Vanda Pharmaceuticals, Inc. v. Food and Drug Administration

CourtDistrict Court, District of Columbia
DecidedJanuary 31, 2020
DocketCivil Action No. 2019-0301
StatusPublished

This text of Vanda Pharmaceuticals, Inc. v. Food and Drug Administration (Vanda Pharmaceuticals, Inc. v. Food and Drug Administration) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vanda Pharmaceuticals, Inc. v. Food and Drug Administration, (D.D.C. 2020).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

VANDA PHARMACEUTICALS, INC., et al.,

Plaintiffs, v. Civil No. 19-301 (JDB) FOOD AND DRUG ADMINISTRATION, et al.,

Defendants.

MEMORANDUM OPINION

In December 2018, the Food and Drug Administration placed a partial clinical hold on

long-term human testing of the drug tradipitant. The hold was based on FDA’s conclusion that it

could not properly assess the risks of long-term tradipitant use in humans until the drug’s sponsor,

plaintiff Vanda Pharmaceuticals, Inc., conducted a long-term toxicity study on nonrodent animals.

Vanda filed this lawsuit to challenge the clinical hold. Pending before the Court are Vanda’s

motion for summary judgment and FDA’s cross-motion for summary judgment, as well as Vanda’s

motion to complete and supplement the administrative record and a motion by The Humane

Society of the United States for leave to file an amicus brief.

For the reasons that follow, the Court will grant summary judgment to FDA and deny each

of the other motions.

Background

A. Legal Framework

New drugs cannot be sold or distributed in interstate commerce without FDA approval. 21

U.S.C. § 355(a). To obtain FDA approval, drug sponsors must submit an application to FDA

containing, among other things, data demonstrating that a new drug is safe and effective for human

1 use. Id. § 355(b)(1). So that drug sponsors can obtain such data, the Federal Food, Drug, and

Cosmetic Act (“FD&C Act”) provides for a limited investigational exception to the ban on

distribution of experimental drugs in interstate commerce. Id. § 355(i). Sponsors who wish to

take advantage of this exception must submit an Investigational New Drug Application (“IND”)

to FDA containing “information on [the] design of the investigation and adequate reports of basic

information . . . necessary to assess the safety of the drug for use in clinical investigation.”

Id. § 355(i)(2).

By statute and regulation, FDA does not need to affirmatively approve INDs for sponsors

to move ahead with investigational testing. Instead, testing may automatically begin 30 days after

an IND is submitted, unless FDA places a clinical hold on testing. See id. § 355(i)(3)(A). FDA

can choose to impose a full or partial clinical hold at “any time,” id., for a variety of reasons, see

21 C.F.R. § 312.42(b)(iv), including if FDA concludes that an IND lacks “[a]dequate information

about pharmacological and toxicological studies of the drug involving laboratory animals or in

vitro,” id. § 312.23(a)(8). Importantly, the “kind, duration, and scope of animal and other tests

required varies with the duration and nature of the proposed clinical investigations.” Id.

§ 312.23(a)(8). A primary purpose of this regulatory framework is to ensure that testing of a given

drug does not “represent[] an unreasonable risk to the safety of the persons who are the subjects

of the clinical investigation.” 21 U.S.C. § 355(i)(3)(B).

B. Vanda’s Tradipitant IND

Tradipitant is an experimental drug that has been studied as a possible treatment for a

variety of disorders but has not yet been approved by FDA for any purpose. Remand Resp. at

FDA-11109.1 On September 2, 2016, plaintiff Vanda submitted IND 131545 to begin clinical trials

1 Citations to “FDA-” refer to the Administrative Record, located at ECF Nos. 42 and 43.

2 of tradipitant as a treatment for gastroparesis, a chronic but nonfatal digestive disorder that causes

those suffering from it to experience nausea, vomiting, unusual feelings of fullness, and abdominal

pain. Id. Vanda initially sought to conduct a 4-week clinical trial, supporting its proposal with

animal toxicity studies that were “limited to durations of 6 months in rats and 3 months in dogs.”

Id. at FDA-11109–10. FDA allowed Vanda’s proposed 4-week human trial to proceed. Id.

Then, on April 10, 2018, Vanda amended its study proposal, proposing a 12-month

extension to the 4-week trial. Id. at FDA-11110. FDA informed Vanda that the 12-month

extension was not permissible because, without a 9-month nonrodent toxicity study, FDA did not

have sufficient data as to the safety or effects of long-term tradipitant use in humans. Id. On May

22, 2018, Vanda submitted another amendment, this time reducing the 12-month-extension

proposal to 8 weeks. Id. FDA informed Vanda that that three-month trial (4 weeks plus the 8-

week extension) was acceptable but reiterated that anything over three months could not move

forward without long-term nonrodent studies. Id. at FDA-11110–11.

Later in 2018, Vanda twice more proposed 12-month extensions to its tradipitant trial; FDA

continued to reject the extensions because of its concerns about proceeding without long-term

nonrodent studies. Id. at FDA-11111. In December 2018, FDA staff consulted with members of

FDA’s Medical Policy and Program Review Council (“MPPRC”), who agreed with the staff view

that a 9-month nonrodent study was necessary prior to allowing 12-month human trials to ensure

humans were not put at undue risk. Id. at FDA-11111–12.

At that point, on December 19, 2018, FDA issued a formal decision placing a partial

clinical hold on Vanda’s proposed 12-month trial. Partial Clinical Hold Decision at FDA-10184.

The decision noted that 9-month nonrodent toxicity studies “are required . . . per the ICH Guidance

for Industry: M3(R2) Nonclinical Safety Studies for the Conduction of Human Clinical Trials and

3 Marketing Authorization for Pharmaceuticals.” Id. at FDA-10185. The decision then cited a

scientific study as summarizing the “rationale to support the ICH requirement.” Id. It also cited a

specific regulation, 21 C.F.R. § 312.42(b)(2)(i), and listed the particular deficiency that Vanda

needed to correct: “Insufficient information to assess risks to human subjects; because you do not

have adequate nonclinical safety data to support clinical trials beyond 3 months.” Partial Clinical

Hold Decision at FDA-10185.

C. The Present Lawsuit

Vanda filed this action on February 5, 2019, challenging FDA’s partial clinical hold

decision on two grounds: first, that FDA had failed to “articulate an adequate scientific basis” for

its decision; and second, that FDA had allegedly applied the “non-binding ICH guidance as a

binding regulation.” Compl. [ECF No. 1] at 48. Just over a week later, FDA moved for a voluntary

remand so it could have an “opportunity to address certain procedural issues” noted in Vanda’s

complaint. Mem. in Supp. of Defs.’ Mot. for a Voluntary Remand (“Mot. to Remand”) [ECF No.

6-1] at 2. In particular, FDA stated that it would “re-evaluate [Vanda’s] scientific arguments and

provide a full written explanation of the agency’s analysis and ultimate position” and “review and

clarify the regulatory basis for its decision, addressing the legal import of the guidance document.”

Id. at 6. This Court granted the remand motion to “allow FDA to cure its mistakes.” Vanda Pharm.

v. Food & Drug Admin., 2019 WL 1198703, at *2 (D.D.C. Mar. 14, 2019).

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