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
                                                                 2

 

                            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

 

                                                                 3

 

                         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

 

                                                                 4

 

      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

 

                                                                 6

 

      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

 

                                                                 7

 

      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

 

                                                                10

 

      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.

 

                                                                11

 

                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

 

                                                                13

 

      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

 

                                                                14

 

      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

 

                                                                16

 

      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

 

                                                                18

 

      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

 

                                                                19

 

      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.

 

                                                                21

 

                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

 

                                                                22

 

      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.

 

                                                                23

 

                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