Bentex Pharmaceuticals, Inc. v. Richardson

463 F.2d 363
Court of Appeals for the Fourth Circuit·Decided May 23, 1972·No. No. 71-1243·Published·Cited by 8 cases

Opinion

RUSSELL, Circuit Judge:

This appeal turns on a construction of the Federal Food, Drug, and Cosmetic Act of 1938, as amended in 1962.1 21 U.S.C. § 301 et seq. This statute requires premarketing approval and clearance of any “new drug” by the Secretary of Health, Education and Welfare.2 The term “new drug” is defined as one “not generally recognized, among experts qualified by scientific training and experience to evaluate the safety and effectiveness of drugs, as safe and effective for use under the conditions prescribed, recommended, or suggested in the labeling thereof * * 3 From a denial of a pre-marketing approval or a withdrawal of a previously given approval, an appeal, originally to the District Court, now to the Circuit Court of Appeals, is authorized.4 Drugs, which do not fit the definition of a “new drug” do not require FDA clearance for marketing. There is no provision in the Act for administrative determination whether a particular drug is a “new drug” nor for any right of appeal from any such determination. The FDA sometimes offers to render “informal advice” as to whether it considers a product a “new drug” but it uniformly designates such opinion “advice”.5 Accordingly, the responsibility for determining whether its [366] product is a “new drug” requiring premarketing clearance by FDA, rests on the manufacturer, who must act at its peril.6 If it makes an incorrect determination and seeks to market without FDA clearance a drug meeting the definition of a “new drug”, it lays itself open to drastic judicial procedures that may be invoked by FDA, i. e.: The product may be seized in an in rem action instituted by the Government;7 its sale may be enjoined in an action begun by the Government;8 in addition, the manufacturer may be subjected to criminal action.9 All these remedies must be prosecuted in the District Court and the role of the Secretary is that of plaintiff or prosecutor. The Act thus establishes two forums for the regulation of drugs: One is administrative and deals with the procedures for securing pre-marketing clearances for the statutorily defined “new drug”, with right of appeal from a denial of approval, or withdrawal of a previous approval, to the District Court, later changed to the Court of Appeals; the other is judicial and is intended to make effective and give strength to the requirement that “new drugs” be cleared as safe before marketing by providing the Government with certain potent judicial remedies, available exclusively in the District Court.

Under the 1938 Act, a new drug was one “not generally recognized, among experts * * * as safe for use.” The Amendments added “effectiveness” as well as “safety” to the definition. Simply stated, the change effected by the Amendments was that, whereas prior to the 1962 Amendments a drug which was generally recognized as safe was not a “new drug”, the Amendments defined a drug as “new” if it were not generally recognized as both safe and effective. Furthermore, they replaced the provision for automatic approvals of applications not disapproved within a fixed time with a requirement of a positive act of approval on the part of FDA.10 They proceeded to provide that the Secretary must find as a basis for clearance of a new drug not only safety but “substantial evidence” of effectiveness, “consisting of adequate and well-controlled investigations, including clinical investigations, by experts qualified by scientific training and experience to evaluate the effectiveness of the drug involved.” The applicability of these amendments, including the revised definition of “new drug” to drugs already marketed, either under previously issued NDAs, or as “old drugs” requiring no FDA approval, was carefully spelt out in the Amendments and certain “grandfather rights” were granted. For all previously NDA’d drugs, the Amendments conferred a grace period of two years after the effective date of the Amendments within which to prepare evidence to satisfy the new requirement of efficacy added by the revised definition of “new drug”; during that “transitional” period no revocation or withdrawal of approval because of a lack of substantial evidence of efficacy of such drugs was permitted.11 For a drug, however, which on the day prior to the enactment of the Amendments was (1) being “commercially used or sold in the United States,” (2) “was not a new drug as defined by” the preAmendment statute and (3) “was not covered by an effective (new drug application), * ' *” “on the day immediately preceding the enactment date” of the Amendments, there was a permanent exemption from the efficacy provisions [367] of the Amendments so long as the drug’s labeling remained the same.12 In summary, these provisions required that, “Those drugs which had obtained effective NDAs must be proven efficacious after two years; those which had not need never be proven efficacious so long as they had become safe prior- to the 1962 Amendments.” 13

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Bentex Pharmaceuticals, Inc. v. Richardson, 463 F.2d 363 (4th Cir. 1972).

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Bentex Pharmaceuticals, Inc. v. Richardson
463 F.2d 363 (Fourth Circuit, 1972)