Hot Topics in FDA Law Fall 2016 5397 - EVANS- 28997 Professor(s): Barbara Evans (FACULTY) Credits: 3 Course Areas: Health Law, general consumer product safety law Time: 1:00p-2:30p TTH Contact: Barbara Evans, Office BLB 214 Phone: 713-743-2993 (office) 713-446-7576 (Cell or Text) Email: bjevans@central.uh.edu Office Hours: T-Th 2:30 – 3:30 (after class) or other times if you have conflicts then. Overview: FDA-regulated products account for 25% of the gross domestic product of the United States, so a basic understanding of FDA law is essential for any student wishing to work in, or to represent clients in, the consumer-products sector. This course provides a manageable introductory survey of the major substantive topics in FDA Law, including regulation of food products, food additives, dietary supplements, cosmetics, tobacco, drugs (human and animal drugs), biologics, biosimilars, and medical devices (including genetic and diagnostic tests). After providing a basic tour of FDA law, the course will turn to discussion of hot topics in FDA law, which students will select in consultation with Professor Evans. Grading: There is no final exam. 60% of students’ grades will be based on an in-class midterm exam to be administered on a date to be determined, based on student input, during weeks 6-9 of the semester. The midterm will cover the substantive FDA law concepts covered during the first part of the course. The other 40% of students’ grades will be based on a short (3,000 to 6,000-word) medical-journal or bioethics-journal-style paper that students will write on an FDA hot topic that they will choose in consultation with Prof. Evans. Those papers will be due on or before the scheduled final exam time (12/13 at 1 pm). Because the midterm is a graded assignment, the Office for Student Services will assist students who have a bona fide work, healthcare, or school-related conflict (e.g., such as an illness or a moot course competition) that conflicts with the scheduled midterm date. Every effort will be made to select a midterm date that works for all students, but students who nevertheless have a conflict will be able to reschedule their midterms to a date within a week of the scheduled date, on the same basis they would be able to reschedule a final exam. Course Text and Materials: Textbook: ADAMS, COOPER, HAHN & KAHAN, EDS., FOOD AND DRUG LAW AND REGULATION (FDLI, 3rd ed. 2015). Statute (FDCA/21 U.S.C.) -- Access via FDA website, at http://www.fda.gov/RegulatoryInformation/Legislation/FederalFoodDrugandCosmeticAct FDCAct/default.htm Regulations (21 C.F.R.) -- Access via FDA website, at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm Additional materials will be posted on Blackboard and noted in the syllabus. Note: There are very few comprehensive textbooks in the realm of “Food and Drug” Law. This syllabus reflects significant work on my part to compile useful academic and professional narrative, foundational case law, the statute, regulations, and FDA resources all in one place. As I will emphasize repeatedly throughout the course, the historical case excerpts in the supplement posted on Blackboard are a tool to examine the statute and regulations. Read and takes notes, but DO NOT attempt to brief these cases. Course Objectives: 1. Understand the institutional framework and scope of authority of the U.S. Food and Drug Administration (FDA) and its relationship to other federal agencies. 2. Learn and analyze key statutory provisions, regulations, case law, and policy governing food and dietary supplements, cosmetics, drugs, medical devices, biologics, and tobacco. 3. Develop insight into how the agency has responded to new scientific and technological advancements and their integration into consumer products, including biotechnology and nanotechnology. 4. Articulate and critique the delicate balance between legal and policy actions of the FDA and the public interest. Consider, for example, when the primary approach to regulation should simply be the provision of information to consumers or the establishment of mandatory requirements for industry to ensure public health and safety. 5. Identify the basis and impact of the different regulatory powers of the FDA. FDA responsibilities encompass a broad range of oversight -- from animal and clinical trials to pre-market review to post market monitoring of marketed products and enforcement mechanisms. 6. Develop an appreciation for the interrelationship between the substantive reach of the agency’s powers and the procedural considerations and how administrative discretion can shape the implementation of the statute. FDA substantive powers are affected by administrative law matters, such as the use of rulemaking and standards for statutory interpretation. Participation: This course provides significant opportunity for class participation and discussion. I reserve the right to increase or decrease a student grade by 1/3 grade based on participation. Course Schedule & Readings: Note: This is a new course still in development. The course will survey major topics in substantive FDA law, such as those listed below. Then, it will turn to hot topic presentations that students themselves will develop in consultation with Prof. Evans. The following list of substantive topics is representative, but adjustments may be made prior to August, 2016 to ensure that the amount of material covered is manageable and allows adequate time to delve into the fascinating hot topics in FDA law. (1) The FDA as a Federal Administrative Agency Textbook: p. 1-20; 683-686; 710-top 715 Statute: FDCA 701/21 USC 371(a)-(d)(regulations and hearings) & (h)(guidance documents) FDA website: Review the FDA Organization Chart: FDA Overview, available at http://www.fda.gov/AboutFDA/CentersOffices/OrganizationCharts/ucm393155.htm 2 (2) Food, Drug, and Cosmetic Act (FDCA) Structure & Definitions Blackboard: Cases and Materials Supplement S2-S24 Statute: FDCA 201/21 USC 321(f)- (i), (p), (s), (t), (ff), (rr) (various definitions) Hereinafter, all statutory references will first list the FDCA section (with the section in brackets, e.g., [201], if the USC subsections conform identically) followed by a slash and then the USC section. (3) FDA Enforcement -- Scope, Inspections, Agency Correspondence & Recalls Textbook: p. 727-top 762 Statute: [301]/331(a)-(g), (k)(Prohibited Acts) Blackboard: Cases and Materials Supplement bottom S133-S146 (4) FDA Enforcement-- Seizures, Injunctions, & Civil Penalties Textbook: p. 762-middle 776 Statute: [302]/332 (Injunction Proceedings) [304]/334(a)(1)(Seizure) [303]/333(a)-(c), (f), (g)(Penalties) [307]/335b (Civil Penalties) Blackboard: Cases and Materials Supplement S147-S171 (5) FDA Enforcement -- Criminal Proceedings Textbook: p. 776-790 Statute: 306/335a(a)-(c)(Debarment) Blackboard: Cases and Materials Supplement S172-S186 FDLI, Food and Drug Policy Forum, Are Misdemeanor Prosecutions under the Park Doctrine an Effective Mechanism for Deterring Violations of the Federal Food, Drug and Cosmetic Act?, July 26, 2011, p. 2-6. (6) Introduction to Food & Basic FDCA Concepts Textbook: p. 21-middle 42 Blackboard: Cases and Materials Supplement S34-S52 FDA website: Food, available at http://www.fda.gov/Food/default.htm Statute: [401]/341 (Definitions and Standards for Food) [402]/342(a) &(b) (Adulterated Food) [406]/346 (Tolerances for Poisonous Ingredients in Food) (7) Food Ingredients & Food Additives Textbook: p. bottom 53-middle 69 Blackboard: Cases and Materials Supplement top S53-S64 Statute: [201]/321(s)(Food Additive Definition) [409]/348(a) & (b)(Unsafe Food Additives) Regulations [SKIM!]: 21 CFR 110 (GMPs) (8) Food Contact Substances Textbook: 117-135 3 Blackboard: Cases and Materials Supplement S65-S71 (9) Food Labeling Textbook: p. 93-115 Statute: [201]/321(k)-(m)(Definitions) [403]/343(a)-(l), (q)(1)-(3), (w) (Misbranded Food) Blackboard: Cases and Materials Supplement S25-S33 Regulations: [SKIM!] 21 CFR 101 (Food Labeling Subpart A –G); Note 21 CFR 101.4 (Food; Designation of Ingredients); 21 CFR 101.9 (Nutrition Labeling of Food); 21 CFR 101.13 (Nutrient Content Claims). (10) Dietary Supplements; Structure-Function & Disease Prevention Claims Blackboard: Hutt et al. p. 409-middle 451 Statute: [403]/343(r)(1)-(6)(Misbranded Food) Regulations: [SKIM!] 21 CFR 101.14 (Health Claims); 21 CFR 101.93 (Dietary Supplement Claims exemption) (11) Structure-Function & Disease Prevention Claims, continued; Cosmetics Textbook: p. 263-288 Blackboard: Revisit Cases and Materials Supplement S11-S15 Statute: [201]/321(i)(Cosmetic Definition) [201]/321(t)(Color Additive Definition) [601]/361 (Adulterated Cosmetics) [602]/362 (Misbranded Cosmetics) (12) Introduction to Human Drugs Textbook: p. 297-middle 313 FDA website: Drugs, available at http://www.fda.gov/Drugs/default.htm Statute: [201]/321(g), (p)(Definitions) [501]/351(a)-(c)(Adulterated Drugs and Devices) (13) Human Drugs Textbook: p. 313-336 Blackboard: Cases and Materials Supplement S82-S93 Statute: [502]/352(a)-(f)(Misbranded Drugs and Devices) Regulations [SKIM!]: 21 CFR 201 (Drug Labeling Subpart A –G) – read through list of subsections (14) New Drug Approval (NDA) Process Textbook: p. 337-middle 353 Statute: [503]/353(b)(Rx Drug Status) [505]/355(a), (b)(1)-(2)(New Drugs) (15) New Drug Approval (NDA) Process Textbook: p. 353-368 4 Statute: [505]/355(c)(1), (d)(New Drugs) [506]/356(a), (b) (Fast Track) Blackboard: Rachel Sherman, et al., Expediting Drug Development — The FDA's New “Breakthrough Therapy” Designation, 369 N. ENG. J. MED. 1877 (2013). Regulations: [SKIM!] 21 CFR 50, 56 FDA website: The Investigational New Drug (IND) Application, available at http://www.fda.gov/Drugs/DevelopmentApprovalProcess/HowDrugsareDevelopedandAp proved/ApprovalApplications/InvestigationalNewDrugINDApplication/default.htm The New Drug Application (NDA), available at http://www.fda.gov/Drugs/DevelopmentApprovalProcess/HowDrugsareDevelopedandAp proved/ApprovalApplications/NewDrugApplicationNDA/default.htm (16) Post-Approval Obligations Textbook: p. 368-374 Blackboard: Cases and Materials Supplement S99-S106 Statute: [505]/355(e) (New Drugs) [505]/355(k)(1)-(3), (o), (p), (r)(New Drugs) [505-1]/355-1(a)-(d) (REMS) (17) Generics & the Abbreviated New Drug Application (ANDA) Textbook: p. 375-top 405 Statute: [505]/355(j)(ANDA) (18) Over-The-Counter (OTC) Drugs Textbook: p. 449-470 Regulations [SKIM!]: 21 CFR 201.66 (OTC Drug Label) 21 CFR 330.1, 330.5, 330.10 (OTC Monograph info) (19) Rx Drug Promotion and Marketing Textbook: p. 409-447 Blackboard: U.S. v. Caronia, 703 F.3d 149 (2nd Cir. 2012) (20) Biologics License Application (BLA) & Biosimilars Blackboard: Jordan Paradise, Chapter 3: Introduction to Biologics, in THE FUNDAMENTALS OF LIFE SCIENCES LAW: DRUGS, DEVICES, AND BIOTECH, 2nd Ed., p. 61-79 (AHLA, 2014). Statute: 42 USC § 262 FDA website: About the Center for Biologics Evaluation and Research, available at http://www.fda.gov/AboutFDA/CentersOffices/CBER/default.htm (21) Medical Devices – Classifications & the 510(k) Process Textbook: p. 553-middle 567 Blackboard: Cases and Materials Supplement S107-S119 Statute: 513/360c(a) & (f)(Classification of Devices) 5 513/360c(i)(Classification of Devices, Substantial Equivalence) Regulations [SKIM!]: 21 CFR 807.87 (Information Required in a Premarket Notification) FDA website: About the Center for Devices and Radiological Health, available at http://www.fda.gov/MedicalDevices/default.htm (22) Medical Devices – Pre-Market Approval (PMA) Process Textbook: p. 567-top 589 Statute: 515/360e (Premarket Approval) Regulations [SKIM!]: 21 CFR 814 (Subparts A-H) – ONLY read through list of subsections 21 CFR 814.20 (Application) (23) Medical Devices –Post-Market Requirements; Combination Products Textbook: p. 589-605; 641-658 FDA website: Office of Combination Products website, Overview of the OCP, available at http://www.fda.gov/CombinationProducts/AboutCombinationProducts/default.htm PMOA & MOA definitions, Sections I & II, available at http://www.fda.gov/OHRMS/DOCKETS/98fr/05-16527.htm Statute: [503]/353(g)(Exemptions) (24): FDA Regulation of Healthcare Professionals Textbook: 667-682 (25) Products Liability, State Authority & Federal Preemption Blackboard: Cases and Materials Supplement S120-129 Various preemption case excerpts: o Riegel v. Medtronic, 128 S. Ct. 999 (2008). o Wyeth v. Levine, 129 S. Ct. 1187 (2009). o PLIVA v. Mensing, 131 S. Ct. 2567 (2011). o Mutual Pharmaceutical v. Bartlett, 133 S. Ct. 2466 (2013). (26) Tobacco Products & the Tobacco Control Act (2009) Textbook: p. 623-665 [SKIM! and be prepared to discuss and compare the new legislation in the general context of other regulated products] Statute: [201]/321(rr)(tobacco product) FDA website: Tobacco Products, available at http://www.fda.gov/TobaccoProducts/default.htm 6 7