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The FDA as Gatekeeper Premarket Review of Tobacco Products Desmond Jenson Staff Attorney, Tobacco Control Legal Consortium October 26, 2017

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Page 1: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

The FDA as GatekeeperPremarket Review of Tobacco Products

Desmond JensonStaff Attorney, Tobacco Control Legal ConsortiumOctober 26, 2017

Page 2: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

• Premarket Review Under the TCA

• Implementation of Premarket Review 2009-2016

• FDA’s Review Priority

• Deficient Applications

• Solutions to Problems

Overview

Page 3: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review Under the TCA

Page 4: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Provisional SE Regular SE

Allowed to be sold until removed by the FDA

Cannot be sold until authorized by the FDA

Premarket Review Under the TCA

Page 5: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

MonthProvisional SE Reports

Submitted

November 2010 10

December 2010 16

January 2011 0

February 2011 0

March 2011 3,491

Premarket Review Under the TCA

Page 6: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

12

1,917

3,517

73

PMTA

Regular SE

Provisional SE

SE Exemption

Jenson D, et al. Tob Control 2016; 25:246-253

New Product Applications by Category as of December 2015

Premarket Review Under the TCA

Page 7: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Overview

• Premarket Review Under the TCA

• Implementation of Premarket Review 2009-2016

• FDA’s Review Priority

• Deficient Applications

• Solutions to Problems

Page 8: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Provisional SE Regular SE

Allowed to be sold until removed by the FDA

Cannot be sold until authorized by the FDA

Premarket Review Under the TCA

Page 9: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Jenson D, et al. Tob Control 2016; 25:246-253

Action on Substantial Equivalence Reports as of December 2015

3,009

38398 27

0

PendingApplications

IndustryWithdrawals

SE Orders

NSE Orders

Refuse to Accept 962

566

257

100 32 PendingApplications

IndustryWithdrawals

SE Orders

NSE Orders

Refuse to Accept

Provisional SE Regular SE

Premarket Review 2009-2016

Page 10: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Action on Substantial Equivalence Reports as of December 2016

Provisional SE Regular SE

2,703

707

102 49 14 PendingApplicationsIndustryWithdrawalsSE Orders

NSE Orders

Refuse to Accept

430

774

499

133

285 PendingApplicationsIndustryWithdrawalsSE Orders

NSE Orders

Refuse to Accept

Premarket Review 2009-2016

Page 11: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

April 24, 2012 August 21, 2012 April 10, 2013

Premarket Review 2009-2016

Page 12: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Page 13: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Page 14: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Page 15: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Page 16: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Page 17: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Premarket Review 2009-2016

Jenson D, et al. Tob Control 2016; 25:246-253

Page 18: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Overview

• Premarket Review Under the TCA

• Implementation of Premarket Review 2009-2016

• FDA’s Review Priority

• Deficient Applications

• Solutions to Problems

Page 19: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Action on Substantial Equivalence Reports as of December 2016

Provisional SE Regular SE

2,703

707

102 49 14 PendingApplicationsIndustryWithdrawalsSE Orders

NSE Orders

Refuse to Accept

430

774

499

133

285 PendingApplicationsIndustryWithdrawalsSE Orders

NSE Orders

Refuse to Accept

Solutions to Problems

Page 20: The FDA as Gatekeeper Premarket Review of Tobacco ProductsJenson D, et al. Tob Control 2016; 25:246-253 Action on Substantial Equivalence Reports as of December 2015 3,009 383 98 27

Solutions to Problems

Jenson D, et al. Tob Control 2016; 25:246-253