For an
herb, for the agency to say you didn't
give us
33
specifications on purity, that's a GMP
issue, not a
new dietary ingredient issue. Compositional
analysis, I've made my pitch that I don't
believe
compositional analysis of chamomile
flowers is
warranted; whereas, chamomile extract in
a new
solvent and a new extraction method may
be. And,
also, this issue about I really strongly
argue
against any requirement that the only way
I can get
my new dietary ingredient approved is to
disclose
every other ingredient that it may ever
be marketed
with.
That puts an unfair burden on every product
that has a single new dietary ingredient
versus the
whole world of products that have only
old dietary
ingredients. And we would oppose that.
There's a tendency for
companies to
resubmit when they change the dose and
that I think
is wise, but we'd like some guidance on
that.
There ought to be minimum criteria for
FDA to
review a submission. I'm not sure what those are,
but I'm sure that they do include all of
the
administrative parts of 190.6, if it's
not in
triplicate, if it's not signed, if it
didn't
34
disclose the plant part, those kinds of
what I
called here administrative or technical
issues.
And then, of course, the identity of the
new
dietary ingredient, if it's not
identified I don't
think the agency should go through that
whole
process of sending it back saying your
ingredient
is adulterated. I think the agency ought to not
accept it, and I know that the record
shows the
agency does go back and ask for more
information.
We encourage that. We'd love to see more timely
access at FDA's docket. I notice today it's really
up to date. We appreciate that. But I also know
that you pushed a bunch of stuff through
in the
last few weeks. We appreciate that.
In closing, AHPA and another
organization,
NPI, we're in the middle of creating a
searchable
database.
We're going to make it so that you can
go in and search for astaxanthin or
licorice or
whatever and find every submission that
mentioned
that.
We'll also search--we'll provide a summary
outcome statement of what happened, was
it filed or
was it objected to.
35
A couple things that I didn't
get on here,
we'd love to see an opportunity to
withdraw that's
very similar to what happens in a GRAS
notice.
There have been three or four
withdrawals, one of
which the agency refused to allow. We think that
it ought to have rules that are a very
similar to
the GRAS withdrawal process.
We need to see
consistency. I know that
FDA intends to be consistent, but I can
find
examples.
Astaxanthin, there have been five
submissions--the three that were
submitted prior to
2002, those were accepted; the two that
were
submitted this summer were not. I don't know that
they were markedly different, those
ingredients.
If they were not, we'd need to understand
did
something change in the policy, because
it needs to
be very consistent, and I think you
understand
that.
I know that there's a new
emphasis now on
the agency saying exactly which
subparagraph of a
dietary ingredient is it in. I think that's a good
question.
But I also don't think that when
36
the--that's not a reason to object to a
filing just
because somebody didn't tell you that
they believe
that deer antler is in subparagraph (E)
or that
carnitine is also in subparagraph (E).
Maybe my last statement. The industry
needs to see the whole process of the new
dietary
ingredient notification as a gate through
which new
ingredients can come, not as a barrier
that refuses
to allow new ingredients into the
marketplace. And
we really look forward to working with
the agency.
Guidance is definitely needed.
One point I forgot to make,
some of these
submissions are just a mess, and that
needs to be
acknowledged. Some of them don't deserve to be
filed.
They're embarrassingly narrow in the
information that's submitted, and I think
I can
close it there.
DR. FRANKOS: Thank you, Mike.
Any questions? Linda.
PARTICIPANT: Mike, I wonder if you could
tell us what NPI stands for on that last
slide.
MR. McGUFFIN: You know, on the Metro on
37
the way in, I thought--I'm fairly certain
it's the
Natural Products Institute. I think that's what it
is.
They're a publication company in our trade who
does a lot of work in communication, and
we're
partnering with them to put this thing
together.
DR. FRANKOS: Mike?
PARTICIPANT: When you compiled "Herbs for
Commerce," did you ask for
documentation?
MR. McGUFFIN: We did not.
We just asked
for people to tell us, some companies
provided--oh,
sorry.
Yes, the question was, when we compiled the
information for "Herbs of
Commerce," did we ask for
documentation? No, we did not. We simply asked
for people to inform us what they were
selling.
Some companies provided us with notarized
statements. Some companies provided us with copies
of their catalogues or advertising. And, also, I'm
kind of a pack rat. I've got a whole box of
catalogues from '93 and prior.
DR. FRANKOS: I have one question. When
you
said that whole herbs history of use is
relevant for evaluating the safety of
extracts, I
38
was curious how you would use that data
when there
are so many forms of extracts.
MR. McGUFFIN: I'll tell you what. The
question is: How would I use information about
whole herbs to evaluate the safety of an
extract of
that whole herb? What I have done, Bill, is I've
looked at all 249 of these. What I haven't done is
file one.
So I'm not sure. I think some of
the
toxicologists that are going to talk to
us might
have more relevant responses to that
because I
think the way that you would use it, though,
is the
more that you could show that your
extract had a
chemical characteristic that was similar
to the raw
botanical, then I think you're going to
be able to
use that as information that suggests
that we've
been using that for some number of years
or
generations.
DR. FRANKOS: Thank you.
Yes, Jason?
PARTICIPANT: [inaudible, off microphone]
you're specifying international use as a
food, not
as a medicine or--
39
MR. McGUFFIN: Correct.
Yes, the question
is with regard to my call for
international use,
there's that one--I forget. What is it?
I forget.
The one that says that you're not
required to
submit a new dietary ingredient that is
present in
the food supply in a form that's not
chemically
altered.
That's exactly the part I'm saying.
If
it's present in the food supply in South
Africa,
that's okay; it doesn't have to have been
present
in the food supply in South Dakota.
DR. FRANKOS: Okay.
Thank you.
MR. McGUFFIN: Thank you.
Our next speaker is Annette
Dickinson.
She's president of the Council for
Responsible
Nutrition. Annette?
DR. DICKINSON: Good morning, and thanks
to FDA for the opportunity to be here and
for
beginning this initiative.
The Council for Responsible Nutrition is
one of the leading trade associations for
the
dietary supplement industry. Our members include
mainstream manufacturers of dietary
ingredients
40
themselves, as well as manufacturers of
both
national brand names and private label
dietary
supplements. And we also have a number of members
whose interest is international in scope.
We want to congratulate FDA for
the three
documents that were issued in the last
few months,
all of which are intended to move the
agency and
the industry toward full implementation
of DSHEA.
We don't believe anything is more important
to
solidifying the confidence in dietary
supplements
and the confidence both on the part of
the
regulators and on the part of Congress as
well as
consumers than moving to full
implementation, and
we congratulate the agency over the past
couple of
years for a number of initiatives toward
full
implementation and enforcement, which we
believe is
necessary.
At the same time, we are
concerned that
that enforcement and implementation be
consistent
with the intent of DSHEA, and I know that
the staff
at FDA is determined to make that
happen. The
purpose of DSHEA was to ensure consumer
access to a
41
wide variety of products and also to
provide
consumers with more information about the
uses of
those products. The intent of DSHEA was to affirm
the safety of a broad array, a very broad
array of
existing dietary ingredients and
establish a
notification process for new ingredients
that was
distinct from, deliberately distinct from
and
intended to be less burdensome than the
food
additive approach that the agency was
using at the
time.
We have also submitted in
conjunction with
this meeting a statement prepared by our
legal
counsel, Peter Barton Hutt, which was
prepared at
the request of both CRN and one of our
sister
associations, CHPA, the Consumer
Healthcare
Products Association, which presents his
legal view
of the status of dietary ingredients and
new
dietary ingredients.
The definition of dietary
ingredients in
the act is extremely broad and was meant
to be
broad, and any discussion of new dietary
ingredients we believe must begin with a
discussion
42
of what fits within the rubric of dietary
ingredients in the first place.
While we agree that safety is
an important
factor in determining whether an
ingredient may be
marketed and also an important factor in
determining whether an NDI notification
is adequate
for
its purpose, safety is not necessarily a factor
in defining the category per se, that is,
the
category of dietary ingredients. And I'll offer a
couple of examples of why that must be
the case.
One of the categories of
dietary
ingredients is minerals. Minerals is an extremely
broad category. Minerals typically occur
naturally, not as elements but as various
compounds. Calcium, for example, is an essential
nutrient, an essential mineral which
occurs
naturally as calcium carbonate and some
other
forms.
However, it has been used for many years in
dietary supplements and is grandfathered
in other
forms that actually do not occur
naturally, such as
calcium citrate. This illustrates
a point, which
is that we do not believe the inclusion
of a
43
mineral in this category depends on it
being in a
naturally occurring form. In addition, we do not
believe that inclusion in the mineral
category is
limited to nutrients that are
essential. Calcium
is certainly an essential mineral. But there are
many others, such as tin, vanadium,
silicon, and
boron, that have for many years been
present in
very popular national and private brands
of
multivitamin/multimineral formulations,
and we
consider all of these to be grandfathered
ingredients.
Likewise, the area of
botanicals is an
extremely broad category. It includes common and
generally safe ingredients such as
ginseng, garlic,
and ginkgo. It also includes ingredients about
which some safety concerns have been
raised, such
as comfrey, chapparal, and kava. The fact that
there may be safety concerns that need to
be
addressed does not mean that the
ingredient doesn't
fall definitionally into the
category. It is an
issue that needs to be dealt with
separately, and
we urge FDA in its proceedings to keep
these two
44
sides of the issue separate, that is,
what falls
within the category of the definition and
where
safety issues may arise.
Another category of ingredients
in DSHEA
is dietary substances. We believe dietary
substances is an extraordinarily broad
category and
must be accepted as broad. There is a colloquy
that we refer FDA to in our written
comments that
occurred during the passage of NLEA, not
DSHEA,
back in 1990 and that focuses on what
might qualify
as a nutritional substance. We believe that all of
the substances mentioned in that
colloquy, which
include enzymes, coenzyme Q-10, evening
primrose
oil, and various other substances,
certainly fall
within this category of dietary
substances.
The next question has to do
with if
something is an ingredient, is it a
grandfathered
ingredient? In order to be grandfathered, there
are three criteria that must be met: the
ingredient must have been on the market
in a
dietary supplement; it must have been on
the market
in the U.S.; and it must have been on the
market
45
prior to October 15, 1994.
The vast majority of dietary
supplements
on the market currently contain
grandfathered
ingredients, and there is no suggestion
in the law
itself that there are any circumstances
under which
an old ingredient would become a new
ingredient.
This is something that is going to
require
considerable discussion within FDA,
within our
various associations, and among us all
during this
period of comment that we have available
to us. We
have discovered in our various conference
calls
leading up to this meeting that we don't
necessarily have agreement within our
association
about the breadth of what might be
grandfathered
and whether there are conditions under
which an old
ingredient might become a new
ingredient. So this
will be, I am sure, a fertile field for
further
discussion as we move forward here, and
it's
another reason why we did join with AHPA
and NNFA
and other associations in requesting an
extension
of the comment period.
Another issue I'd like to raise is that in
46
some of FDA's recent enforcement actions,
warning
letters, FDA has taken the position that
certain
ingredients were not grandfathered
because they
were not legally marketed before
1994. The term
"legally marketed" does not
appear in DSHEA, and we
do not believe that necessarily legal
marketing is
a criteria for what is grandfathered, and
I want to
give you three examples of why that might
be the
case.
The first two involve the
essential trace
minerals selenium and chromium. On several
occasions during the decades prior to the
passage
of DSHEA, FDA took the position that
selenium and
chromium were not formally recognized as
food
additives and were not formally approved
as GRAS
substances and, therefore, were not,
technically
speaking, legally marketed as dietary
supplement
ingredients. Nevertheless, as we know, these
ingredients were commonly marketed in
dietary
supplements prior to DSHEA and are still
commonly
marketed in dietary supplements. And, in fact, FDA
has now established an RDI for both of
these
47
minerals.
Therefore, it cannot be a criterion
chromium and selenium being legitimate
ingredients
of dietary supplements and being
grandfathered that
FDA should have viewed them to be legally
marketed
prior to DSHEA.
Another example is amino
acids. Under FDA
food additive regulations, there were
very limited
conditions under which amino acids could be
added
to conventional foods, and technically
FDA viewed
them as not being legal ingredients in
dietary
supplements. Nevertheless, they were widely
markets as dietary supplements and still
are and,
in fact, now have their own subcategory
in the
definition of dietary supplements. Therefore, we
believe this is another illustration that
grandfathering cannot be denied based on
a narrow
interpretation of whether an ingredient
was legally
marketed prior to DSHEA.
In these comments today, CRN is
going to
focus really on some very broad issues
and not
delve into most of the detailed questions
that FDA
presented in the Federal Register notice,
although
48
we will certainly do that before the end
of this
process.
In describing the information
that should
be provided in a new ingredient
notification, we're
going to skip over most of those
questions, but we
are going to indicate that one of the
concerns that
has come through loud and clear from our
members is
that FDA should be aware that much of the
information they
have requested, particularly regarding
processing, may be proprietary
information. And as
we move forward, there will be a need to
assure
that proprietary information can be
protected.
In addition to requesting
information
about the dietary ingredient, FDA
requests certain
information regarding the dietary
supplement, and
we believe this is entirely
appropriate. DSHEA
refers to the new ingredient notification
needing
to provide information on the basis of
which the
dietary supplement itself can be expected
to be
safe.
However, as one small part of this section,
FDA asks the question whether a label
should be
required to be submitted at this
point. We would
49
simply note that in many cases the
dietary
ingredient notification is filed by the
ingredient
supplier or by a manufacturer during a
pre-launch
phase of development of the product, and
a label
simply may not be available at that
point, so we do
not believe submission of a label should
be a
critical part of that process.
Really the core question facing
all of us
here and the core question that will need
to be
resolved before the end of this process
is: What
type of information should be included in
an NDI
notification in order to establish a
reasonable
expectation of safety? FDA has outlined a number
of questions that are very good questions
that
should be considered by every company
submitting an
NDI notification. However, we do not believe that
the questions posed should be viewed as
an absolute
requirement or an outline for the
information that
must be submitted in a notification. We believe it
really goes beyond what we see as the
intent of
DSHEA in establishing this notification
process.
In particular, members of our
association
50
who are very familiar with food additive
petitions
look at this list of questions and they
see
something very similar to a "Red
Book" list of what
must be submitted for a food additive. Members of
our association who are on the
pharmaceutical side
look at this list and they see great
similarity to
what might be required for an NDA
filing. And we
do not believe either the food additive
model or
the NDA model was intended to be the
basis for
describing what needs to be included in a
new
ingredient notification.
We would request, as we move
forward with
defining what does need to be included,
that FDA
express its openness to consultation with
companies
who are considering an NDI notification
in order to
help them direct their information in
such a way
that the NDI notification will include
the
information FDA expects to see and that
the company
can improve its chances of having the NDI
notification accepted.
Some FDA personnel in the last
little
while here, the last month or so, have
made
51
presentations in which they have
indicated that
they really see no difference in the
standard of
safety that is described in DSHEA and the
standard
of safety that is expressed for food
additives. We
cannot agree with this assumption because
we
believe that when Congress wrote DSHEA,
it
certainly was aware of the standards of
safety that
are set for food additives, and it chose
to
establish a different statement. It indicated that
new ingredients should be reasonably
expected to be
safe.
Furthermore, in terms of the process, it did
not permit or require FDA to actually
approve an
NDI; that is, there is no formal approval
of the
NDI from FDA once the document is
submitted.
What is required is that the
manufacturer
or distributor should have in its
holdings and
should submit to FDA sufficient
information to
support the manufacturer's determination
that the
ingredient and the product are reasonably
expected
to be safe. We believe those are significant
differences from the food additive model
and that
FDA should clearly incorporate those
aspects into
52
their consideration.
There are other models than the
classic
food additive model that we believe bear
consideration here as FDA looks for a
model on
which to base the new ingredient
notifications. In
particular, the GRAS self-determination
process we
believe is an extremely effective and
flexible
process.
I don't know what's happening to my--it
looks fine right here on this
screen. I don't know
what's happening up there. We believe the GRAS
self-determination process is an example
of a
highly effective and flexible process
which allows
manufacturers to make a determination of
safety,
relying heavily on the input of experts or
committees of experts to help them make
that
determination and to help respond to any
questions
FDA may have.
There are other programs that
might be
considered. For example, the EPA has a program
that it puts new chemicals through when
it approves
new chemicals for introduction into the
environment, which involves a functional
analysis,
53
a functional safety analysis--a structure
activity
analysis, is what I'm trying to say, of
the
compound as it relates to other compounds
in the
same class. And we think this might have some
relevance to FDA's review as it pertains
to new
ingredients that are single chemicals.
Likewise, Canada's Natural
Health Products
Directorate has recently--is just this
year
implementing a whole new program of
review,
including protocols for safety evaluation
of
natural health products, and we believe
there may
be some elements of this that would be
relevant to
this program.
FDA itself has adopted on
occasion other
methods than the food additive method for
looking
at safety of various ingredients in
evaluating
health claims for psyllium and stanol and
sterol
esters.
FDA found that those ingredients did not
have official regulatory status at the
time the
health claim was evaluated and required the
companies to submit certain additional
information
on the safety of those ingredients, and
we think
54
the nature of those submissions may be
relevant to
this process.
Finally, FDA's guidance on new
plant
varieties produced through biotechnology
also
relies heavily on manufacturer
determination of
safety and on comparability to existing
plant
varieties with a minimal or no reliance
on actual
clinical testing to go along with that.
FDA addresses the need for
definition of
certain other terms that appear in DSHEA,
and we
will reiterate here the same point that
we made
with regard to dietary ingredients. All of the
terms should be understood broadly and
literally,
terms such as extract, constituent,
metabolite, and
the issues having to do with safety or
other
considerations that arise because of the
breadth of
some of those definitions we believe
should be
dealt with directly and separately and
not used as
reasons for restricting the definition
itself.
We do endorse the seven
recommendations
FDA made in the Federal Register notice
for
improving the format and content of
notifications,
55
and we will be addressing those in more
detail in
further iterations of our comments on
this issue.
Finally, we congratulate FDA
for
undertaking this initiative and also for
fully
involving all stakeholders, which we
believe is
critical to the successful outcome of
this
discussion. And we look forward to future
opportunities to work with FDA to improve
the
confidence with which consumers,
regulators, and
legislators can view this product
category.
Thank you very much for this
opportunity.
[Applause.]
DR. FRANKOS: Any questions?
[No response.]
DR. FRANKOS: Annette, I have one
question.
With respect to using a GRAS
self-determination process, how would you
see that
fitting into the NDI notification
process?
DR. DICKINSON: I would see that fitting
in in a way similar to the current GRAS
self-determination process where a
company may
submit their determination to FDA and
request
56
listing of that GRAS notification. In that process
also, FDA does not formally approve the
GRAS
ingredient, but simply arrives at a point
where it
has no further questions. But the company would
ahead of time do its analysis of the
safety,
including relevant involvement of
experts.
DR. FRANKOS: Thank you.
Okay. Our next speaker is David Seckman,
and he is Executive Director and CEO of
the
National Nutritional Foods Association.
MR. SECKMAN: I'm David Seckman, Executive
Director and CEO of the National
Nutritional Foods
Association. NNFA was founded in 1936 and is the
oldest and largest trade association in
the natural
products industry. We represent the interests of
more than 8,000 retailers, manufacturers,
suppliers, and distributors of health
foods,
dietary supplements, and related
items. I
appreciate being able to submit this
testimony in
response to the FDA's request for input
on
pre-market notification for new dietary
ingredients. And I think I'm glad I didn't have
57
slides today.
[Laughter.]
MR. SECKMAN: Just kidding.
NNFA has consistently supported
FDA's
ability and efforts to enforce the
Dietary
Supplement Health and Education Act of
1994 and to
ensure that dietary supplements continue
to be
safe.
In fact, in May of 2002, we submitted
comments to FDA suggesting ways for FDA
to enhance
the quality, utility, and clarity of the
pre-market
notification requirements for a new
dietary
ingredient under Section 413. We continue to
believe that FDA could use public
comments on
Section 413 to provide the industry with
much
needed guidance on NDI submissions. Of course, any
guidance will apply to any company
putting dietary
ingredients on the market, whether they
be the
manufacturers of finished products or raw
ingredient suppliers who need to
guarantee safety
to their customers.
What everyone in the industry
needs is
clear guidance. Specifically, NNFA believes that,
58
as written, Section 413 is unclear both
as to when
a new dietary ingredient notification is
required
and the type of information to be
included if a
pre-market notification is filed. In light of
FDA's November 4th publication of its
major
initiatives for dietary supplements, NNFA
specifically urges FDA to use caution in
enforcing
on NDI issues before it offers
clarification to
industry as to when a pre-market
submission is
required.
Although NNFA will be commenting in more
detail later, the following are a couple
of key
issues and comments that we think that
need to be
addressed in the guidance.
Our first issue concerns the
not
chemically altered exemption. According to Section
413, a dietary supplement containing an
NDI is not
adulterated if the dietary supplement
contains only
dietary ingredients which have been
presented in
the food supply as an article used for
food in the
form in which the food has not been
chemically
altered.
Thus, the chemically unaltered
ingredients from the food supply does not
require
59
NDI filings to be made before being used
in a
dietary supplement.
The legislative history of
DSHEA offers a
small bit of clarification of what is
meant by
chemically altered, and I quote: "The term
`chemically altered' does not include the
following
physical modifications: minor loss of volatile
components, dehydration, lyophilization,
milling,
tincture or solution in water, slurry
powder, or
solid in suspension." Clearly, many forms of
processing have been left off this list,
and FDA
has not offered industry guidance of how
to
determine whether a process would or
would not be
considered chemically altered.
NNFA takes the position that a
dietary
ingredient should fall within its not
chemically
altered exemption as long as the
resulting dietary
ingredient is found in nature. Supplements are a
subset of food. They need to be regulated
accordingly. If it can be shown that an ingredient
either is a single entity or complex, can be found
in our diets, and there is no evidence of
ill
60
effects, that ingredient should be
allowed for
sale.
Moreover, FDA should not assume that changes
in the processing or formulation always
result in a
change in the chemical structure that
would require
an NDA filing. Such an interpretation is
consistent with the intent of Section 413
in that
it would require exempt entities which
known safety
records based on food usage from the NDA
pre-market
submission requirement.
Our next concern in regard to
Section 413
is the lack of clarification as to whether
components of food, such as the lycopene
found in
tomatoes are subject to the pre-market
notification
requirement. NNFA takes the position that
components would also be subject to the
not
chemically altered exemption in Section
413(a)(1);
thus, if the extraction method used to
isolate
components does not results in the
chemical
alteration of the component, the
component should
be exempt from the NDA filing
requirement.
Moreover, the 413 exemption should extend
to the
components to the components that are
chemically
61
altered during the extraction process but
are in a
form that is found in nature. Such components,
again, have been proven safe within the
food
supply.
NNFA's next concern is in
regard to how
the NDI substance should be chemically
identified,
an issue FDA raised in numerous questions
about it
in the Federal Register notice. NNFA takes the
position that chemical identifications of
a
substance must reflect the level of
variation of
the substance that is found in
nature. For
example, botanical ingredients vary in
composition
depending on where in the world they are
grown.
Certainly the agency would not require an
NDI
notification for each region unless there
are
significant differences that result in a
safety
issue.
In addition, other ingredients may vary as
percentage of certain confirmations. Again,
however, this level of differences should
not
trigger the new NDI requirements as long
as the
variation reflects that which is found in
nature.
Next I would like to comment on the type
62
of information about a dietary supplement
product
that should be included in the NDI
notification.
NNFA has some specific concerns about
conditions of
use and labeling as put forth by the FDA
in its
notice.
NNFA would like to point out that when the
agency raises such questions, it blurs
the line
between an NDI and a dietary supplement
product as
a whole.
FDA should not be concerned with how an
ingredient was used unless it was
previously used
as a drug, which raises other sections of
DSHEA or
how it was labeled. This information does not go
to the safety of the dietary ingredient
and should
not alter the review process as to
whether a
specific dietary ingredient is safe for
use.
My final comments have to do
with
establishing a reasonable expectation of
safety.
FDA raises the question of what quality
and
quantity of data and information are
needed to
establish a reasonable expectation of
safety based
upon the history of use. NNFA takes the position
that FDA should establish clear
parameters
regarding what kinds of evidence would
sufficiently
63
demonstrate reasonable evidence of
safety.
However, NNFA cautions that FDA's
guidelines should
not
be so rigid so as to establish inflexible
requirements. The kinds of data available for
dietary ingredients vary widely, from
very long
documented history of use to clinical
studies to
observational reviews. The kinds of data available
may also change over time. NNFA is concerned that
the NDA process, along with the FDA's
recently
issued initiatives, does not become a
mechanism to
stifle or halt NDI submissions by
presenting an
almost insurmountable barrier for
acceptance. To
adequately reflect this reality, FDA
should
continuously exercise flexibility in the
types of
evidence required, for example, where an
NDI does
not have a long history of consumption by
human,
such as novel extractions of
grandfathered
botanicals. Moreover, an NDI that is an extract
from an old dietary ingredient and is
significantly
similar to the old dietary ingredient
might require
less safety data than a new one. To respond
otherwise would result in the stifling of
research
64
and development for the use ingredients.
FDA also raises questions about
what
quality and quantity of data and
information are
needed and to establish a reasonable
expectation of
safety based upon information other than
a history
of use.
Here, NNFA would simply like to point out
that while a certain amount of scientific
evidence
is certainly necessary to establish
safety, the
burden should not be so high as to mirror
a drug
safety review. NNFA submits that
information to
establish a reasonable expectation of
safety should
suffice.
This may include animal and in vitro
studies conducted in an appropriate model
or other
test.
Finally, the FDA specifically
questioned
what types of documentations are
necessary to
establish that an ingredient was marketed
in the
U.S. before October 15, 1994, and thus
grandfathered. NNFA and other industry groups in
1994 took the lead in developing lists
that
reflected products marketed prior to that
year.
Those lists have been relied on by
industry, by
65
industry lawyers, consultants, and
presumably even
the FDA.
NNFA submits that they have achieved
authoritative status and should continue
to be
available to be relied upon for
confirming
grandfather status. I'd also like to point out
that if an ingredient does not appear on
one of
these lists, it may also be grandfathered
if there
is evidence of marketability prior to
October 1994.
Examples of such evidence may include
human
studies, product advertisement, product
catalogues,
order forms, and invoices.
Again, in closing, I'd like to
thank the
FDA
for the opportunity to comment on the NDI
process.
DR. FRANKOS: Thank you.
Any questions? Jason?
PARTICIPANT: [inaudible, off microphone]
variation in nature. Does that mean just in one
species or parts or portions of the plant
or
[inaudible]?
DR. FRANKOS: Can you repeat the question,
please?
Or go to a mike, yes.
66
MR. SECKMAN: You want clarification of
what--
PARTICIPANT: Clarification to variation
in nature, extending to just the
different growing
conditions you might find in botanicals,
or
different portions of the plants being
used?
MR. SECKMAN: Both.
DR. FRANKOS: Any other questions?
PARTICIPANT: How did you postulate human
studies that may have been done on an
ingredient
prior to October of '94 would constitute
reason for
those ingredients to be grandfathered in?
[inaudible] on ingredients never led to
or related
to those ingredients being sold in the
marketplace?
MR. SECKMAN: Did everybody hear the
question?
DR. FRANKOS: No. I
think paraphrase it.
MR. SECKMAN: Studies done on humans
before 1994, is what your question really
was, how
does it relate to the new dietary
ingredients for
the new dietary ingredient requirements?
PARTICIPANT: Right.
I asked [inaudible].
67
DR. FRANKOS: Mike, please.
PARTICIPANT: Okay.
I asked you how is it
that you could postulate that human
studies or
studies--you know, clinical trials
perhaps, done
prior to October of '94 on certain
dietary
supplements or ingredients should be
equivalent to
those ingredients being grandfathered in
if those
ingredients were never sold on the
marketplace?
MR. SECKMAN: I mean, there are valid
studies that were done prior to. They just haven't
been used in the filing of the new
dietary
ingredient. I think you can make a fair argument
to that sense and be able to file it
based on that
information. I think that should be able to be
used.
PARTICIPANT: Will the person who just
asked the question identify himself,
please?
MR. KALMAN: The person that asked the
question was Douglas Kalman from Miami
Research
Associates.
DR. FRANKOS: Any other questions?
[No response.]
68
DR. FRANKOS: Okay.
We're on time,
actually a little early. I think we could just go
right into a 15-minute break and then
start again.
I would like to point out that the next
speakers
can go to a breakout room during the
break and
prepare their slides. There's a room set up. I
don't know what room it is, but it's next
door to
the auditorium.
PARTICIPANT: 1A-001.
DR. FRANKOS: 1A-001.
[Recess.]
DR. FRANKOS: We're having some
audiovisual problems, so I'd like it if
everybody
could come back together, we'll have Alan
Feldstein
give an oral presentation, so he is the
slides, and
so we can start, and hopefully they'll
get the
audiovisual stuff together shortly.
And one other thing: There is overflow in
Room 1A-001, if there are not enough
seats or if
anybody is feeling hot, there is a room
that has
been set up, and there is an audiovisual
connection
in that room as well. So there are also chairs
69
that are open down here at the bottom, up
front.
I think we will start then with
Alan
Feldstein. He is counsel with Collins, McDonald &
Gann.
Alan, I think they're working there.
Maybe
you could sit here.
MR. FELDSTEIN: Sure, that would be fine.
Good morning. Can everybody hear me okay?
Great.
Collins, McDonald & Gann is a law firm
located in the State of New York that
represents
manufacturers, distributors, marketers,
and
individuals in the sports and fitness
supplement
industry.
Again, my name is Alan Feldstein, and I
am your slides today. And with me is my colleague
Richard Collins, principal of the firm;
I'm of
counsel of the firm.
Again, as everyone has said, we
appreciate
the opportunity to share our thoughts,
and we
welcome the opportunity to present our
comments on
this matter, which is of great importance
not only
to our clients but to the segment of the
industry
we represent as a whole.
We have reviewed the Federal
Register