The US FDA has taken an interest in electronic cigarettes. They claim e-cigs are drug delivery systems and the liquid is a drug, thereby giving them jurisdiction over their sales and marketing. Since no electronic cigarette has been properly tested as a new drug delivery system, no applications for a new drug is on file and the fact that many marketers are making unproven claims about the health risks and benefits of electronic cigarettes, the FDA is concerned.
What started as a few seized imports from three Chinese manufacturers has turned into a lawsuit challenging the FDA's authority over E-Cigs. Until that lawsuit is settled, the FDA is reluctant to act to ban their sale.
But that did not stop the FDA from conducting a small study, using the products of the companies who are now suing them. The study was quick and incomplete, but the results said just about what everyone thought they would:
While it was not shown that the amount of TSNAs discovered were at levels any higher than any approved nicotine replacement device, or that electronic cigarettes posed more or less of a danger to health when compared to any product, the findings along with the diethylene glycol was a devastating blow to the industry's claims of "Safer, No Carcinogens, stop smoking, just nicotine and water vapor".
The FDA held a press briefing, issued a Consumer Update and sent out press releases all warning electronic cigarettes could be dangerous and were not proven to be safe or effective as a quit smoking device. As would be expected headlines and news stories full of "the same substance used in antifreeze" and "cancer causing agents found" started circulating the world.
While it seems the FDA is not arguing that electronic cigarettes are far better for you then real cigarettes, they are quick to point out that being safer than the worlds most dangerous product isn't saying much. Safer than cigarettes doesn't meet the safety standards of new drugs and until more testing is done, no one really knows how safe, or unsafe electronic cigarettes are.
For now the FDA is quiet, but once the lawsuit is settled they will no doubt be back at the heals of the electronic cigarette industry demanding testing and formal evaluation as a new drug device.
Court Documents and other resource materials related to the Smoking Everywhere, Inc. v. FDA lawsuit.
Civ. No. 09-cv-0771 (RJL)
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
SMOKING EVERYWHERE, INC.,
Plaintiff, and
SOTTERA, INC., d/b/a NJOY,
Intervenor-Plaintiff,
v.
U.S. FOOD AND DRUG ADMINISTRATION, et al.
Defendants
At the preliminary injunction hearing on May 15, 2009, the Court inquired about the effect that the Family Smoking Prevention and Tobacco Control Act (“FSPTCA”), which was signed into law on June 22, 2009, might have on the legal issues before the Court. See FSPTCA,
Public Law No: 111-31, H.R. 1256, 111th. Cong. (2009) (available at http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills.... The parties were unable to fully address the Court’s questions at that time because the bill was still pending. The government now submits this summary of provisions that may be relevant to FDA’s authority over electronic cigarettes, and responds to plaintiff’s and intervenor’s supplemental briefs on the same subject.
Through this legislation, Congress confirmed its intention that some nicotine- and tobacco-containing products were already properly subject to FDA’s existing regulatory authority under the Federal Food, Drug, and Cosmetic Act (“FDCA”) before this recent enactment. The new law also expands FDA’s jurisdiction by granting it the authority to regulate additional nicotine- and tobacco-containing products that previously were not within FDA’s jurisdiction. Accordingly, the question for products such as the electronic cigarettes distributed by plaintiff Smoking Everywhere, Inc. (“SE”) is no longer whether Congress intends for FDA to regulate
electronic cigarettes derived from tobacco, but, for each product, under which authorities – as drugs, devices, and combination products, or as tobacco products.
The answer with respect to the products at issue in this action is still the same: FDA’s original conclusion – that the two shipments of E-cigarettes that were referenced in the complaint are combination products regulated under FDA’s drug and device authorities – remains correct. In the administrative proceeding documented in the administrative record provided to this Court, FDA found, after examining the product, the claims made in the product labeling, and information SE submitted to FDA, that SE’s product met the definition of both a drug and device under the FDCA. Nothing in the FSPTCA alters or affects that conclusion.
I. IN THE FSPTCA, CONGRESS RECOGNIZED THAT TOBACCO
PRODUCTS MAY BE DRUGS, DEVICES, AND COMBINATION PRODUCTS
In enacting the FSPTCA, Congress confirmed its understanding that certain tobacco products are properly regulated as drugs, devices, and combination products under the FDCA.
The FSPTCA amended the FDCA by adding the new term “tobacco product,” defined as follows:
(1) The term ‘tobacco product’ means any product made or derived from tobacco that is intended for human consumption, including any component, part, or accessory of a tobacco product (except for raw materials other than tobacco used in manufacturing a component, part, or accessory of a tobacco product).
(2) The term ‘tobacco product’ does not mean an article that is a drug under [21 U.S.C. § 321](g)(1), a device under [21 U.S.C. § 321](h), or a combination product described in [21 U.S.C. § 353](g).
(3) The products described in paragraph (2) shall be subject to chapter V of this Act.1 FSPTCA, Sec. 101(a). Accordingly, under paragraph (2) of this definition, any product that is a drug, device, or combination product under the FDCA will not be considered a “tobacco product” whether or not it contains ingredients derived from tobacco.
By excluding drugs, devices, and combination products from the definition of “tobacco product,” Congress confirmed its intention that tobacco-containing products that are subject to FDA’s pre-existing jurisdiction are still subject to that jurisdiction. Congress made clear that nothing in the FSPTCA “shall be construed to affect, expand, or limit the Secretary’s authority over (including the authority to determine whether products may be regulated), or the regulation of, products under this Act that are not tobacco products under chapter V or any other chapter.” FSPTCA, Sec. 901(c)(1). In this manner, the FSPTCA established parallel tracks for FDA regulation of nicotine- and tobacco-containing products depending on whether or not they are drugs/devices/combination products. Any nicotine- or tobacco-containing product, whether or not previously marketed, that meets the definition of “drug” or “device” under the FDCA (for example, because drug claims are made for the product), will continue to be regulated under the
drug/device/combination product authorities of the FDCA. See FSPTCA, Sec. 101(a)(3).2
For products derived from tobacco that are not subject to the drug/device/combination product authorities of the FDCA, the SPTCA provides that those products are subject to regulation under the provisions of the FSPTCA and not under the existing drug/device combination product authorities. See FSPTCA, Sec. 901(a). Section 901(a) of the FSPTCA provides that tobacco products “shall be regulated by the Secretary under this chapter and shall not be subject to the provisions of chapter V.” As noted, chapter V of the FDCA includes the substantive provisions governing drugs, devices, and combination products and is codified at 21 U.S.C. §§ 351-360ccc.
The FSPTCA similarly defines “modified risk tobacco product” as “any tobacco product that is sold or distributed for use to reduce harm or the risk of tobacco-related disease.” See FSPTCA, Sec. 911(b)(1). By including the defined term “tobacco product” within the definition of “modified risk tobacco product,” Congress incorporated the limitation of the former definition into the latter definition, so that drugs, devices, and combination products are excluded from “modified risk tobacco product” as well. Congress confirmed this construct in explicitly stating that products intended to be used to treat tobacco dependence and approved as drugs or devices would be regulated under the FDA’s existing drug and device authorities and are not “modified risk tobacco products” under the FSPTCA. See FSPTCA, Sec. 911(c).
The FSPTCA does not provide any basis for FDA to change its original conclusions with respect to the products in this action. As the administrative record shows, FDA properly found, based on its examination of the evidence, that the shipments of e-cigarettes referenced in the complaint are combination products that are regulated under FDA’s drug and device authorities.
See Defendants’ Memorandum in Opposition to Plaintiff’s Motion for Preliminary Injunction
(“U.S. Mem.”) at 10-11, 16-21. As the government explained in its opposition brief, SE’s E-Cigarette vaporizes nicotine, a recognized pharmacological agent, for inhalation by consumers.
U.S. Mem. at 18. The promotional material connected with the refused shipments contained claims that represent and suggest that the product will provide the same drug effects on the structure and function of the human body as cigarettes. Id. at 19-21. Based on this evidence, FDA properly concluded that these products meet the definitions of drug and device under the FDCA. Because the products are excluded from the definition of “tobacco product” pursuant to Section 101(2) of the FSPTCA, FDA’s original conclusion remains correct even after the enactment of the FSPTCA.
Plaintiff, in its supplemental brief, acknowledges the existence of the second part of the definition of tobacco products, which excludes drugs, devices, and combination products, Pl. Supp. Mem. at 3, but then proceeds to ignore it in its analysis. The intervenor completely ignores the exclusion altogether. This Court, however, cannot disregard Section 101(a)(2) of the
FSPTCA. When a term is defined as “A but not B,” one cannot simply ignore the “but not B” portion of the definition.
Instead, plaintiff assumes that its product is a “tobacco product” that would be regulated under the new provisions of the FSPTCA, id. at 5, and the intervenor appears to contend that its product is a modified risk tobacco product. Int. Supp. Br. at 4-5.3 It is both premature and unnecessary for FDA to opine (or for the Court to consider) how these authorities would specifically be applied to any electronic cigarettes that did not meet the definition of drug or device. Because that issue is not presented by the administrative action challenged in this case as reflected in the administrative record before the Court, neither plaintiff nor the intervenor has a ripe claim with respect to FDA’s application of the FSPTCA to electronic cigarettes.
In its supplemental brief, plaintiff seeks to recast its complaint as embodying the issue of “whether the FDA exceeded its authority by declaring, without opportunity for public notice and comment, that E-cigarettes were drug-device combination products that could not enter the country unless approved by the FDA,” as well as imposing an “import ban” on E-cigarettes. Pl.
Supp. Mem. at 4; see also id. at 5-6. This statement does not fairly represent the posture of this case.
There is no evidence in the record of any categorical declaration by FDA that it is imposing an “import ban” on all electronic cigarettes. FDA’s determination regarding SE’s E-cigarettes that were detained and refused was based on the administrative record regarding those products. See U.S. Mem. at 9-11; 16-21. There is nothing that requires public notice and comment in connection with this administrative decision.
Nor is plaintiff’s contention regarding notice and comment appropriate at this juncture. The complaint referred to Import Alert 66-41 (“IA 66-41”), which contains a list of drug products that are not approved for distribution in the United States and that may be detained by FDA field personnel pending the submission of testimony or other evidence by the importer and a decision whether the products should be released into commerce or refused admission. Included on that list are electronic cigarettes manufactured by three Chinese firms.
As discussed in the government’s opposition memorandum, the import alert is a mechanism for FDA headquarters to communicate information and provide guidelines to FDA field personnel and the regulated industry. U.S. Mem. at 31. Further, the import alert pertains only to detention, not the ultimate refusal of entry. In addition, upon detention, importers have the opportunity, after detention but before the ultimate decision regarding admission or refusal, to present evidence to the agency. Id. at 31-32. FDA makes admissibility decisions with respect to electronic cigarettes based on evidence related to the specific products in question and has not declared an industry-wide “ban.”4
For this reason, the import alert is not a substantive rule that requires notice-andcomment rulemaking. Id. at 30-35. Plaintiff failed to argue that point either at the hearing or in its reply brief, and thereby essentially conceded it. Plaintiff offers no authority to support its argument that FDA must engage in notice-and-comment rulemaking related to its individual import detention decisions – or with respect to IA 66-41.
The intervenor similarly mischaracterizes the issues before the Court. The intervenor asserts that FDA “contend[s] that E-cigarettes are ‘drug-device’ combination products simply because they contain nicotine.” Int. Supp. Br. at 1. That is not an accurate description of the case before this Court. As the administrative record demonstrates, FDA made its determination regarding the shipments of SE’s E-cigarettes based on an examination of the product and its labeling and promotional material, and concluded that the nature of the product together with its claims supported the conclusion that the products were drug-device combination products. U.S. Mem. at 16-17. The intervenor’s sole support for its assertion that FDA has made a categorical
determination regarding e-cigarettes is a selective quotation from an email by an FDA Compliance Officer in which he expressed a “belie[f]” that it would not be possible to relabel the product to avoid FDA’s drug/device/combination product authority. Int. Supp. Br. at 2 n.2. See AR DET 92. The Compliance Officer, however, continued by explaining that the importer may make a written proposal to the agency to obtain a more official response. Further, an email from an FDA employee does not constitute an authoritative binding statement by the agency. See 21 C.F.R. § 10.85(k) (informal communications by FDA employees are not binding).
The intervenor also incorrectly asserts that a product is not a “drug” within the meaning of the FDCA unless the manufacturer makes “medical or therapeutic claims . . . on the product’s labeling or promotional materials.” Int. Supp. Br. at 2. Such a restrictive definition is contrary to the language of the statute, FDA regulations, FDA administrative practice, and case law. The
FDCA defines “drug” to include, among other things, “articles (other than food) intended to affect the structure or any function of the body,” as well as “articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease.” 21 U.S.C. § 321(g)(1)(B) & (C). Thus, whether an article is a drug depends on its “intended use.” The “intended use” of a product refers, in turn, “to the objective intent of the persons legally responsible for the labeling of drugs,” which “is determined by such persons’ expressions or may be shown by the circumstances surrounding the distribution of the article. This objective intent may, for example, be shown by labeling claims, advertising matter, or oral or written statements by such persons or their representatives. . . .” 21 C.F.R. § 201.128.
The case law further supports a far broader definition of “drug” than the intervenor espouses. See, e.g., Action on Smoking and Health v. Harris, 655 F.2d 236, 239 (D.C. Cir. 1980) (“[I]t is well established that the ‘intended use’ of a product, within the meaning of the Act, is determined from its label, accompanying labeling, promotional claims, advertising, and any other relevant source.”) (internal citations and quotation marks omitted); United States v. Travia, 180 F. Supp. 2d 115, 119 (D.D.C. 2001) (Despite the absence of labeling, “the surrounding circumstances of the sales” demonstrated that the intended use of the nitrous oxide product was to affect the structure or any function of the body of man). See also U.S. Mem. at 4-5, 16-21.
The intervenor also asserts that FDA has made no effort to specify how NJOY’s E-cigarettes, without claims, could be considered a “drug or device.” Int. Supp. Br. at 5. The intervenor, however, chose to seek to intervene in this case even though there had been no final agency action with respect to its product, or an administrative record for the Court to review. Having obtained permission to express its views despite its failure to await the completion of the administrative process, it cannot be now heard to complain about the lack of an administrative record regarding its product. Additionally, for this reason, NJOY does not present a ripe injury or case or controversy, and its complaint should be dismissed.
For the reasons stated above and in the government’s original opposition brief, the
motions for preliminary injunction should be denied.
Of Counsel: Respectfully submitted,
DAVID S. CADE TONY WEST
Acting General Counsel Assistant Attorney General
MICHAEL M. LANDA ANN M. RAVEL
Acting Associate General Counsel
Food and Drug Division
Deputy Assistant Attorney General
EUGENE M. THIROLF
ERIC M. BLUMBERG Director
Deputy Chief Counsel, Litigation
KAREN E. SCHIFTER
Associate Chief Counsel, LitigationU.S. Dept. of Health & Human Services
Office of the General Counsel
5600 Fishers Lane
Rockville, MD 20857
301-827-1152
/s/
DRAKE CUTINI
Attorney
Office of Consumer Litigation
U.S. Department of Justice
P.O. Box 386
July 10, 2009
Washington, D.C. 20044
202-307-0044
drake.cutini@usdoj.gov
1Chapter V of the FDCA includes the substantive provisions governing drugs/devices/combination products and is codified at 21 U.S.C. §§ 351-360ccc.
2Congress also made a series of findings that demonstrate that Congress recognizes the drug-like attributes of tobacco products, including that “[n]icotine is an addictive drug” and that “[t]obacco dependence is a chronic disease.” FSPTCA, Sec. 2, (3) & (33).
3 There appears to be no dispute among the parties that SE’s E-cigarettes satisfy the first prong of the definition of “tobacco products,” in that they are “made or derived from tobacco [and] intended for human consumption.” FSPTCA, Sec. 101(1). See Pl. Supp. Mem. at 5 (“the electronic cigarette falls within the definition of ‘tobacco product’”); Int. Supp. Br. at 3. In addition, the intervenor has alleged that its product allows “users to inhale liquid nicotine vapor distilled from natural tobacco plants.” Intervenor Complaint. 1. Hence, if these products did not meet the definition of a drug, device, or combination product, they would be subject to FDA final jurisdiction under the FSPTCA.
4Plaintiff further suggests that this alleged import “ban” contradicts the FSPTCA’s prohibition on a complete ban of all cigarettes. Pl. Supp. Mem. at 3, 5. Plaintiff, however, is using the term “ban” loosely. FDA’s position with regard to cigarette alternatives that meet the definition of “drug” is that there must be an approved new drug application before the product is marketed. That position is not the equivalent of a “ban.”
Plaintiff Smoking Everywhere, Inc. (“SE”), seeks a preliminary injunction requiring the United States Food and Drug Administration (“FDA”) to permit SE to import an electronic cigarette product and its accessories (“E-Cigarettes”) for distribution in the United States. SE asserts that FDA lacks jurisdiction to regulate its product, which it claims is a “non-therapeutic” alternative to traditional cigarettes. SE is not entitled to this relief. It has no likelihood of success on the merits, it has not established an irreparable injury, and the balance of interests does not weigh in its favor.
In the proceeding following SE’s attempt to import two shipments of E-Cigarettes, FDA found that SE’s product met the definition of both a drug and device under the Federal Food, Drug, and Cosmetic Act (“FDCA”). FDA made this determination after examining the product, the claims made in the product labeling, and information SE submitted to FDA. FDA has similarly determined that other nicotine-containing products, such as gums, transdermal patches, nasal sprays, inhalers, lollipops, lozenges, and hand gels, are within its jurisdiction. Manufacturers and distributors of some of these products have obtained FDA approval to market their products legally in the United States. SE has chosen not to submit an application for approval of its product, which would require it to submit data showing that the product is safe and effective. As an unapproved drug or device, distribution of E-Cigarettes in commerce in the United States is prohibited. Thus, FDA properly concluded that the shipments of E-Cigarettes at issue here may be refused admission into the United States.
In addition to challenging FDA’s basic jurisdiction to regulate E-Cigarettes, SE argues that Import Alert 66-41 (“IA 66-41”) is a rule that should have been published for notice and comment rulemaking. In late March and early April 2009, FDA amended IA 66-41, adding electronic cigarettes manufactured by three Chinese firms.
Plaintiff’s challenge to the amendment to the import alert is not well founded. This import alert contains a list of drug products that are not approved for distribution in the United States and that may be detained by FDA field personnel pending the submission of testimony or other evidence by the importer and a final decision whether the products should be released into commerce or refused admission. The import alert is simply an administrative means for FDA to communicate efficiently with its personnel, and it relates only to detention. Detention is a preliminary step in an import proceeding; the ultimate purpose of the proceeding is to determine whether a product should be refused admission to the United States. Accordingly, IA 66-41 is not a binding, substantive rule that is required to be published for notice and comment rulemaking under the Administrative Procedure Act (“APA”).
In any event, SE has failed to establish standing to challenge IA 66-41. The shipments referenced in the complaint were detained well before any electronic cigarettes were added to the import alert, and the import alert itself relates only to electronic cigarettes from three specific manufacturers in China, none of which appears to make plaintiff’s product.
For these reasons, SE has failed to establish a likelihood of success on the merits of its claims. SE fares no better with respect to the other factors that it must establish in order to justify the issuance of a preliminary injunction from this Court. SE has failed to establish irreparable harm or that the balance of harms weighs in its favor. SE claims injury to its business from FDA’s import refusals, but that is the same injury anyone faces who seeks to distribute an unapproved drug or device. Congress has made clear, in its enactment and subsequent amendments of the FDCA, that the interest of the public in safe and effective drugs and devices supersedes a distributor’s hoped-for profits. Accordingly, plaintiff has failed to establish entitlement to a preliminary injunction, and its motion should be denied.
A. FDA Authority over Drugs and Devices
The FDCA generally prohibits the introduction into commerce of unapproved drugs and devices. 21 U.S.C. § 355(a); 21 U.S.C. § 331(d). A new drug cannot be marketed in the United States until the drug sponsor submits a new drug application (“NDA”) to FDA, obtains the agency’s approval, and the approved application is effective. 21 U.S.C. §§ 355(a), (b), 331(d). A product is a “new drug” if it is not generally recognized among qualified experts as safe and effective for the conditions prescribed, recommended, or suggested in its labeling. 21 U.S.C. §§ 321(p). “General recognition” of a drug as safe and effective must rest on a consensus among qualified experts based on adequate and well-controlled clinical trials that are published in the scientific and medical literature. See Weinberger v. Hynson, Westcott & Dunning, Inc., 412 U.S. 609, 629 (1973); Weinberger v. Bentex Pharms., Inc., 412 U.S. 645, 652 (1973).
To obtain approval, the manufacturer must demonstrate that there is sufficient evidence to find that the drug is in fact both safe and effective for each of the uses recommended in the proposed labeling. 21 U.S.C. § 355(b), (d). Thus, FDA is required to reject an NDA if, inter alia, the data fail to show that the product is “safe for use under the conditions prescribed, recommended, or suggested in the proposed labeling” or “will have the effect it purports or is represented to have.” 21 U.S.C. § 355(d).
Though not identical, the statutory requirements for the premarket clearance or approval of devices are similar to the requirements for drug approval. See 21 U.S.C. § 360e. The standards and process for FDA clearance or approval depends, among other things, on the device’s classification under 21 U.S.C. § 360c. Class III devices are subject to the most stringent regulation: a determination of their safety and effectiveness is made by FDA, based on information submitted by the manufacturer or sponsor in a premarket approval application (“PMA”). 21 U.S.C. § 360e. Devices that entered commerce after the 1976 Medical Device Amendments, 21 U.S.C. §§ 360c-360k, such as E-Cigarettes (see SE Memorandum in Support of Preliminary Injunction (“SE Mem.”) at 4, “E-cigarettes were first invented in approximately 2004”), are automatically classified by statute in class III, without any rulemaking, unless and until the FDA issues an order finding that the device is “substantially equivalent” to a device previously classified in class I or II, or the agency reclassifies the device into class I or II. See 21 U.S.C. § 360c(f)(1)-(3). A device is adulterated under 21 U.S.C. § 351(f)(1)(B) if there is no approved PMA in effect pursuant to 21 U.S.C. § 360e(a), or no approved investigational device exemption (“IDE”) under 21 U.S.C. § 360j(g).
The FDCA broadly defines “drug” and “device.” The definition of “drug” includes, in relevant part, articles “intended for use in the . . . mitigation, treatment, or prevention of disease” or “intended to affect the structure or any function of the body of man.” 21 U.S.C. § 321(g)(1). “Device” includes “an instrument, apparatus, . . . or other similar or related article, including any component, part, or accessory,” that is “intended for use in the . . . mitigation, treatment, or prevention of disease” or “intended to affect the structure or any function of the body of man” and that “does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the
achievement of its primary intended purposes.” 21 U.S.C. § 321(h).
The Supreme Court has directed that these definitions be broadly construed:
The historical expansion of the definition of drug, and the creation of a parallel concept of devices, clearly show, we think, that Congress fully intended that the Act’s coverage be as broad as its literal language indicates – and equally clearly, broader than any strict medical definition might otherwise allow. . . . [R]emedial legislation such as the Food, Drug, and Cosmetic Act is to be given a liberal construction consistent with the Act’s overriding purpose to protect the public health. United States v. An Article of Drug . . . Bacto-Unidisk, 394 U.S. 784, 798 (1969).
Some products may represent “a combination of a drug, device, or biological product.” 21 U.S.C. § 353(g)(1). For such products, both drug and device authorities would apply. In regulating these products, the FDCA provides that FDA shall determine “the primary mode of action of the combination product,” which in turn determines which agency component will be assigned responsibility for premarket review of the product. Id. See Administrative Record of Nicotine Background Materials (“AR NIC”)1 at NIC 50; “Regulations Restricting the Saleand Distribution of Cigarettes and Smokeless Tobacco to Protect Children and
Adolescents,” 61 Fed. Reg. 44396, 44400-03 (Aug. 28, 1996) (hereinafter “Final Rule”).
B. FDA’s Import Program
Several federal agencies have overlapping and concurrent jurisdiction over imported products. Under the FDCA, FDA may request “samples of food, drugs, devices, and cosmetics which are being imported or offered for import into the United States . . . .” 21 U.S.C. § 381(a). The FDCA further provides: “If it appears from the examination of such samples or otherwise that . . . (3) such article is adulterated, misbranded, or in violation of section 355 of this title, then such article shall be refused admission, except as provided in [21 U.S.C. § 381](b).” 21 U.S.C. § 381(a)(3) (emphasis added).2
Thus, the FDCA thus does not require FDA to find that an article offered for importation actually is adulterated, misbranded, or in violation of 21 U.S.C. § 355; rather, the agency has “broad authority to prohibit import” of any article that “appears” to violate the FDCA. Continental Seafoods, Inc. v. Schweiker, 674 F.2d 38, 43 (D.C. Cir. 1982). In addition, because the appearance of a violation may be based on “the examination of such samples or otherwise,” 21 U.S.C. § 381(a), FDA can refuse admission to an article based upon its own examination of the product, or on evidence other than sampling and analytical results. See id.; Balmaceda v. United States, 815 F. Supp. 823, 826-27 (E.D. Pa. 1992), aff’d sub nom. Fisher Bros. Sales, Inc.
v. U.S., 46 F.3d 279 (3d Cir. 1995).
FDA coordinates with U.S. Customs and Border Protection (“CBP”) to ensure that FDA is notified of FDA-regulated products imported or offered for import into the United States. As a first step, the importer, or his/her representative, files an entry notice and an entry bond with CBP. See 21 U.S.C. § 381(b). After CBP notifies FDA of the entry, FDA determines initially whether to admit the product into United States commerce, detain the product based on information it already has, conduct a physical examination, or obtain additional information.
When FDA believes that “it appears that an article may be subject to refusal of admission,” FDA may “detain” the product by issuing a notice of detention to notify the owner or consignee of the opportunity for a hearing. 21 C.F.R. § 1.94.3 In some instances, FDA may detain a product as soon as it is offered for entry into the United States without first examining it or taking a sample. See FDA’s Regulatory Procedure Manual (“RPM”) Chap. 9-6 (avail. at http://www.fda.gov/ora/compliance_ref/rpm/ chapter9/ch.9-6.html). A detention without physical examination (or “DWPE” as it is commonly known) may be based on past history of a particular company, product, or geographic region, or other information indicating that the product appears to be violative. Id.; see also 21 U.S.C. § 381(a).
A hearing on a detention can take many forms, including telephone conversations and letters. See RPM Chap. 9-8. The owner or consignee may introduce testimony either orally or in writing in an effort to demonstrate the admissibility of the article. 21 C.F.R. § 1.94; see also 21 U.S.C. § 381(a); Sugarman v. Forbragd, 267 F. Supp. 817, 823-24 (N.D. Cal. 1967), aff’d, 405 F.2d 1189 (9th Cir. 1968), cert. denied, 395 U.S. 960 (1969). A decision as to the admissibility of detained goods is made only after the importer has had an opportunity to present testimony and that testimony has been considered. If FDA concludes that the product is in compliance, the shipment may be released into United States commerce. If FDA concludes that a violation appears to exist, the product will be refused admission. See 21 U.S.C. § 381(a). An owner/consignee may seek reconsideration of the decision of an FDA field office to refuse admission of a particular shipment. See 21 C.F.R. §§ 10.33, 10.75; RPM Chap. 9-9. If the product is ultimately refused, however, the importer is required to either re-export or destroy the article under CBP or other approved supervision. See 21 U.S.C. § 381(a).
C. Import Alert Overview
FDA’s Division of Import Operations and Policy (“DIOP”) may issue “import alerts” to the FDA employees located in FDA district offices who review import entries. RPM Chap. 913. This process allows DIOP to disseminate information efficiently and effectively throughout the field and to coordinate FDA’s screening efforts. Id. (The purpose of import alerts is to “identify and disseminate import information (problems, violative trends, etc.)” to help ensure an “effective import coverage program.”); see also United States v. Food, 2,998 Cases, 64 F.3d 984, 986 n.2 (5th Cir. 1995) (“An import alert advises FDA field offices of ongoing problems with a specific product offered for import and suggests appropriate action, such as detention for
inspection and sampling.”) (emphasis added). This mechanism is particularly important given the large disparity between the volume of imported products within FDA’s jurisdiction and FDA’s limited resources. Usually, import alerts inform FDA field personnel that FDA has sufficient evidence or other information to consider refusing admission of future shipments of an imported article. FDA field staff use the information contained in import alerts, along with other information, to help determine whether they will detain articles, which is what initiates the process for determining whether articles are ultimately refused entry.
A. E-Cigarettes
SE’s E-Cigarette product is constructed with a rechargeable, battery-operated, heating element and a replaceable plastic cartridge that contains various chemicals, including liquid nicotine. Compl. ¶¶ 8-9. The heating element vaporizes the liquid, which is inhaled by the user.
Id. The stainless steel exterior of the product mimics the size, shape, and appearance of a conventional cigarette. Id. ¶ 9; Administrative Record of Detention and Refusal (“AR DET”) at DET 61. The package labeling and the website (www.SmokingEverywhere.com) referenced in the labeling, see, e.g., AR DET 78-79, state that the product delivers nicotine. See AR DET 1-53 (copy of the website as of December 17, 2008, which was evaluated for determining the admissibility of the detained shipments referenced in the complaint); id. at 54-63 (product manual); and id. at 76 (product packaging).
SE’s website contains numerous statements that represent and suggest that E-Cigarettes are substitutes for traditional cigarettes that will deliver the pharmacological effects of nicotine. For example, the promotional materials state: “the smoker gets[] the nicotine hit that smokers crave;” E-Cigarettes “satisfy [smokers’] smoking addiction;” “[s]moking . . . E-Cigarettes will provide . . . the same physical and emotional feelings [smokers’] get in smoking traditional cigarettes;” and “[e]ach cartridge is the equivalent of 20 cigarettes.” AR DET 51, 56, 49, 26. The website also represents that E-Cigarettes are a healthier alternative to traditional cigarettes: the “E-Cigarette offers smokers a . . . a much healthier way . . . to smoke [and] still get their nicotine;” and the E-Cigarette is “a great alternative to help . . . stop smoking real cigarettes.” AR DET 49, 21. FDA reviewed these statements and determined that they constitute drug and device claims. AR DET 101-02.
B. The Refused Shipments
The complaint alleges that “[i]n or about late 2008 and early 2009,” SE received several “Notices of FDA Action” from FDA, including one in which FDA refused admission of the E-Cigarette products. Compl. ¶ 24. SE attached two such notices to its complaint. Compl., Ex. A. FDA has compiled the record of those two shipments. See AR DET 1-134; AR NIC 1-80. After the products arrived in late September 2008, FDA issued a “hold” indicating that designated shipment lines of E-Cigarette products were not being admitted at that time pending further review. AR DET 69-70. On October 29, 2008, FDA issued notices of “Detention” stating that the products appear to be unapproved new drugs and/or misbranded drugs or devices. AR DET 88-91. Although SE represents that it was provided no “opportunity to respond to the notice of detention,” SE Mem. at 7, FDA provided that opportunity in accordance with its standard procedures; the notices state that the company may provide testimony regarding admissibility by November 19, 2008. AR DET 89, 91.
The company did not respond until November 25, 2008, when it authorized Benjamin England to act on its behalf. AR DET 97-98, 100. In the months that followed, Mr. England made several submissions to FDA regarding arguments against FDA jurisdiction over E-Cigarettes. See AR DET 92-96. On December 23, 2008, FDA issued a “Correspondence” to SE stating that, after reviewing SE’s response, the entry documents, and the product labeling, including SE’s website, the product appeared to be an unapproved drug-device combination product. AR DET 107-11. FDA explained that it believed that E-Cigarettes and its component parts appear to be intended to affect the structure or function of the body, and to prevent, mitigate, or treat the withdrawal symptoms of nicotine addiction. Because the product has both drug and device features (as an apparatus that delivers nicotine to the body), it appears to be a drug-device combination. FDA further explained that because the product was not approved as either a drug or a device, its marketing in the U.S. would violate the FDCA. AR DET 108-09, 111.
After further communications from Mr. England, in an email to Mr. England on February 11, 2009, FDA confirmed its earlier views and elaborated as follows:
We believe that when originally offered for importation, this product was explicitly labeled and promoted for “drug” use. In addition, and as described in 21 C.F.R. 201.128, this product is clearly intended for “drug” use by “the circumstances surrounding the distribution of the article.” These circumstances include the product’s conventional cigarette appearance; its design, formulation, and function to deliver to the body through inhalation of a smoke-like aerosol (resembling conventional cigarette smoke) various volatile chemical substances, including nicotine, produced by the article; and how the product is intended to be manipulated and used like conventional cigarettes to affect the body’s structures and functions and/or to treat/mitigate the symptoms of nicotine addiction. In addition, the intended distribution of “Smoking Everywhere E-Cigarette” is targeted to current and potential conventional cigarette smokers, who are knowledgeable about the effects that nicotine has on the structure and function of the body. Moreover, it is clear that the product is intended to deliver nicotine and/or other volatilized chemical substances for inhalation. Thus, as described further in 21 C.F.R. 201.128, we think that “[i]t may be shown by the
circumstances that the article is, with the knowledge of such persons or their representatives, [to be] offered and used for a [drug] purpose . . . .”
AR DET 92. FDA heard nothing more from SE or Mr. England in the following month. Accordingly, on March 16, 2009, FDA issued notices of “Refusal of Admission” for the products. AR DET 112-16. Although plaintiff has alleged that it received a shipment on April 13, 2009, in Miami, Florida, Compl. ¶ 28, it provided no documentation of this shipment, and to date FDA has been unable to locate any information on such a shipment.
C. Import Alert 66-41
Several years ago, FDA issued an import alert related to unapproved and misbranded drugs. See Administrative Record of Import Alert 66-41 (“AR IA”) at 1-91; IA 66-41 is also available at http://www.fda.gov/ora/fiars/ora_import_ia6641.html. The import alert is directed at the importation of unapproved medical products, which may violate the provisions of the FDCA that require that a new drug be the subject of an effective new drug application and that the product bear adequate directions for use. 21 U.S.C. §§ 355(a), 352(f)(1); see AR IA 2-3. The import alert explains that there had been inaccurate reports in the media suggesting that any unapproved drug may be imported for personal use. Id. The import alert further explains that although FDA, as an exercise of enforcement discretion, typically does not refuse admission with respect to some limited personal importation, when there is evidence of promotion of unapproved new drugs in the United States, the products should be considered for detention. Id.
The import alert advises: “Districts may detain without physical examination any [u]napproved and/or misbranded drug listed in the attachment.” AR IA 3. The lengthy attachment is a list of “Unapproved and/or misbranded new drugs that may be subject to
DWPE.” AR IA 4-91. The list generally identifies the product type or name along with the overseas manufacturer and the date when the listing was added to the import alert. Id.
There are three entries listed for “Electronic Cigarettes and Electronic Cigarette Components.” The first, for Shenzhen Kanger Technology Co. Ltd, was added on March 30, 2009. AR IA 85-86. The second, for Desonic Industrial, was added on April 6, 2009. AR IA 86. The third, for Loong Totem Science & Technology, was added on April 7, 2009. AR IA 86. FDA added each of these Chinese manufacturers to IA 66-41 after examining the labeling and promotional material for electronic cigarette products that originated from them. See AR IA 92179.
D. Plaintiff’s Allegations
Plaintiff filed this lawsuit on April 28, 2009, approximately six months after FDA’s detention of the shipments referenced in the complaint. SE’s primary allegation is that because of the Supreme Court decision in FDA v. Brown & Williamson Tobacco Corp., 529 U.S. 120 (2000), FDA has no authority to regulate E-Cigarettes. Compl. ¶¶ 14-18, 36-39. SE also alleges that Import Alert 66-41 is a binding, substantive rule that should have been published for notice and comment rulemaking, id. ¶¶ 42-46, and that the addition of E-Cigarettes to Import Alert was arbitrary and capricious because FDA treats E-Cigarettes differently from traditional tobacco products. Id. ¶¶ 47-50. SE seeks a declaratory judgment finding that the government is without authority to regulate E-Cigarettes and that the addition of E-Cigarettes to Import Alert 66-41 is invalid, and an injunction prohibiting defendants from regulating E-Cigarettes or from enforcing an “import ban” on E-Cigarettes. Compl. at 13.
To obtain preliminary injunctive relief, plaintiff must demonstrate that: (1) it has a substantial likelihood of success on the merits; (2) it will suffer irreparable injury in the absence of preliminary relief; (3) other interested parties will not be substantially injured if the requested relief is granted; and (4) granting such relief would serve the public interest. E.g., Mova Pharm. Corp v. Shalala, 140 F.3d 1060, 1066 (D.C. Cir. 1998). The Court must balance the four factors in deciding whether to grant the injunctive relief. Id.
A preliminary injunction is “an extraordinary remedy” and is not to be granted lightly. Bristol-Myers Squibb Co. v. Shalala, 923 F. Supp. 212, 215 (D.D.C. 1996) (citing Dorfman v. Boozer, 414 F.2d 1168 (D.C. Cir. 1969)). Moreover, the relief that SE seeks – an order compelling FDA to permit the importation of E-Cigarettes and release E-Cigarettes for distribution in domestic commerce – is a “mandatory injunction” that must be reviewed “with even greater circumspection.” Mylan Pharm., Inc. v. Shalala, 81 F. Supp. 2d 30, 36 (D.D.C. 2000). Because plaintiff has failed to make any of the showings necessary to justify such extraordinary relief, its motion for a preliminary injunction should be denied.
A. FDA Has Properly Exercised Jurisdiction Over E-Cigarettes
1. The Court Should Defer to FDA’s Reasonable Application of the FDCA
FDA’s decision that E-cigarettes are within its jurisdiction is subject to review by the Court under the APA, and may be disturbed only if “arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law.” 5 U.S.C. § 706(2)(A). This standard is highly deferential to the agency. See Citizens to Preserve Overton Park, Inc. v. Volpe, 401 U.S. 402, 416 (1971). “There is a presumption in favor of the validity of administrative action.” Bristol-Myers Squibb, 923 F. Supp. at 216; see also Watson Pharm, Inc. v. Henney, 194 F. Supp. 2d 442, 445 (D. Md. 2001). The reviewing court must consider whether the agency’s decision was based upon a consideration of the relevant factors and whether there has been a clear error of judgment. Overton Park, 401 U.S. at 416. However, “under this narrow scope of review, ‘[t]he court is not empowered to substitute its judgment for that of the agency.’” Bristol-Myers, 923 F. Supp. at 216 (quoting Overton Park, 401 U.S. at 416).
When the Court is reviewing an agency’s construction of statutory provisions, the two-step analysis of Chevron U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837 (1984), governs. First, the Court must inquire “whether Congress has directly spoken to the precise question at issue;” if Congress’ intent is clear, the Court “must give effect to [such] unambiguously expressed intent.” Id. at 842-43. Formulated another way, the Court must initially decide “whether the statute unambiguously forbids the Agency’s interpretation.” Barnhart v. Walton, 535 U.S. 212, 218 (2002). Second, if Congress has not “directly addressed the precise question at issue,” the Court may not “impose its own construction on the statute.” Chevron, 467 U.S. at 843. Rather, it must determine if the agency’s interpretation is based on “a permissible construction of the statute.” Id.
Chevron deference also applies when “Congress delegated authority to the agency generally to make rules carrying the force of law.” Gonzales v. Oregon, 546 U.S. 243, 255 (2006) (quoting United States v. Mead Corp., 533 U.S. 218, 226-27 (2001)). “Delegation of such authority may be shown in a variety of ways.” Mead Corp., 533 U.S. at 227. With the FDCA, Congress has authorized and directed FDA to decide what drugs and devices may lawfully enter the marketplace, and what medical products may legally enter the United States. See, e.g., 21 U.S.C. §§ 355, 360e, 381(a). Further, the Supreme Court has explained that Chevron deference is appropriate when “the interstitial nature of the legal question, the related expertise of the Agency, the importance of the question to administration of the statute, the complexity of that administration, and the careful consideration the Agency has given the question over a long period of time all indicate that Chevron provides the appropriate legal lens through which to view the legality of the Agency interpretation here at issue.” Barnhart, 535 U.S. at 222.
Accordingly, the D.C. Circuit has repeatedly given Chevron deference to FDA’s interpretation of the FDCA, as well as the agency’s own implementing regulations. See, e.g., Novartis Pharmaceuticals Corp. v. Leavitt, 435 F.3d 344, 349 (D.C. Cir. 2006) (“We have held on a number of occasions that FDA interpretations of the FDCA receive deference, as do its interpretations of its own regulations unless plainly erroneous or inconsistent with the regulations.”); Mylan v. Thompson, 389 F.3d 1272, 1281 (D.C. Cir. 2004); Purepac Pharm. Co. v. Thompson, 354 F.3d 877, 883 (D.C. Cir. 2004); Serono Labs., Inc. v. Shalala, 158 F.3d 1313, 1319, 1320 (D.C. Cir. 1998) (citing Auer v. Robbins, 519 U.S. 452, 461 (1997)).
4 Furthermore, Chevron deference extends to administrative determinations that are not embodied in rulemaking or formal adjudication. See Mylan v. Thompson, 389 F.3d at 1279-80; Apotex, Inc. v. FDA, No. 06-5060, 2007 WL 754768 at *1 (D.C. Cir. Feb. 23, 2007) (“the district judge’s opinion, which grants Chevron deference to the FDA’s statutory interpretation of [the FDCA] embodied in FDA approval letters (i.e., informal adjudications), is supported by the Supreme Court’s post-Mead decision in Barnhart v. Walton, 535 U.S. 212,222, (2002), as well as our own decision in Mylan Laboratories, Inc. v. Thompson, 389 F.3d 1272, 1279-80 (D.C. Cir. 2004)”).
2. E-Cigarettes Fall Within the Definitions of Drug and Device
After examination of SE’s E-Cigarette product, together with its labeling and promotional material, FDA concluded that the E-Cigarette is a combination drug and device within the meaning of the FDCA. AR DET 112-16; see also AR DET 101-02, 107-11, 92. The product itself is a mechanism for delivering vaporized chemicals, including nicotine, into the mouths and lungs of users. The product is promoted as a cigarette substitute that will deliver nicotine and satisfy addiction. Under long-standing FDA interpretation, such statements are “drug claims” that clearly place the product well within the FDCA’s definitions of “drug” and “device.”
As noted, an article may be a drug or device if it is “intended to affect the structure or any function of the body,” or “intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease.” 21 U.S.C. § 321(g)(1), 321(h). FDA refers to this standard as the “intended use” of the product, and has issued a regulation to address its meaning. The “intended use” of a product refers “to the objective intent of the persons legally responsible for the labeling of drugs.” 21 C.F.R. § 201.128. See also United States v. Lane Labs-USA, Inc., 324 F. Supp. 2d 547, 567 (D.N.J. 2004), order modified by, 328 F. Supp. 2d 520 (D.N.J. 2004), aff’d, 427 F.3d 219 (3d Cir. 2005). Because the standard is an objective one, in determining whether an article is a “drug” based on its intended use, the agency is not bound by the manufacturer’s subjective claims of intent, but instead can establish intent on the basis of objective evidence. See Lane Labs-USA, 324 F. Supp. 2d at 567; United States v. Undetermined Quantities of An Article of Drug Labeled as “Exachol,” 716 F. Supp. 787, 791 (S.D.N.Y. 1989).
FDA’s regulation further explains:
The intent is determined by such persons’ expressions or may be shown by thecircumstances surrounding the distribution of the article. This objective intentmay, for example, be shown by labeling claims, advertising matter . . . .
21 C.F.R. § 201.128; see also 21 C.F.R. § 801.4 (device intended use regulation). In determining the intended use of a product, FDA may consider the label and labeling of a product, advertising or promotional materials, and “any relevant source.” See, e.g., United States v. Storage Spaces Designated Nos. 8 & 49, 777 F.2d 1363, 1366 (9th Cir. 1985). To be considered labeling, materials do not have to be attached to the product. Kordel v. United States, 335 U.S. 345, 349-50 (1948); United States v. Urbuteit, 335 U.S. 355, 357-58 (1948); United States v. Articles of Drug . . . 5,906 Boxes, 745 F.2d 105, 114 n.14 (1st Cir. 1984); United States v. Guardian Chem. Corp., 410 F.2d 157, 160-61 (2d Cir. 1969).
Upon review of the product and its labeling and promotional materials, FDA properly concluded that SE’s E-Cigarette is a drug-device product because it appears to be intended both to affect the structure or function of the body, and to prevent, mitigate, or treat the withdrawal symptoms of nicotine addiction. AR DET 112-16; see also AR DET 101-02, 107-11, 92. The Court should defer to FDA’s reasonable application of the FDCA.
a. Nature of Nicotine
First, there is the nature of the product itself. The mechanism of the E-Cigarette vaporizes a liquid containing various chemicals, including nicotine, for inhalation by the user. Compl. ¶¶ 8-9. Nicotine is recognized by the scientific community as a pharmacological agent, and it is understood by consumers as having drug-like effects. See AR NIC 23-57; 61 Fed. Reg. 44701-50, 44811-23.
As noted above, on August 28, 1996, FDA issued a final rule entitled “Regulations Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco to Protect Children and Adolescents.” 61 Fed. Reg. 44396. In this Final Rule, FDA found that nicotine “exerts psychoactive, or mood-altering, effects on the brain” that cause and sustain addiction, have both tranquilizing and stimulating effects, and control weight. Id. at 44631-32; see also id. at 44701-50. Moreover, the agency concluded that the effects of nicotine on the body are widely known to consumers. Id. at 44630, 4481123. Although, as discussed below, the rule was subsequently overturned on legal grounds, FDA’s scientific findings regarding nicotine were undisturbed.
More recently, FDA has confirmed these earlier scientific findings in connection with its determinations that it has jurisdiction over other nicotine-containing products. See AR NIC 23-57. It is well understood that people smoke for the pharmacologically rewarding effects of nicotine. See AR NIC 24, 29-30, 33-38, 54. For addicted smokers, the body has adapted to nicotine, and abstinence produces withdrawal and craving. See AR NIC 23-24, 26-29, 30-33, 36-37, 50-51. One expert has concluded: “Nicotine clearly alters the structure and function of the body.” See AR NIC 54.
The scientific and medical communities have determined that nicotine addiction is a disease. See AR NIC 49-50. FDA has recognized that the administration of nicotine can mitigate or treat the symptoms of withdrawal during abstinence from tobacco. See AR NIC 3132, 50-52. FDA has approved nicotine replacement therapies in the form of gums, transdermal patches, nasal sprays, inhalers, and lozenges. See AR NIC 31, 50; http://www.fda.gov/womens/medicinecharts/smoking.html (contains chart listing approved nicotine replacement therapies as of 2007).
b. E-Cigarettes’ Drug and Device Claims
The promotional materials for E-Cigarettes contain claims that represent and suggest that the product will provide the same drug effects as cigarettes:
AR DET 51, 49, 56, 49, 51, 41, 26 (emphasis added).
The dosing instructions for E-Cigarettes provide further evidence that the product is intended to provide the pharmacological effects of nicotine:
AR DET 25 (emphasis added). These statements demonstrate that the intended use of E-Cigarettes is to affect the structure or function of the body.
SE is also intended to prevent, treat, or mitigate the withdrawal symptoms of nicotine addiction. As discussed above, nicotine addiction is a recognized disease, and nicotine withdrawal is itself an accepted medical condition. See AR NIC 49-51. Indeed, FDA currently regulates nicotine gums and patches as nicotine replacement therapies. See AR NIC 31, 50. The promotional materials for E-Cigarettes are aimed at nicotine-addicted tobacco users, and promote the product as a healthier alternative to traditional cigarettes:
AR DET 49, 21 (emphasis added).
In sum, nicotine has clearly established pharmacological effects and tobacco users smoke in large measure to sustain their nicotine addiction and to alleviate or prevent nicotine withdrawal symptoms. The promotion of E-Cigarettes as satisfying a craving for nicotine and providing the same physical feeling as smoking establishes that the product is intended to affect the structure or function of the body. The assertion that E-Cigarettes provide a “healthier way” to obtain the effects of nicotine establishes that E-Cigarettes are intended to prevent or alleviate nicotine withdrawal symptoms. Accordingly, FDA reasonably concluded that the totality of the evidence demonstrates that E-Cigarettes are intended to affect the structure or function of the body and intended for use in the mitigation of disease. AR DET 112-16; see also AR DET 10102, 107-11, 92.
3. E-Cigarettes Are Not Exempted from FDA Jurisdiction under Brown & Williamson
SE incorrectly argues that the Supreme Court’s decision in FDA v. Brown & Williamson precludes FDA’s jurisdiction over E-Cigarettes. Compl. ¶¶ 14-18, 36-38, SE Mem. at 10-14. In Brown & Williamson, the Court, addressing FDA’s Final Rule cited above, held that FDA exceeded its statutory authority in asserting jurisdiction over tobacco products, i.e., traditional cigarettes and smokeless tobacco. The Court expressly based its opinion on Congress’ establishment of an alternative regulatory system for those products. 529 U.S. at 137-39, 143-58. Because E-Cigarettes are not traditional tobacco products that are governed by alternative regulatory systems, the holding of Brown & Williamson is inapplicable.
The tobacco-specific legislation discussed by the Court included the Federal Cigarette Labeling and Advertising Act (FCLAA), Pub. L. No. 89-92, 15 U.S.C. §§ 1331 et seq., and the Comprehensive Smokeless Tobacco Health Education Act (CSTHEA), Pub. L. No. 98-474 (1986), 15 U.S.C. §§ 4401 et seq. Among other things, those statutes provided that cigarettes and smokeless tobacco products must bear certain warnings for users. Id. §§ 1331, 4402. The statutes also prohibited the advertisement of tobacco products through “any medium of electronic communication” subject to regulation by the Federal Communications Commission. Id. §§ 1335, 4402(f).
The Court noted that the very products that FDA sought to regulate under the FDCA had been specifically addressed in the FCLAA and CSTHEA. In the Court’s view, those statutes demonstrated that Congress had made a specific choice to allow traditional cigarettes and smokeless tobacco products to be legally marketed, subject to certain disclosures and obligations. Under the FDCA, however, the Court noted that these same products could be banned as unsafe. Brown & Williamson, 529 U.S. at 135-37, 143. The Court concluded that this was not the result that Congress intended. Because “Congress . . . has foreclosed the removal of tobacco products from the market,” the Court stated, “a ban would contradict Congress’ clear intent as expressed in its more recent, tobacco-specific legislation,” including FCLAA and CSTHEA. Id. at 137, 143. According to the Court, “[i]f they cannot be used safely for any therapeutic purpose, and yet they cannot be banned, they simply do not fit” within the FDCA. Id. at
143.
Neither the holding nor the reasoning of the case extends to E-Cigarettes, a non-traditional cigarette alternative. FDA’s Final Rule was directed at traditional tobacco products, including cigarettes and smokeless tobacco products. See 61 Fed. Reg. at 44616. SE readily admits (in fact, promotes) the facts that E-Cigarettes are not traditional cigarettes:
AR DET 49, 25 (emphasis added); see also Compl. ¶¶ 8-9; SE Mem. at 4-5. FDA’s Final Rule did not encompass products analogous to E-Cigarettes, and thus the Court’s decision invalidating that rule is not applicable to E-Cigarettes.
Moreover, the logic and reasoning of Brown & Williamson does not extend to E-Cigarettes. Unlike the products at issue in Brown & Williamson, there are no statutes regulating E-Cigarettes that would conflict with the agency’s exercise of jurisdiction. Brown & Williamson addressed Congress’ intent for the regulatory treatment of products that had been on the market and subject to federal government regulation for decades. This analysis does not extend to new and innovative products, like E-Cigarettes, that have not been subject to regulation under FCLAA and CSTHEA.
Finally, the conflict between regulatory systems that the Court identified in Brown & Williamson is not present here. The Supreme Court believed that, if traditional cigarettes and smokeless tobacco were regulated under the FDCA, they might need to be banned, based on safety concerns, in conflict with Congress’ intent, expressed through other legislation, that they remain on market. Much less is known about the safety of E-Cigarettes, however. It may be possible for E-Cigarettes, upon the submission and review of an appropriate application, to satisfy the FDCA’s safety, effectiveness, and labeling requirements and obtain FDA approval, just as FDA has approved other nicotine-containing products, such as gums and transdermal patches. Accordingly, Brown & Williamson is not applicable to E-Cigarettes, and that case does not undermine the agency’s assertion of jurisdiction here.
4. FDA’s Assertion of Jurisdiction over E-Cigarettes is Consistent with FDA’s Treatment of Similar Nicotine-Containing Products
FDA has exercised jurisdiction over products analogous to E-Cigarettes. For example, in 1987, the agency exercised jurisdiction over a nicotine product marketed as “Favor Smokeless Cigarettes.” AR NIC 10-11. The Favor product was comprised of a plastic tube containing a plug impregnated with nicotine solution that allowed the user to inhale nicotine vapor. The product was marketed as providing “cigarette satisfaction without smoke.” AR NIC 1. The marketing materials also claimed that Favor could be used “in places where smoking is not permitted or just doesn’t fit in” and could provide “full tobacco pleasure and datisfaction.” AR NIC 3. FDA issued a letter to the company explaining that the products were unapproved new drugs, and that FDA was prepared to initiate legal action if the company did not discontinue marketing the products. AR NIC 10-11.
In the years since Brown & Williamson, FDA has continued to exercise jurisdiction over nicotine-containing products. For example, in 2002, FDA asserted jurisdiction over Nicotine Lollipops and Nicotine Lip Balm. See AR NIC 12-17. Both products consisted of Nicotine Salicylate combined with flavoring and sweetening ingredients. AR NIC 12, 15. Claims for these products were made on associated websites that included statements such as “help[s] relieve the craving for nicotine.” AR NIC 13. Like E-Cigarettes, these products had not been the subject of an application submitted to FDA for approval. FDA issued warning letters to companies distributing the products explaining that the products were unapproved and misbranded drugs. See AR NIC 12-17.
Also in 2002, FDA asserted jurisdiction over Nicotine Water, a product that contained water and pharmaceutical grade nicotine. See AR NIC 18-22. The manufacturer’s website promoted the product as having the “nicotine equivalent of 2 cigarettes” and to “reduce use of tobacco products.” AR NIC 20. FDA found that Nicotine Water was an unapproved new drug.
See AR NIC 21-22.
In 2008, FDA asserted jurisdiction over a nicotine hand gel made from liquified tobacco in a water soluble solution. See AR NIC 58-80. The product was promoted as a cigarette alternative that provides “cigarette satisfaction.” AR NIC 62. FDA had detained the product, and the importer had requested and obtained a hearing. In an August 2008 letter, FDA informed the importer that FDA had concluded that the product was an unapproved new drug, and FDA intended to refuse entry of the products into the United States. See AR NIC 79.
In addition, as noted above, a number of companies distributing nicotine-containing products have not attempted to evade FDA regulation, but have obtained FDA approval of their products. These include gums, transdermal patches, nasal sprays, inhalers, and lozenges. See AR NIC 31, 50; http://www.fda.gov/womens/medicinecharts/smoking.html.
For all of these reasons, the Court should defer to FDA’s reasonable conclusion, based on the nature of E-cigarettes, the claims made for them, the language of the statute and FDA regulations, and administrative precedent, that E-Cigarettes are drugs and devices under the FDCA. Because E-Cigarettes are not approved under the FDCA, FDA properly excluded SE’s shipments of E-Cigarettes from import, and SE’s motion for a preliminary injunction should be denied.
B. FDA’s Amendment of IA 66-41 was a Permissible Exercise of FDA’s Discretion and Did Not Require Notice and Comment Rulemaking
In addition to challenging FDA’s authority to regulate E-Cigarettes, SE argues that Import Alert 66-41 is a substantive rule that should have been published for notice and comment rulemaking. Compl. ¶¶ 42-46. SE is wrong, for three reasons. First, in enacting section 21 U.S.C. § 381(a), Congress committed decisions regarding the refusal of entry of drugs and devices to FDA’s broad discretion. Indeed, the statutory language, legislative history, and case law support the proposition that FDA’s discretion regarding the admissibility of products within its jurisdiction is not subject to judicial review. Even if FDA’s import decisions were subject to judicial review, however, they would still be entitled to substantial deference under the broad discretionary standard contained in the statute. Second, plaintiff has failed to establish standing to challenge IA 66-41 because it has failed to show any causal link between the import alert and any injuries it sustained. Finally, the amendment to IA 66-41 did not require publication for notice and comment rulemaking. FDA’s amendment of an import alert reflects only information communicated to FDA field personnel pertaining to a preliminary stage in the import proceeding – the detention of products – and not to the final decision regarding the refusal of those products from importation. As such, the import alert is not a binding, substantive rule and was not required to be published for notice and comment rulemaking.
1. FDA’s Import Decisions Are Committed to Agency Discretion
In FDCA’s import provision, Congress directed the agency to refuse the admission of a drug or a device it “appears,” inter alia, adulterated, misbranded, or in violation of section 355, based on an examination of the samples “or otherwise.” See 21 U.S.C. § 381(a). In using the terms “appear” and “otherwise,” which are undefined, Congress delegated broad discretionary authority to the agency. Courts have recognized that, under the plain language of the statute, Congress committed import refusal decisions to the agency’s discretion such that those decisions are unreviewable.
The APA, 5 U.S.C. § 701(a)(2), precludes judicial review when “the statute is drawn so that a court would have no meaningful standard against which to judge the agency’s exercise of discretion. In such a case, the statute (‘law’) can be taken to have ‘committed’ the decisionmaking to the agency’s judgment absolutely.” Heckler v. Chaney, 470 U.S. 821, 830 (1985). Here, there is no meaningful way for the Court to review what “appears,” in FDA’s judgment, to be violative of the FDCA. Indeed, when the “appearance” standard was introduced the Pure Food and Drug Act of 1906, Congress made its intent regarding judicial review clear: “[U]nder this provision, the Secretary . . . has power to decide whether a cargo of goods imported from a foreign country is adulterated or misbranded, . . . his decision is final, and the goods must be destroyed or exported and returned without further investigation or power of review.” See 40 Cong. Rec. 9002-9003 (daily ed. June 12, 1906) (statement of Rep. Crumpacker) (emphasis added).
Although the case law on this issue is not abundant, some courts have held that Congress delegated unreviewable discretion to FDA. See Sugarman v. Forbragd, 267 F. Supp. at 824, 825 (“There is no provision for judicial review. Clearly, this is an instance where “agency action is committed to agency discretion by law. . . . . Congress intended that the Secretary, or the employees to whom his authority is delegated, should make the final determination whether a food offered for import appears to be dulterated - without judicial review.”)5; The James J. Hill, 65 F. Supp. 265, 270 (D. Md. 1946) (“[I]t is clear that in the present case the statute makes no provision for judicial review and creates no personal federal rights as the basis for judicial review, so long as the Secretary acted within the scope of his authority under the Act.”).
Other courts, which have not concluded that FDA import decisions are unreviewable, have nevertheless recognized the extreme breadth of FDA’s discretion. See Seabrook Int’l Foods, Inc. v. Harris, 501 F. Supp. 1086, 1090-91 (D.D.C. 1980) (“The use of the term ‘appears’ in the statute is a striking and clear indication of Congress’ intent to forego formal procedural requirements.”), aff’d sub nom., Cont’l Seafoods, Inc. v. Schweiker, 674 F.2d 38, 42-43 (D.C. Cir. 1982) (noting “FDA’s broad authority to prohibit import of any food that ‘appears’ to be adulterated”); K & K Merch. Group v. Shalala, Civ. No. 95-10082, 1996 WL 183023 at *8 (S.D.N.Y. Apr. 17, 1996) (noting “the wide discretionary power FDA enjoys to determine the factors regarding its decision to grant or refuse admission of imported goods”); Meserey v. United States, 447 F. Supp. 548, 555 (D. Nev. 1977) (an FDA order excluding material from import under the appearance standard is committed to FDA’s discretion, although the court reviewed the decision to determine whether it was arbitrary and capricious).
In vesting the agency with such broad discretion to refuse to admit certain products into domestic commerce, Congress enabled FDA to act on incomplete information and conserve its resources. Given the vast disparity between FDA’s relatively modest resources and the huge volume of imported products within its jurisdiction,6 as well as the more limited information and regulatory control that FDA has with respect to overseas manufacturers, FDA could not effectively monitor and control the influx of foreign medical products into domestic commerce if the agency were required to prove an actual violation of the FDCA, subject to judicial review, every time it sought to refuse admission to an article offered for import. By granting the agency authority to refuse admission to any product that “appears” adulterated based on actual inspection or “otherwise,” Congress empowered the agency to exercise its discretion in a broad and flexible manner, thereby promoting the most efficient and effective use of the agency’s limited resources and information.
When, as here, the statute affords no judicial review of FDA’s ultimate determination to refuse admission of an entry offered for import, then plainly SE should not be able to challenge FDA’s preliminary step of identifying certain products as being subject to detention pending a determination of their admissibility. As discussed above, the Import Alert simply provides information to FDA field personnel pertaining to the detention, not refusal, of products offered for importation into the U.S. If a product is detained (whether pursuant to an import alert or otherwise), the importer is given an opportunity to contest the detention and offer proof of the legality of the products sought to be imported. See 21 C.F.R. § 1.94; AR DET 89, 91. FDA’s interim decisions regarding the allocation of its resources, including what products to identify as being subject to DWPE, what entries to examine or detain, and the means it uses to communicate information, are, like the admissibility decision itself, committed to agency discretion, and should not be subject to review by the Court.
2. Import Alert 66-41 is Not a Substantive Rule that Requires Notice and Comment Rulemaking under the APA
Even if the import alert were subject to judicial review, IA 66-41 is not a substantive rule that FDA was required to issue through notice and comment rulemaking. As an initial matter, however, SE does not have standing to challenge IA 66-41. Standing requires the plaintiff to show, among other things, a “causal connection between the injury and the conduct complained of.” Lujan v. Defenders of Wildlife, 504 U.S. 555, 560 (1992). SE has not provided any evidence that any of its products were detained based on this import alert. The shipments that were documented in Exhibit A to the complaint had been detained in October 2008, more than five months before electronic cigarettes were first listed in IA 66-41. AR IA 88-91. Further, the electronic cigarettes currently listed in IA 66-41 come from three specific manufacturers in China, and SE has not alleged that it receives any products from the listed manufacturers. Thus, on the facts alleged in the complaint, SE has no standing to challenge IA 66-41.
Even if plaintiff had established standing, SE would not be entitled to relief because IA 66-41 is not a substantive rule. Under the APA, the publication of notice and opportunity for comment are only required for a limited subset of agency pronouncements. Rulemaking is required for “legislative” or “substantive” rules. An agency pronouncement does not become a substantive rule “merely because it supplies crisper and more detailed lines than the authority being interpreted.” Am. Mining Cong. v. Mine Safety & Health Admin., 995 F.2d 1106, 1112 (D.C. Cir. 1993). The pronouncement may have a “substantive impact” on the parties being regulated without becoming a substantive rule. Cathedral Bluffs Shale Oil Co., 796 F.2d 533, 537 (D.C. Cir. 1986) (quoting Guardian Fed. Sav. & Loan Ass’n v. Fed. Sav. & Loan Ins. Corp., 589 F.2d 658, 666, 668 (D.C. Cir. 1978)).
In Am. Mining Cong., the D.C. Circuit identified four criteria that indicate a rule is legislative (none of which is present in this case): (1) in the absence of the rule, no legislative basis would exist for an enforcement action; (2) the agency has published the rule in the Code of Federal Regulations (“CFR”); (3) the agency explicitly invoked its general legislative authority to pass the rule; (4) the rule effectively amends a prior legislative rule. 995 F.2d at 1112; see also In re Long-Dist. Tel. Service, 539 F. Supp.2d 281, 307-11 (D.D.C. 2008) (discussing the requirements of a substantive rule).
Under these principles, IA 66-41 is clearly not a substantive rule. The import alert is a mechanism for FDA headquarters to communicate information and provide guidelines to FDA field personnel and the regulated industry. In this case, FDA headquarters gathered and analyzed information regarding the marketing of electronic cigarettes originating from three overseas manufacturers. AR IA 92-179. This information showed that drug claims were being made for these particular products. E.g., AR IA 157-59. The import alert pertains only to detention, not the ultimate refusal of entry. AR IA 3. In addition, the districts retain the discretion to make detention decisions on a case-by-case basis and are not required to follow the import alert. Further, every importer has the opportunity, after detention but before the ultimate decision regarding admission or refusal, to present evidence to the agency. 21 C.F.R. § 1.94. Most significantly, the ultimate decision on an entry is based on the statute, not the import alert. See 21 U.S.C. § 381(a).
None of the indicia of rulemaking identified in Am. Mining Cong. applies to IA 66-41: in its absence, FDA has the same authority granted by the FDCA to detain imported goods; the import alert was not published in the CFR; FDA did not invoke its legislative authority; and the statement did not amend a prior legislative rule. See 995 F.2d at 1112. Nor does IA 66-41 have a “binding effect” on private parties or the agency. See Cement Kiln Recycling Coalition v. EPA, 493 F.3d 207, 226-27 (D.C. Cir. 2007). To the contrary, because IA 66-41 relates to detention, and not to the final admission or refusal of a product into United States commerce, it has – at most – a “tentative effect.” See Pacific Gas & Elec. Co. v. FPC, 506 F.2d 33, 38-39 (D.C. Cir. 1974); Professionals and Patients for Customized Care v. Shalala, 56 F.3d 592, 596 (5th Cir. 1995). Also, as the D.C. Circuit has recognized, written guidelines that describe how the agency intends to exercise its discretion, and that are not issued pursuant to notice and comment rulemaking, “have the not inconsiderable benefits of apprising the regulated community of the
agency’s intentions as well as informing the exercise of discretion by agents and officers in the field.” Cmty. Nutrition Inst. v. Young, 818 F.2d 943, 949 (D.C. Cir. 1987); see also Lincoln v. Vigil, 508 U.S. 182, 197 (1993) (“statements issued by an agency to advise the public prospectively of the manner in which the agency proposes to exercise a discretionary power” are “general statements of policy” that do not have to be published for notice and comment) (quoting Chrysler Corp. v. Brown, 441 U.S. 281, 302 n.31 (1979)).
Courts have found that, when a pronouncement sets forth a rebuttable presumption that may be challenged in individual proceedings, it is not a binding rule. Panhandle Producers and Royalty Owners Ass’n v. Econ. Regulatory Admin., 847 F.2d 1168, 1174-75 (5th Cir. 1988); Ryder Truck Lines, Inc. v. United States, 716 F.2d 1369, 1377-78 (11th Cir. 1983). IA 66-41 does not create binding law because it is not “finally determinative” of whether a particular importation will be admitted or released into United States commerce. See Pacific Gas & Elec., 506 F.2d at 38.
IA 66-41 also does not impose any new obligations or requirements beyond the existing statutory requirements on foreign producers or importers, or on FDA personnel. Importers remain subject to the exact same statutory obligation – that they refrain from importing into the United States medical products that violate the FDCA. And FDA continues to exercise the same authority – to refuse admission to any product that “appears” to be violative of the FDCA. 21 U.S.C. § 381(a). Nothing in the import alert “cabin[s]” the agency’s discretion to determine whether to admit or refuse any electronic cigarette. See Cmty. Nutrition Inst., 818 F.2d at 948 (“cabining of an agency’s prosecutorial discretion can in fact rise to the level of a substantive, legislative rule”).
Indeed, it is clear from even a cursory examination of the language of IA 66-41 that the alert is – and is meant to be – nothing more than an expression of a non-binding policy on import compliance activities. The import alert provides:
Note: This import alert contains guidance to FDA field personnel only. It does not establish any requirements, or create any rights or obligations on FDA or on regulated entities.
* * *
GUIDANCE: Districts may detain without physical examination any Unapproved *** and/or misbranded drug *** listed in the attachment.
AR IA 3. The use of the words “Guidance” and “may” clearly demonstrates that the document is not intended to be a binding directive. See Cathedral Bluffs Shale Oil Co., 796 F.2d at 537-38 (the agency’s characterization of the pronouncement, and the language of the statement itself, such as the choice between the words “may” and “will,” are significant in determining whether the pronouncement is a substantive rule).
The discretionary, non-mandatory language of IA 66-41 distinguishes it from the FDA import alert at issue in Bellarno Int’l Ltd. v. FDA, 678 F. Supp. 410 (E.D.N.Y. 1988), relied upon by SE. SE Mem. at 19-21. The import alert in Bellarno used the words “automatically” and “shall,” id. at 415, leading the court to find that it was a mandatory directive, not discretionary guidance, and was binding on both the agency and importers. Id. at 414. The court also cited a contemporaneous memorandum issued by the agency which provided: “There should be no exceptions to strict enforcement.” Id. at 415. Here, by contrast, IA 66-41 employs discretionary, non-mandatory language, providing that “Districts may detain . . . .”
The import alert in Bellarno also contained requirements for overcoming detention that went beyond satisfaction of the statutory standard, such as establishing a “complete chain of custody” and a “satisfactory reason for return of the goods.” Id. at 411-12. When the plaintiff was unable to produce the complete chain of custody, FDA was unwilling to consider alternative evidence, such as testing, to confirm the products’ safety and purity. Id. at 412. The Bellarno court thus found that the agency had created a new and substantive obligation “by requiring the importer to comply with the terms set forth in” the import alert. Id. at 414 & n.4. Because none of these factors is present in IA 66-41, the specific facts in Bellarno prevent any useful comparison between the two cases.
Furthermore, no court has ever relied on Bellarno to hold that an FDA import alert was a substantive rule, with the exception of one case from the same jurisdiction that was stayed almost immediately. Four years after Bellarno, the same court applied that decision, holding, in the context of a preliminary injunction, that another FDA import alert violated the APA’s rulemaking requirement for substantive rules. See Benten v. Kessler, 799 F. Supp. 281, 288-90 (E.D.N.Y. 1992). The Second Circuit stayed the injunction the same day the district court issued it, however, and the Supreme Court summarily rejected the plaintiff’s application to vacate the stay. 505 U.S. 1084 (1992) (per curiam). In fact, the Supreme Court specifically held that plaintiffs had “failed to demonstrate a substantial likelihood of success” on the claim that the import alert was improperly issued without notice and comment procedure. Id. at 1085. Bellarno, therefore, is not compelling precedent.
For all of the reasons set forth above, IA 66-41 is not a legislative rule that required notice and comment rulemaking under the APA. Accordingly, SE has not shown a likelihood of success on the merits.7
Not only does SE’s claim for preliminary injunctive relief lack substantive merit, SE has failed to demonstrate that it will suffer irreparable harm absent such relief or that the balance of hardships tips in its favor. “The sine qua non of granting any preliminary injunctive relief is a clear and convincing showing of irreparable injury to the plaintiff.” Experience Works, Inc. v. Chao, 267 F. Supp. 2d 93, 96 (D.D.C. 2003). Because the likelihood of success is extremely slim, SE “would have to make a very substantial showing of severe irreparable injury” to prevail on its motion. National Pharm. Alliance v. Henney, 47 F. Supp. 2d 37, 41 (D.D.C. 1999). Irreparable injury is a very high standard. See RCM Technologies, Inc. v. Beacon Hill Staffing Group, 502 F. Supp.2d 70, 74 (D.D.C. 2007); Varicon Int’l v. Office of Personnel Mgmt., 934 F. Supp. 440, 447 (D.D.C. 1996); Bristol-Myers, 923 F. Supp at 220. The injury alleged must be certain, great, actual, and imminent, Wisconsin Gas Co. v. FERC, 758 F.2d 669, 674 (D.C. Cir. 1985), and it must be “more than simply irretrievable; it must also be serious in terms of its effect on the plaintiff.” Gulf Oil Corp. v. Dep’t of Energy, 514 F. Supp. 1019, 1026 (D.D.C. 1981).
SE recognizes, SE Mem. at 9, that, in this Circuit, mere economic loss in and of itself does not constitute irreparable harm unless the financial injury is so great as to “cause extreme hardship to the business, or even threaten destruction of the business.” Gulf Oil, 514 F. Supp. at 1025; see also Wisconsin Gas, 758 F.2d at 674; Apotex, Inc. v. FDA, Civ. No. 06-0627, 2006 WL 1030151 at * 17 (D.D.C. Apr. 19, 2006); Experience Works, Inc., 267 F. Supp. 2d at 96; Sociedad Anonima Vina Santa Rita v. Dep’t of Treasury, 193 F. Supp. 2d 6, 14 (D.D.C. 2001).Despite that acknowledgment, SE did not, in its preliminary injunction motion, make any attempt to quantify any loss it would allegedly suffer. It simply stated that if its shipments are detained, its “ability to pay its expenses as they come due will be jeopardized, and it will likely be forced to close its business.” SE Mem. at 9. SE made no attempt to describe its business by stating how long it had been doing business or how many employees it had, nor did it make any attempt to quantify its sales – past or present, its inventory, or the percentage of the total worldwide sales it would lose if its shipments into the United States are detained. Thus, it is possible that, prior to FDA’s actions, SE’s sales were so low that there was not really a “business” in place. It is simply impossible to tell from what SE has submitted.
In the complaint, SE alleges that it markets E-cigarettes “and similar products.” Compl. ¶ 7. In the administrative proceeding on the detention of one of its shipments, SE represented to FDA that it sells “this product around the world.” AR DET 94-95; see also AR DET 46 (The E-Cigarette “is expanding it’s [sic] distribution channels both nationally and internationally.”) Nonetheless, SE makes no attempt to show what portion of its total sales of E-cigarettes are made in the United States, and thus what effect the loss of those sales would have on its overall business.
FDA has pointed out the speculative nature of these allegations. Memorandum in Support of Motion to Establish Briefing Schedule at 2, 3. Although SE submitted a declaration in response to this motion, that declaration does not quantify the amount of business that SE will lose as a result of FDA’s actions, nor give any sales figures. Declaration of Elicko Taleb, April 30, 2009. The vague and speculative nature of these allegations is insufficient to establish such irreparable injury that would justify the drastic remedy of a mandatory preliminary injunction. Wisconsin Gas Co. v. FERC, 758 F.2d. at 675 (“Finally, the allegations made by petitioners are so speculative and hypothetical that it would be difficult to conclude that irreparable injury would occur even if the allegations were supported by evidence. The fact that petitioners have not attempted to provide any substantiation is a clear abuse of this court’s time and resources.”); see also United Farm Workers v. Chao, 593 F. Supp.2d 166, 171 (D.D.C. 2009); National Ass’n of Mfrs. v. Taylor, 549 F. Supp.2d 68, 76 (D.D.C. 2008); Biovail Corp. v. FDA, 519 F. Supp.2d 39, 44 (D.D.C. 2007); RCM Technologies, Inc., 502 F. Supp.2d at 74. Equally significant to the question of irreparable harm is the amount of time that has passed since SE first became aware of this issue. As reflected in the administrative record, SE was informed of the hold on two of its shipments in October 2008. AR DET 69-70. It was told on October 29 that it could submit information regarding admissibility of these shipments by November 19. AR DET 89, 91. It missed that deadline, but submitted information to FDA in December. AR DET 94-96. On December 23, FDA responded to this submission, and explained why the products were subject to refusal of admission. AR DET 107-11. SE again submitted information to FDA. AR DET 92-94. FDA considered this information and responded on February 11, 2009, again stating that the products were subject to refusal of admission. AR DET 92. FDA heard nothing further from SE, and issued a notice of refusal of admission on March 16, 2009. AR DET 112-16. On March 30, FDA first added certain electronic cigarettes to an import alert that pertains to unapproved new drugs. AR IA 85-86.
SE filed this lawsuit on April 28, approximately six months after first learning of FDA’s regulatory concerns regarding this product, about a month and a half after receiving FDA’s notice of refusal of admission, and nearly a month after this type of product was added to an import alert. This delay in seeking relief defeats plaintiff’s claim that it has suffered irreparable injury. In Sandoz, Inc. v. FDA, 439 F. Supp. 2d 26 (D.D.C. 2006), this Court held that Sandoz’ delay of less than two months – until the “last minute” – to bring its challenge undercut its claim of irreparable injury. Id. at 30-31. See also Tough Traveler, Ltd. v. Outbound Prods., 60 F.3d 964, 968 (2d Cir. 1995) (delay “may, ‘standing alone, . . . preclude the granting of preliminary injunctive relief.’”) (quoting in part Majorica, S.A. v. R.H. Macy & Co., 762 F.2d 7, 8 (2d Cir. 1985)); Fund for Animals v. Frizzell, 530 F.2d 982, 987 (D.C. Cir. 1975) (“Our conclusion that an injunction should not issue is bolstered by the delay of the appellants in seeking one.”); Mylan Pharmaceuticals, Inc. v. Shalala, 81 F. Supp.2d 30, 43 (D.D.C. 2000) (“Mylan’s delay in bringing this action further undercuts its allegation of irreparable harm.”).
The interest of the government and the public in reducing exposure to unapproved, and potentially unsafe and ineffective, drugs and devices substantially outweighs any potential harm to SE. Congress enacted the drug and device provisions of the FDCA to protect consumers from unsafe and ineffective drug products. Cf. FDA v. Brown & Williamson, 529 U.S. at 133 (expressly recognizing that the “essential purpose” of the FDCA is to “ensure that any product regulated by the FDA is ‘safe’ and ‘effective’ for its intended use”). The core objective of the FDCA’s drug regulation provisions is to promote public health by regulating drugs for safety and effectiveness. See 21 U.S.C. § 393(b)(2) (defining the FDA’s mission as including “ensuring that . . . drugs are safe and effective”); Whitaker v. Thompson, 239 F. Supp. 2d 43, 50 (D.D.C. 2003) (“There is no question that the legislative intent behind enactment of the original FDCA was to protect the public from unsafe drugs.”) (citing United States v. Undetermined Quantities of Veterinary Drug, 22 F.3d 235, 238 (10th Cir.1994)); In re Establishment Inspection of Wedgewood Vill. Pharmacy, Inc., 270 F. Supp. 2d 525, 549 (D.N.J. 2003) (“Congress intended that the FDCA, both in its original form and as amended, allow the FDA broad enforcement powers to fulfill its mandate that it protect the public from unsafe medication.”).
Without the submission of an appropriate application for review by FDA, there is no assurance that E-Cigarettes are safe and effective for their intended uses. To be sure, SE would not be able to market its product while an application was pending. However, that is the same burden that the law imposes on every drug and device manufacturer and their distributors awaiting the completion of FDA review of a drug or device application. In enacting the FDCA, Congress made clear that the interest of the public health in safe and effective medical products takes precedence over the economic interests of would-be drug and device manufacturers.
For the foregoing reasons, SE’s motion for a preliminary injunction should be denied.
Of Counsel:
Respectfully submitted,
DAVID S. CADE
TONY WEST
Acting General Counsel
Assistant Attorney General
MICHAEL M. LANDA
MICHAEL F. HERTZ
Acting Associate General Counsel Food and Drug Division
Deputy Assistant Attorney General EUGENE M. THIROLF
ERIC M. BLUMBERG
Director
Deputy Chief Counsel, Litigation
KAREN E. SCHIFTER
Associate Chief Counsel, Litigation U.S. Dept. of Health & Human Services Office of the General Counsel 5600 Fishers Lane Rockville, MD 20857 301-827-1152
/s/ DRAKE CUTINI Attorney Office of Consumer Litigation U.S. Department of Justice P.O. Box 386
May 11, 2009
Washington, D.C. 20044 202-307-0044 drake.cutini@usdoj.gov
1 FDA has submitted three administrative records to the Court. One of these pertains to the two SE shipments of E-cigarettes that were detained by FDA (cited as “AR DET”), one pertains to the Import Alert (“AR IA”), and one (cited above in the text) contains background materials that were relied upon in reaching these two decisions, i.e., the refusal of SE’s shipments and the addition of certain electronic cigarettes to IA 66-41. See Decl. of Kevin Budich (attached to and authenticating AR NIC).
2 The statute vests this authority in the Secretary of HHS. 21 U.S.C. § 381(a). The Secretary has delegated that authority to the Commissioner of Food and Drugs. FDA Staff Manual Guide 1410.10. That authority has been redelegated to the Regional Food and Drug Directors and District Directors. FDA Staff Manual Guide 1410.801, para. A.2.
3 Although referred to as “detention,” generally neither FDA nor CBP has physical custody or control of the articles; the importer has actual possession and posts a bond with CBP. However, if CBP demands redelivery and the importer is unable to redeliver, CBP may assess liquidated damages pursuant to the entry bond for failure to hold the product intact. See 19
C.F.R. § 113.62(d) & (l).
4 See also Apotex, Inc. v. Thompson, 347 F.3d 1335, 1352 (Fed. Cir. 2003) (“Deference is due to an administrative agency’s regulations particularly when the subject matter of the regulatory authority is a ‘highly detailed’ regulatory program to which the agency has brought its ‘specialized expertise’”) (quoting Mead, 533 U.S. at 235)
5 The Ninth Circuit, in affirming the district court in Sugarman, held that import refusal decisions under section 381(a) are committed to agency discretion and therefore are not subject to the APA. 405 F.2d at 1190-91. However, it further held that the agency’s decision was not arbitrary and capricious, see id., apparently indicating that it did conduct some review.
6 “In FY 2009, FDA expects . . . a total of more than 18.2 million lines of FDA regulated entries.” See http://www.fda.gov/oc/oms/ofm/budget/2009/FDA_Online_Appendix.htm.
7 In addition to the notice and comment argument, SE also argues that the addition of E?Cigarettes to IA 66-41 was arbitrary and capricious on the grounds that traditional tobacco products are outside of FDA’s jurisdiction and they are treated differently from E-Cigarettes. Compl. ¶¶ 47-50. Because SE has not shown that IA 66-41 had anything to do with the refusal of its products, it has no standing to raise this claim. Also, for the same reasons that IA 66-41 is not a substantive rule, it is not final agency action subject to challenge. See Bennett v. Spear, 520 U.S. 154, 177-78 (1997). In any event, this is the same as the jurisdiction/authority argument addressed in Section II.A of the argument, and can be rejected for the same reasons.
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
SMOKING EVERYWHERE, INC.,
)
Plaintiff,
)
and
)
SOTTERA, INC., d/b/a NJOY,
)
Intervenor-Plaintiff,
)
v.
)
Civil Case No. 09-771 (RJL)
)
U.S. FOOD AND DRUG
)
ADMINISTRA TION, et aI.,
)
Defendants.
)
MEMORANDUM OPINION (January H,2010) [# 2 and 24]
Plaintiff, Smoking Everywhere, Inc. (“Smoking Everywhere”), and intervenor-plaintiff, Sottera, Inc., which does business as “NJOY” (“NJOY”) (collectively, “plaintiffs”), are distributors of a product known as “electronic cigarettes” or “Ecigarettes.” They claim that inbound shipments of their products from overseas manufacturers have been denied entry into the United States, or have otherwise been detained, by order of the Food and Drug Administration (“FDA”) on the ground that
electronic cigarettes are an unapproved drug-device combination under the Food, Drug,
and Cosmetic Act (“FDCA”), 21 U.S.C. §§ 301 et seq. Plaintiffs seek a preliminary
Department of Health and Human Services and Secretary Kathleen Sebelius (collectively,
“FDA”),1 enjoining FDA from regulating electronic cigarettes as a drug-device
combination and from denying entry of those products into the United States. As such,
this case raises for the first time the issue of whether FDA has the authority under the
FDCA to regulate electronic cigarettes as a drug-device combination. For the following
reasons, the Court concludes that it does not and therefore GRANTS plaintiffs’ motions.
FACTUAL BACKGROUND
I. Electronic Cigarettes
Smoking Everywhere describes “electronic cigarettes” as “an alternative to traditional smoked tobacco products” that is “designed to replicate the adult experience of
smoking without combustion or the use of cancerous by-products.” (Smoking
Everywhere Complaint [# 1] at ,-r 8). They function by vaporizing a liquid nicotine
mixture that is derived naturally from tobacco plants. (Id.). Once the nicotine mixture is
vaporized, the user inhales the vapor in much the same way that a traditional smoker
would inhale tobacco smoke, except “without the fire, flame, tar, carbon monoxide,
I Among the original named defendants in this suit were Joshua M. Sharfstein, Acting Commissioner of the FDA, and Charles E. Johnson, Acting Secretary ofHealth and Human Services. Pursuant to Federal Rule of Civil Procedure 25(d), if a public officer named as a party to an action in his official capacity ceases to hold office, the Court will automatically substitute that officer’s successor. In this case, Joshua Sharfstein and Charles Johnson no longer serve as the acting heads oftheir respective agencies. Accordingly, the Court removes them as defendants in this lawsuit.
known cancerous substances, ash, stub, or smell found in traditional cigarettes.” (Id). Electronic cigarettes have three basic components that are designed to resemble an actual cigarette: the cartridge, the heating element (also known as the atomizer), and electronics plus a battery. (Jd. at ~ 9). The cartridge, a plastic container that holds a mixture of propylene glycol and liquid nicotine, serves as the mouthpiece of the electronic cigarette. (Id). The heating element vaporizes the liquid nicotine mixture, and the electronics power the heating element and monitor the air flow. (Jd). When a user inhales from the cartridge, the electronics detect the flow of air and then activate the heating element, which vaporizes the nicotine mixture. (Jd. at ~ 10). The vapor, which the user inhales, contains a flavor that simulates the taste and feel of tobacco. (Jd.). Simply stated, the electronic cigarette is designed to look and to be used just like a traditional cigarette.
Smoking Everywhere is a distributor that imports electronic cigarettes from overseas manufacturers. (Id at ~~ 7, 12). It derives all of its revenue from the importation and sale of electronic cigarettes, its sole product line. (Jd at ~ 12). Since its founding over a year ago, it has imported and sold more than 600,000 units. (Jd. at ~ 7). Smoking Everywhere markets its electronic cigarettes as an alternative to traditional cigarettes that delivers the same sensation as smoking. Its promotional materials state, for example: “[ e ]ach cartridge is equivalent to 20 traditional cigarettes”; “[t]he taste of the Smoking Everywhere cartridge resembles that of tobacco”; “Smoking Everywhere ECigarette has been designed to look and feel like a traditional cigarette”; “[i]t looks like a
real cigarette, feels like a real cigarette and tastes like a real cigarette, yet it isn’t a real cigarette”; “Smoking Everywhere E-Cigarette … gives the users the feeling they get when they smok[e] real cigarette[s]“; “Smoking Everywhere E-Cigarette will provide smokers the same delight, physical and emotional feelings they get in smoking traditional cigarettes”; “[t]his is what the smoker gets, the nicotine hit that smokers crave”; and ‘” [e ]lectronic cigarette’ is a kind of non-flammable electronic cigarette with similar functions to those of a common cigarette which is to refresh smokers and satisfY their smoking addiction, thus making them happy and relaxed.” (Administrative Record of Detention and Refusal (“AR DET”) 28, 35, 39,41,49,51,56). Smoking Everywhere also markets its electronic cigarettes as a healthier alternative to traditional cigarettes. For example, customer testimonials on its website proclaim: “1 thought [E-cigarette] was a great alternative to help me stop smoking real cigarettes”; “I’ve been smoking real cigarettes for over 20 years and really wanted to stop because it was damaging my lungs . . . I’ve been using [E-cigarettes] for 3 weeks now and feel great”; and “[t]here is less health risk, and 1 can smoke anywhere and everywhere.” (AR DET 21). Smoking Everywhere’s promotional materials also state that E-cigarettes are “cheaper and healthier than real cigarettes,” that they offer “smokers a chance of smoking in a much healthier way,” and that “smokers still get their nicotine, but don’t get any harmful side effects of smoking traditional cigarettes.” (AR DET 39, 49).
distributing electronic cigarettes. (NJOY Complaint [#22] at,-r 1). Since it began selling electronic cigarettes in early 2007, NJOY has sold at least 135,000 units in the United States. (Id. at,-r 13). NJOY markets its electronic cigarettes only for “smoking pleasure” as an alternative to conventional cigarettes. (NJOY Complaint [#22] at,-r 1). It claims not to make therapeutic representations. (Id.). Indeed, NJOY labels its products with a disclaimer that states, for instance: “NJOY products are not a smoking cessation product and have not been tested as such.” (Declaration of John Leadbeater (“Leadbeater Decl.”) [#24-1] at,-r 9 (internal quotation marks omitted)).
II. The Refused Shipments
This action arises from FDA’s decision to detain multiple inbound shipments of electronic cigarettes belonging to Smoking Everywhere and NJOY. In the case of Smoking Everywhere, FDA issued a “hold” on two shipments that arrived at Los Angeles International Airport in late September 2008. (AR DET 59-60). On October 29, 2008, FDA issued notices of “Detention” on the ground that the shipments “appear to be adulterated, misbranded or otherwise in violation” of the FDCA. (AR DET 78-79, 8081). After an exchange of information about the shipments between FDA and Smoking Everywhere, FDA issued a “Correspondence” on December 23,2008, stating its conclusion that ”’Smoking Everywhere E-Cigarette’ and its component parts appear to be intended to affect the structure or function of the body, and to prevent, mitigate, or treat
5
according to FDA, the product appears to be an unapproved drug-device combination
under the FDCA. (ld.). FDA reiterated this view in follow-up correspondence from a
compliance officer to a representative of Smoking Everywhere:
We believe that when originally offered for importation, this product was
explicitly labeled and promoted for “drug” use. In addition, … this product
is clearly intended for “drug” use by “the circumstances surrounding the
distribution of the article.” These circumstances include the product’s
conventional cigarette appearance; its design, formulation, and function to
deliver to the body through inhalation of a smoke-like aerosol (resembling
conventional cigarette smoke) various volatile chemical substances,
including nicotine, produced by the article; and how the product is intended
to be manipUlated and used like conventional cigarettes to affect the body’s
structures and functions and/or to treat/mitigate the symptoms of nicotine
addiction.
(AR DET 82). Based on this conclusion, FDA issued “Refusal ofAdmission” notices on
March 16,2009, for both shipments and directed that the “products must be exported or
destroyed under Customs supervision within 90 days.” (AR 102-04, 105-06).2
A short time later, FDA added electronic cigarettes manufactured by three Chinese
companies to Import Alert 66-41, a directive that authorizes FDA district offices to
“detain without physical examination any [u]napproved and/or misbranded drug listed in
the attachment.” (Administrative Record ofImport Alert 66-41 (“AR IA”) 3,85-86).
2 Smoking Everywhere also alleges that another inbound shipment of its electronic cigarettes was detained at FDA’s request on April l3, 2009, at the Port of Miami in Miami, Florida (Smoking Everywhere Complaint [# 1] at ~ 28), but FDA reports that it has been unable to find any record of this shipment (FDA Opposition [#14] at 11).
6
cigarette components manufactured by Shenzhen Kanger Technology Co. Ltd., Desonic Industrial, and Loong Totem Science & Technology as unapproved or misbranded drugs. (AR IA 85-86). NJOY claims, however, that even though the import alert only applies to the three named manufacturers, FDA’s publicly available Import Refusal Reports show that, from June 2008 to May 2009, FDA district offices have denied entry to more than thirty-five shipments of electronic cigarettes and their components from twenty other manufacturers. (NJOY Supp. Reply [#44] at 6; Declaration of David A. Becker in Support of Motion for Preliminary Injunction [#44-1, -2] at,-r,-r 3-4).
In NJOY’s case, an inbound shipment of its electronic cigarettes arrived in Phoenix, Arizona on April 15,2009. (NJOY Complaint [#22] at,-r 27, Ex. B). Five days later, FDA issued a notice of “Detention” on the ground that NJOY’s products “appear to be intended to both affect the structure or function of the body, and to prevent, mitigate, or treat the withdrawal symptoms of nicotine addiction.” (Jd. at,-r,-r 27-28, Ex. B). Arguing that FDA intends to deny entry to NJOY’s electronic cigarettes based on FDA’s conclusion (evident in Smoking Everywhere’s case) that electronic cigarettes are unapproved drug-device combinations under the FDCA, NJOY requested leave to intervene in this case, which the Court granted.
DISCUSSION
Plaintiffs seek a preliminary injunction barring FDA from refusing entry of their electronic cigarette products on the basis that those products are unapproved drug-device preliminary injunctive relief are, of course, well-known: (1) whether “the plaintiff has a
substantial likelihood of success on the merits”; (2) whether “the plaintiff would suffer
irreparable injury were an injunction not granted”; (3) whether “an injunction would
substantially injure other interested parties”; and (4) whether “the grant of an injunction
would further the public interest.” Ark. Dairy Co-op Ass ‘n, Inc. v. Us. Dep ‘t ofAgric.,
573 F.3d 815,821 (D.C. Cir. 2009). The party seeking a preliminary injunction need not
prevail on each factor. “Ifthe arguments for one factor are particularly strong, an
injunction may issue even if the arguments in other areas are rather weak.” CityFed Fin. Corp. v. Office ofThrift Supervision, 58 F.3d 738,747 (D.C. Cir. 1995). Having weighed the relevant factors, the Court concludes that plaintiffs have made a sufficient showing of success on the merits and irreparable harm to warrant preliminary injunctive relief.
I. Likelihood Of Success On The Merits
In FDA v. Brown & Williamson Tobacco Corp., the Supreme Court held that tobacco products, like traditional cigarettes, are not subject to FDA regulation as a drug or device. 529 U.S. 120, 160-61 (2000).3 Because electronic cigarettes, as marketed by
3 Because FDA had found that tobacco products were “unsafe” and “dangerous,” the Supreme Court reasoned “that were the FDA to regulate cigarettes and smokeless tobacco, the [FDCA] would require the agency to ban them.” Brown & Williamson Tobacco, 529 U.S. at 134-37. The Supreme Court noted, however, that a ban on tobacco products pursuant to the FDCA would contravene congressional intent because Congress “has foreclosed the removal of tobacco products from the market.” Id. at 137. Given that Congress had passed legislation specifically aimed at tobacco on six occasions since 1965, the Supreme Court inferred that “the collective premise of these statutes is that FDA cannot regulate their products. They further contend that Congress’s recent
enactment of the Family Smoking Prevention and Tobacco Control Act, Pub. L. No. 111
31, 123 Stat. 1776 (2009) (“Tobacco Act”), supports their argument.4 Under the Tobacco
Act, FDA may now regulate tobacco products, which the Act defines as “any product
made or derived from tobacco that is intended for human consumption,” 21 U.S.C. §
321(rr)(l), but it cannot regulate those products as it would a drug or device under the
cigarettes and smokeless tobacco will continue to be sold in the United States.” Id. at 137-39. To the extent that tobacco products are unsafe and yet cannot be banned, the Supreme Court concluded that “they simply do not fit” within the FDCA’s regulatory scheme. Id. at 143.
4 Even though Congress did not enact the Tobacco Act until after the agency action under review in this case, it is significant because it reflects Congress’s understanding of the state of the law at the time of the agency action. Enacted against the backdrop of the Supreme Court’s decision in Brown & Williamson Tobacco, the Tobacco Act reflects Congress’s intent to confer FDA jurisdiction where it did not previously exist. One of the enumerated purposes of the Act is “to provide authority to the Food and Drug Administration to regulate tobacco products under the Federal Food, Drug, and Cosmetic Act … , by recognizing it as the primary Federal regulatory authority with respect to the manufacture, marketing, and distribution of tobacco products.” Pub. L. No. 111-31, 123 Stat. at 1781. Thus, to the extent that a particular product satisfies the Tobacco Act’s definition of “tobacco product” and is exempt from regulation as a drug or device under the terms of the Act, the Court can assume that the product would have been exempt from FDA jurisdiction prior to passage of the Tobacco Act. Indeed, the Act itself provides that it is not intended to “affect, expand, or limit [FDA's] authority over (including the authority to determine whether products may be regulated), or the regulation of, products . . . that are not tobacco products under [the drug-device subchapter].” 21 U.S.c. § 387a(c)(l). The parties seem to agree that the Tobacco Act did not move the definitional line between tobacco products and drugs; they simply disagree about where the line is drawn. Undoubtedly, Congress’s passage of the Tobacco Act sheds considerable light on that issue.
cigarettes is naturally distilled from actual tobacco and is intended for human
consumption (FDA Supp. Br. [#41] at 5 n.3), plaintiffs assert that their electronic
cigarettes qualifY as a tobacco product and are therefore exempt from regulation as a
drug-device combination.
Not surprisingly, FDA contends that the Tobacco Act supports its argument that electronic cigarettes fall beyond the scope of Brown & Williamson Tobacco and, as a result, are subject to regulation under the FDCA as a drug-device combination. To make its case, FDA points to a provision of the Tobacco Act that excludes from the meaning of “tobacco product” any “article that is a drug under [21 U.S.C. § 321(g)(1)], a device under [21 U.S.C. § 321(h)], or a combination product described in [21 U.S.C. § 353(g)].” 21 U.S.c. § 321(rr)(2)-(3). FDA contends that the labeling and promotional materials for Smoking Everywhere’S products “represent and suggest that the product[s] will provide the same drug effects on the structure and function of the human body as cigarettes.” (FDA Supp. Br. [#41] at 5). Because of those effects, FDA claims that the electronic cigarettes marketed by Smoking Everywhere qualifY as a drug-device combination, which the FDCA defines as an article “intended to affect the structure or any function of the
5 The Tobacco Act provides that “[t]obacco products, including modified risk tobacco products … , shall be regulated by the [Secretary of Health and Human Services] under this subchapter and shall not be subject to the provisions of subchapter V of this chapter,” which pertains to the regulation of “drugs” and “devices.” 21 U.S.C. § 387a(a).
promotional materials suggest that its electronic cigarettes are intended to have a
therapeutic effect. According to FDA, “[t]he assertion that E-Cigarettes provide a
‘healthier way’ to obtain the effects of nicotine establishes that E-Cigarettes are intended
to prevent or alleviate nicotine withdrawal symptoms.” (FDA Opposition [# 14] at 21).
Consequently, FDA claims that Smoking Everywhere’s products also satisfy the FDCA’s
other definition of a drug-device combination as an article “intended for use in the
diagnosis, cure, mitigation, treatment, or prevention of disease.” 21 U.S.C. §
32l(g)(1)(B). Based on the totality of the labeling and promotional materials, FDA
contends that Smoking Everywhere’s electronic cigarettes either are intended to affect the
structure or function of the body or are intended for use in the mitigation of disease.
Thus, FDA concludes that those products fall well within the FDCA’s definition of a
drug-device combination and should be regulated as such.
6 The Court notes that the FDCA defines a “device” along the same lines as a “drug.” For instance, a “device” is defined as “an instrument, apparatus, … or other similar or related article, including any component, part, or accessory,” that is “intended for use in the diagnosis … cure, mitigation, treatment, or prevention of disease” or that is “intended to affect the structure or any function of the body.” 21 U.S.C. § 321 (h)(2)-(3). Unlike a drug, however, a device “does not achieve its primary intended purposes through chemical action within or on the body” and “is not dependent upon being metabolized for the achievement of its primary intended purposes.” Id. § 321 (h). Articles that “constitute a combination of a drug, device, or biological product” are regulated as combination products. Id. § 353(g). FDA understands this provision as giving it the discretion to regulate combination products as drugs, as devices, or as both. Regulations Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco to Protect Children and Adolescents, 61 Fed. Reg. 44,396, 44,400 (1996).
§ 701 et seq. The AP A requires a court to set aside final agency action that it finds to be
“arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law” or
“in excess of statutory jurisdiction, authority, or limitations, or short of statutory right.”
Jd. § 706(2)(A), (CV Because plaintiffs invite the Court to review FDA’s construction
7 There is some question about whether FDA’s decision to detain NJOY’s shipment without a “Refusal of Admission” notice is a final agency action. (See FDA Supp. Br. [#41] at 9). NJOY contends that because further resort to the administrative process would be futile, it need not fully exhaust its administrative remedies. I agree. Exhaustion does not apply where it “would be futile because of certainty of an adverse decision.” James v. Us. Dep’t a/Health & Human Servs., 824 F.2d 1132,1138 (D.C. Cir. 1987) (internal quotation marks and emphasis omitted). “Resort to administrative remedies is ‘futile’ and adverse action certain,” if the agency “has evidenced a strong position on the issue together with an unwillingness to reconsider.” Jd. at 1139. FDA has taken the sweeping position in this litigation that if an electronic cigarette product claims to “provide the same drug effects on the structure or function of the human body as cigarettes,” then that product meets the definition of a drug or device under the FDCA. (FDA Supp. Br. [#41] at 5). On that basis, FDA denied entry to Smoking Everywhere’S electronic cigarettes because, for instance, they claimed to “provide smokers the same delight, physical and emotional feelings” as traditional cigarettes. (AR DET 49). NJOY’s product makes a similar claim. For example, NJOY markets its electronic cigarettes as providing “all the pleasures of smoking without all the problems.” (Leadbeater Decl. [#24-1] at Ex. A). It is unlikely that an electronic cigarette manufacturer or distributor could market its product in any other way given that electronic cigarettes are made to replicate the effects of regular cigarettes. An FDA official suggested as much when he advised a representative of Smoking Everywhere that FDA did not believe Smoking Everywhere’s product could be “relabeled to make it anything other than an article which … appears to be a drug-device combination.” (AR DET 82). Given FDA’s refusal to allow entry of Smoking Everywhere’s products, given its unwavering position in this litigation (even after passage of the Tobacco Act), and given the manner in which NJOY has marketed its electronic cigarettes, there is no reason to believe that FDA would treat NJOY’s products any differently than Smoking Everywhere’S products. Indeed, as NJOY points out, FDA has already refused entry to as many as thirty-five shipments of electronic cigarettes from twenty manufacturers. (NJOY Supp. Reply [#44] at 6). Accordingly, the Court concludes that exhaustion would be
Natural Res. De! Council, Inc., 467 U.S. 837 (1984). See Brown & Williamson Tobacco,
529 U.S. at 132 (stating that Chevron is the appropriate framework for analyzing FDA’s
claim of authority to regulate tobacco products). 8 Chevron deference is appropriate in
this case because FDA’s interpretation and application ofthe relevant statutory provisions
forms the basis of its decision to detain or to refuse entry ofplaintiffs’ products and thus
carries the force of law. See Citizens Exposing Truth About Casinos v. Kempthorne, 492
futile and that NJOY’s claims, like Smoking Everywhere’s, are now properly before the
Court.
8 Even more boldly, FDA also argues that its import decisions are committed to agency discretion and thus are not subject to any judicial review. Judicial review is not permitted under the APA where “agency action is committed to agency discretion by law.” 5 U.S.C. § 701(a)(2). FDA contends that the authority to refuse imports is committed to its discretion by 21 U.S.C. § 381(a)(3), which authorizes FDA to refuse admission of a drug or device if it “appears” from examination or “otherwise” that the drug or device is “adulterated, misbranded, or in violation of section 355.” For FDA, Congress’s use of the term “appears” is dispositive. By authorizing FDA to refuse admission to any product that “appears” misbranded or adulterated, “Congress empowered the agency to exercise its discretion in a broad and flexible manner.” (FDA Opposition [#14] at 29). FDA’s argument goes much too far. Agency action is committed to agency discretion by law only where “the statute is drawn so that a court would have no meaningful standard against which to judge the agency’s exercise of discretion.” Heckler v. Chaney, 470 U.S. 821, 830 (1985) (emphasis added). Here, there is such a standard: whether the article under inspection is “adulterated, misbranded, or in violation of section 355.” 21 U.S.C. § 381(a)(3). The statute’s use ofthe term “appears” affords the agency, at best, some degree of deference in close cases, but it certainly does not permit the agency unfettered discretion to refuse an article that obviously is beyond the scope of the FDCA. Furthermore, the issue in this case is not whether a particular drug appears adulterated or misbranded, but whether a particular product is even a drug subject to the FDCA. FDA might well be entitled to Chevron deference on this threshold legal question, but it is certainly not entitled to unreviewable discretion.
absence of formal rulemaking or adjudication, where an agency action has the force of law).
The first step in the Chevron analysis requires a reviewing court to inquire “whether Congress has directly spoken to the precise question at issue.” Chevron, 467
U.S. at 842. If so, the court must give effect to Congress’s “unambiguously expressed intent.” Id. at 843. If, however, Congress has not spoken unambiguously, the court must defer to the agency’s construction of the statute so long as that construction is “permissible.” Id.
The relevant statutory provisions, particularly the Tobacco Act’s amendments to the FDCA, hardly constitute the kind of direct statement by Congress that would satisfy the first step of the Chevron analysis. Thus, the real issue under Chevron is whether FDA’s position is a “permissible”-that is, reasonable-construction or application of those provisions. For the following reasons, I believe it is not.
A. Structure Or Function Claims
FDA says that the electronic cigarettes marketed by plaintiffs are a drug-device combination and should therefore be excluded from the Tobacco Act’s definition of “tobacco product” because the labeling and promotional materials “represent and suggest that the product will provide the same drug effects as cigarettes.” (FDA Opposition [# 14] at 19). Because plaintiffs’ electronic cigarettes are to be used, like conventional cigarettes, as a means for delivering nicotine and because consumers and scientists widely electronic cigarettes are intended to affect the structure or function of the body, (FDA
Supp. Br. [#41] at 5). As a result, they qualifY as a drug-device combination, not as a
tobacco product. (Id.). Put simply, this argument is bootstrapping run amuck.
That electronic cigarettes are devices for delivering nicotine and are intended to
have the same effect on the structure and function of the body as cigarettes is hardly a
basis for classifYing electronic cigarettes as a drug-device combination, thereby excluding
them from the definition of “tobacco product.” If it were, then traditional cigarettes
would be excluded as well. Indeed, any tobacco product containing nicotine and claiming
to have some pharmacological effect would be excluded. Because this result would
effectively dismantle the existing regulatory wall Congress erected between tobacco
products and drug-device combinations, I can easily infer that Congress did not intend
tobacco products to be drugs merely because they deliver nicotine.9
9 Another provision of the Tobacco Act supports this inference as well. If Congress intended that FDA regulate tobacco products as drugs merely because they deliver nicotine, then it is certainly possible, ifnot likely, that FDA would have to ban those products as unsafe if the manufacturer intended that they be used, like traditional cigarettes, solely for the enjoyment of their pharmacological effects. Approval of a new drug is contingent on clinical tests that show the drug to be safe and effective for its intended use. 21 U.S.C. § 355(b)(1), (d). FDA acknowledges, and the administrative record shows, that nicotine causes addiction, which is a harmful disease. (See, e.g., Administrative Record of Nicotine Background (“AR NIC”) 23, 49-50, 66). Congress has also issued findings that “[n]icotine is an addictive drug” and that “[t]obacco dependence is a chronic disease.” Pub. L. No. 111-31, 123 Stat. at 1777, 1779. At high doses, nicotine exposure can even be fatal. (AR NIC 54). Nevertheless, whatever health implications nicotine might have, the Tobacco Act expressly forbids FDA from “requiring the reduction of nicotine yields ofa tobacco product to zero.” 21 U.S.C. §
Not surprisingly, FDA does not contend that traditional tobacco products like cigarettes are drug-device combinations. FDA accepts, as it must, that those products are exempt from such regulation by the Supreme Court’s decision in Brown & Williamson Tobacco. Instead, FDA contends that only non-traditional tobacco products can be drug-device combinations. According to FDA, by excluding drugs or devices from the Tobacco Act’s definition of “tobacco product,” Congress merely “confirmed its intention that tobacco-containing products that [were] subject to FDA’s pre-existing jurisdiction are still subject to that jurisdiction.” (FDA Supp. Br. [#41] at 3 (emphasis added)). I disagree.
FDA attempts to avoid the full implications of its rationale for treating electronic cigarettes as drug-device combinations by limiting the meaning of “tobacco product” (at least as applied to products containing nicotine) to those specific products at issue in Brown & Williamson Tobacco. In that case, the Supreme Court acknowledged that if FDA classified traditional tobacco products, like cigarettes, as drugs or devices under the FDCA, it would have to ban those products as unsafe for their intended use. Brown & Williamson Tobacco, 529 U.S. at 134-37. To do so, however, would run afoul of congressional intent as revealed in subsequent tobacco-specific legislation-such as the Federal Cigarette Labeling and Advertising Act (“FLCAA”), Pub. L. No. 89-92, 79 Stat.
387g(d)(3 )(B). It is apparent, therefore, that Congress did not intend tobacco products delivering nicotine for recreational use to be classified as a drug-device combination and thus subject to a potential ban on nicotine yields.
(“CSTHEA”), Pub. L. No. 99-252, 100 Stat. 3D-which regulates certain tobacco
products but does not ban them. ld. at 137-39. The FLCAA applies only to “cigarettes”
and “little cigars,” 15 U.S.C. § 1331 et seq.,10 and the CSTHEA applies to “smokeless
tobacco” products, 15 U.S.c. 4401 et seq. II Because neither act encompasses electronic
cigarettes, FDA contends that those products, at least as they are marketed by plaintiffs,
are beyond the scope of Brown & Williamson Tobacco and are therefore regulable as a
drug or device under the FDCA. This argument is too clever by half.
FDA’s interpretation of “tobacco product” is not reasonable when considered in the context of the entire Tobacco Act. For instance, one provision of the Act specifically prohibits FDA from “banning all cigarettes, all smokeless tobacco products, all little cigars, all cigars other than little cigars, all pipe tobacco, or all roll-your-own tobacco products.” 21 U.S.C. § 387g(d)(3)(A). Yet another provision prohibits FDA from “requiring the reduction of nicotine yields of a tobacco product to zero.” 21 U.S.c. § 387g(d)(3)(B). That Congress would single-out “traditional” products for specific
10 The FLCAA defines “cigarette” as “any roll of tobacco wrapped in paper or in any substance not containing tobacco” or “any roll of tobacco wrapped in any substance containing tobacco which … is likely to be offered to … consumers as a cigarette.” 15
U.S.C. § 1332(1). It defines “little cigar” as “any roll of tobacco wrapped in leaf tobacco or any substance containing tobacco … and as to which one thousand units weigh not more than three pounds.” Id. § 1332(7).
II The CSTHEA defines “smokeless tobacco” as “any tobacco product that consists of cut, ground, powdered, or leaf tobacco and that is intended to be placed in the oral or nasal cavity.” 21 U.S.C. § 387(18).
17
eliminate nicotine yields suggests that Congress understood the term to encompass more than traditional tobacco products and that Congress intended to permit nicotine use, whether from unforeseen, non-traditional sources (like electronic cigarettes) or from wellestablished, traditional sources (like regular cigarettes).
More importantly, it is apparent from Congress’s broad definition of “tobacco product” that it intended the Tobacco Act’s regulatory scheme to cover far more than the fixed array of traditional tobacco products at issue in Brown & Williamson Tobacco. Both the FLCAA and the CSTHEA only apply to “cigarettes,” “little cigars,” and “smokeless tobacco,” which Congress defined with considerable specificity, yet the Tobacco Act applies to “tobacco products,” which Congress defined expansively as “any product made or derived from tobacco that is intended for human consumption.” 21
U.S.C. § 321(rr)(l). Furthermore, Congress made clear that FDA’s new jurisdiction over tobacco products applies, not only “to all cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco,” but “to any other tobacco products” as well. Id. § 387a(b). Simply put, the Court cannot accept that Congress defined “tobacco product” in this manner when it knew all along that the only tobacco products beyond FDA’s drugdevice jurisdiction were the traditional products governed by the FLCAA and CSTHEA (with the possible exception of any nicotine-free tobacco products).
This conclusion is particularly warranted given that the line FDA attempts to draw between traditional tobacco products and non-traditional tobacco products is based on a reasoning ofthat case is limited to the traditional tobacco products covered by the FLCAA and CSTHEA. This reading of the case is defective, however, because it ignores that the Supreme Court understood Congress’s enactment of that tobacco-specific legislation, not as a narrow exception to the FDCA, but as a ratification of “the FDA’s long-held position that it lacks jurisdiction under the FDCA to regulate tobacco products.” Brown & Williamson Tobacco, 529 U.S. at 144. Because Congress was acting “against the backdrop of the FDA’s consistent and repeated statements that it lacked authority under the FDCA to regulate tobacco absent claims oftherapeutic benefit by the manufacturer,” id. (emphasis added), the Supreme Court had little choice but to conclude that Congress had “effectively ratified” FDA’s position that it lacked authority over tobacco products as “customarily marketed,” id. at 156. Thus, the line drawn by the Supreme Court was not between traditional and non-traditional tobacco products, as FDA suggests, but between tobacco products as customarily marketed and those that claim therapeutic benefits.12 Against this backdrop, the Tobacco Act reflects Congress’s intent
12 Although the Supreme Court noted that it was not deciding the larger question of whether any product could be classified as a drug or device absent claims of therapeutic or medical benefit, it made clear nevertheless that FDA’s assertion ofjurisdiction over customarily-marketed tobacco products contradicted Congress’s clear intent, Brown & Williamson Tobacco, 529 U.S. at 131-32, which the Supreme Court found to be based on FDA’s repeated representations that it lacked authority under the FDCA to regulate tobacco products “absent claims of therapeutic benefit by the manufacturer,” id. at 144
56. See also id. at 156 (“Congress has affirmatively acted to address the issue of tobacco and health, relying on the representations of the FDA that it had no authority to regulate tobacco.” (emphasis added».
products as customarily marketed. Congress enacted the Tobacco Act to confer FDA
jurisdiction over any tobacco product-whether traditional or not-that is sold for
customary recreational use, as opposed to therapeutic use. As such, the Tobacco Act, in
effect, serves as an implicit acknowledgment by Congress that FDA’s jurisdiction over
drugs and devices does not, and never did, extend to tobacco products, like electronic
cigarettes, that are marketed in customary fashion for purely recreational purposes. 13
Furthermore, the Tobacco Act’s broad definition of “tobacco product” is also an implicit
admission by Congress that the existing tobacco-specific legislation, such as the FLCAA
and CSTHEA, failed to cover the full array of tobacco products that were beyond FDA’s
jurisdiction under the FDCA.
This conclusion does not mean that tobacco products can never be classified as a
drug or device in the absence of therapeutic claims. A case might arise, for instance,
13 Although FDA has in the past asserted jurisdiction over “Favor Smokeless Cigarettes” and “Nicogel Tobacco Hand Gel,” both of which purported to be recreational, non-therapeutic nicotine products (see AR NIC 1-11, 58-80), those actions were not judicially reviewed. In any event, FDA’s decision on smokeless cigarettes came before Brown & Williamson Tobacco and is not in step with the reasoning of that case, which was based in part on FDA’s representations to Congress that customarily-marketed tobacco products are not subject to FDA jurisdiction absent therapeutic claims. Furthermore, FDA predicated its decision to assert jurisdiction over Nicogel on the dissimilarity between that product and traditional tobacco products. (See AR NIC 68 (stating that Nicogel “cannot satisfY any of the sensory needs or desires associated with smoking”)). Other products cited by FDA-such as Nicotine Lollipops, Nicotine Lip Balm, and Nicotine Water-are not “customarily marketed” tobacco products because they too are dissimilar from traditional tobacco products, and more importantly, because they make express therapeutic claims. (See AR NrC 12-13,20).
the structure or function of the body that is different from nicotine. In that circumstance, the product might properly be classified as a drug or device because it is not a tobacco product as “customarily marketed.” But that is not the case here. FDA does not contend that the electronic cigarettes marketed by plaintiffs are intended to affect the structure or function of the body in any way materially different from traditional cigarettes. Indeed, by FDA’s own admission, Smoking Everywhere markets its product as providing “the same drug effects on the structure and function of the human body as cigarettes.” (FDA Supp. Bf. [#41] at 5). Likewise, NJOY markets its product as providing “all the pleasures of smoking.” (Leadbeater Decl. [#24-1] at Ex. A). Because plaintiffs sell their electronic cigarette products for customary recreational use, those products Gust like traditional cigarettes) are properly excluded from the meaning of drug or device under the FDCA.
B. Therapeutic Claims
FDA also contends that the electronic cigarettes marketed by Smoking Everywhere are drug-device combinations, not only because they contain nicotine and are intended to affect the structure or function of the body in the same way as traditional cigarettes, but because they are intended “to prevent or alleviate nicotine withdrawal symptoms.” (FDA Opposition [#14] at 21).14 According to FDA’s “Correspondence” issued on December
14 The Tobacco Act certainly contemplates that tobacco products marketed for the therapeutic purpose of treating nicotine addiction might constitute a drug-device combination excluded from the Tobacco Act’s definition of “tobacco product.” The Act specifically provides that products “intended to be used for the treatment of tobacco appear to be intended … to prevent, mitigate, or treat the withdrawal symptoms of
nicotine addiction.” (AR DET 97-98, 100-01).
Unfortunately for FDA, however, this finding is “unsupported by substantial evidence” in the record. See 5 U.S.C. § 706(2)(E). The “intended use” of a product is determined by “the objective intent of the persons legally responsible” for labeling the product. 21 C.F .R. § 201.128. Objective intent may be shown, for example, “by labeling claims, advertising matter, or oral or written statements” by the labeler. Id. It may also be shown “by the circumstances that the article is, with the knowledge of such persons or their representatives, offered and used for a purpose for which it is neither labeled nor advertised.” ld. Here, the overwhelming sum of Smoking Everywhere’s promotional material is aimed, not toward preventing, mitigating, or treating nicotine addiction and the effects of withdrawal, but toward encouraging nicotine use. Just a sampling of the promotional claims reveals, for instance, that Smoking Everywhere intends its electronic cigarettes to provide “the nicotine hit that smokers crave,” to “refresh smokers and satisfY their smoking addiction,” and to provide “the same pleasures of smoking a traditional cigarette.” (AR DET 51, 56). The brand name itself is evidence that the product is not intended to prevent, treat, or mitigate nicotine use and addiction but to promote “the
dependence, including smoking cessation, is not a modified risk tobacco product under this section if it has been approved as a drug or device by the Food and Drug Administration and is subject to the requirements of subchapter V of this chapter.” 21
U.S.C. § 387k(c).
offer low nicotine dosages, it offers high dosages as well. (AR DET 25, 28). It even offers its product in assorted flavors. (AR DET 28). Indeed, the overarching theme of the marketing campaign, from the pictures to the promotional claims, is that smoking electronic cigarettes is fun and exciting. One certainly does not get the impression from the advertising materials in the record that nicotine addiction is something that Smoking Everywhere intends its product to treat and cure. Moreover, there is little evidence in the record that Smoking Everywhere offers its product with the knowledge that any significant number of its customers will use electronic cigarettes to treat nicotine addiction, even though the product is not labeled or marketed that way.
FDA references only three claims made in Smoking Everywhere’s literature: (l) electronic cigarettes offer “smokers a chance of smoking in a much healthier way,” (2) electronic cigarettes are “a great alternative to help … stop smoking real cigarettes,” and
(3) “I’ve been smoking real cigarettes for over 20 years and really wanted to stop … I’ve been using it for 3 weeks now and feel great.” (ARDET 49,21; FDA Opposition [#14] at 21). The latter two claims are customer testimonials posted on the Smoking Everywhere website. None of these claims, on their face, suggests an objective intent to treat nicotine addiction and withdrawal. At best, these claims demonstrate that Smoking Everywhere markets its electronic cigarettes as an alternative-albeit a healthier Smoking Everywhere that its product is intended to help wean smokers off of nicotine. Nor does FDA identify any product labeling that includes instructions about how to overcome nicotine addiction using electronic cigarettes. The clear import of Smoking Everywhere’s advertising is that it wants consumers to use its electronic cigarettes for the same recreational purposes and with the same frequency as traditional cigarettes. 16 Thus, FDA’s finding that the electronic cigarettes marketed by Smoking Everywhere appear to
15 To the extent that smoking cessation is a therapeutic claim distinct from the treatment of nicotine addiction and withdrawal, the Court is aware that the two customer testimonials referenced above suggest that electronic cigarettes are intended for smoking cessation, ifnot for treating nicotine dependence (as suggested by FDA). Given Smoking Everywhere’s express disclaimer that its electronic cigarettes are not intended as a smoking cessation device, (AR DET 1), and given the overwhelming evidence in the record that its electronic cigarettes are intended merely as a recreational alternative to traditional cigarettes (and not necessarily as a therapeutic replacement for traditional cigarettes), the Court concludes that the two testimonials cited by FDA are not alone sufficient to support a finding that the product appears to be intended to help customers quit smoking.
16 In this respect, Smoking Everywhere’s electronic cigarettes are different from other nicotine products regulated by FDA that bear no similarity to traditional tobacco products and make express therapeutic claims. For instance, Nicotine Lollipops claim to help smokers quit “by suppressing the symptoms o/nicotine withdrawal” and by allowing “the individual to control the amount of nicotine taken based on the body’s need at the time.” (AR NIC 12 (emphasis added». Nicotine Lip Balm represents that it helps “relieve the craving for nicotine” and is “designed to help a person quit.” (AR NIC 13 (emphasis added». Similarly, Nicotine Water claims that it is a “[m]ethod of delivering Nicotine to reduce use 0/tobacco products” and is “more effective” than other products for treating addiction, like nicotine patches or gum. (AR NIC 20 (emphasis in original».
substantial evidence in the administrative record.17
Nor does the fact that plaintiffs advertise their products as a healthier alternative to traditional smoking mean that electronic cigarettes quality as a drug-device combination under the FDCA. Smoking Everywhere advertises, for instance, that its product poses “less health risk.” (AR DET 21). Along similar lines, NJOY markets its product as having “all the pleasures of smoking without all the problems.” (Leadbeater Decl. [#241] at Ex. A). A product qualifies as a “drug” if it is “intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease.” 21 U.S.C. § 321(g)(1)(B). The Court has already concluded based on the information before it that the electronic cigarettes marketed by plaintiffs are not intended for treating the disease of nicotine addiction. To the extent those products are marketed as providing the same experience as traditional cigarettes but without the negative health consequences associated with tar and smoke, they fall within the plain meaning of “modified risk tobacco product,” which the Tobacco Act defines as any tobacco product “sold or distributed for use to reduce harm or the risk of tobacco-related disease associated with commercially marketed tobacco
17 With respect to NJOY, FDA provides no factual basis at this point for the Court to conclude that NJOY’s electronic cigarettes are intended to treat nicotine addiction or to facilitate smoking cessation. Indeed, NJOY represents that it has always labeled its products with a disclaimer stating that the products are not for smoking cessation. (Leadbeater Decl. [#24-1] at ~ 9). The Court is mindful that the factual record relating to NJOY is sparse. In the course of this litigation, FDA may produce evidence from an administrate record that NJOY’s products in fact make therapeutic claims. Absent such evidence, however, FDA may not detain those products on that basis.
products.” ld. § 387k(b)(1). To treat as a drug any tobacco product that merely claims to be a healthier alternative would effectively nullifY the provisions relating to modified risk
tobacco products, which represent Congress’s implicit acknowledgment that those products were outside of FDA’s jurisdiction prior to the Tobacco Act. Moreover, it would create the absurd result that certain tobacco products-like low tar cigarettes or electronic cigarettes-would be exposed to the more onerous regulatory burdens for drugs
and devices merely because they claim to be healthier alternatives to traditional tobacco
products. Because the relevant statutory provisions do not compel this result, it is easy to conclude that Congress did not intend it. In sum, absent substantial evidence of the manufacturer’s objective intent that its
electronic cigarettes affect the structure or function of the body in a way distinguishable
from “customarily marketed” tobacco products or that its electronic cigarettes have the therapeutic purpose of treating nicotine withdrawal, there is no basis for FDA to treat electronic cigarettes, as they are marketed by the plaintiffs in this case, as a drug-device
combination when all they purport to do is offer consumers the same recreational effects as a regular cigarette. Thus, the plaintiffs are substantially likely to succeed on their claim that FDA cannot regulate and thereby exclude their electronic cigarettes from the United States on the basis that those products are an unapproved drug-device combination
under the FDCA. 18
18 The Court takes no position on whether there is some other basis for FDA (or any other agency) to exclude electronic cigarettes from entry into the United States.
II. Irreparable Harm
Plaintiffs contend that they will suffer irreparable harm because FDA has disallowed entry into the United States of their electronic cigarettes-their only product line-and will continue to do so. To constitute irreparable harm, the claimed injury “must be both certain and great; it must be actual and not theoretical.” Wisconsin Gas Co. v. FERC, 758 F.2d 669, 674 (D.C. Cir. 1985). To say the least, the harm to plaintiffs in this case is anything but theoretical. FDA has refused admission of Smoking Everywhere’s electronic cigarette products and has ordered that they be exported or destroyed. In NJOY’s case, FDA has detained its inbound shipment of electronic cigarettes and, by all accounts, will continue to do so. FDA justifies its decision to detain or refuse entry to these products because the products are intended to provide the same drug effects on the structure and function of the body as cigarettes. Because the point of electronic cigarettes is to provide the same effects as regular cigarettes, there is little reason to believe that FDA will not exclude future shipments of plaintiffs’ products on the same basis.
The question then is whether the claimed injury-an economic one-is likely to be irreparable absent a preliminary injunction. The law is well-settled “that economic loss does not, in and of itself, constitute irreparable harm” unless, of course, the loss “threatens the very existence of the movant’s business.” Id. Both Smoking Everywhere and NJOY represent that the inability to import their electronic cigarettes into the United
Certainly, FDA now has jurisdiction to regulate tobacco products like electronic cigarettes in any manner it wishes consistent with the Tobacco Act and the APA.
Since its founding over a year ago, Smoking Everywhere has imported and sold more than 600,000 electronic cigarette kits. (Smoking Everywhere Complaint [#1] at ~ 7). It derives all of its revenue from the sale of these products, which are its sole product line. (Id. at ~ 12). Smoking Everywhere claims that there is no domestic manufacturer of electronic cigarettes, so it relies entirely on overseas manufacturers. (Id.). Smoking Everywhere further represents that it must import the products into the United States before it can sell them here or abroad. (Second Declaration of Elicko Taleb [#20-1] at ~ 3). Because its electronic cigarette products are manufactured abroad and must first be imported into the United States before they can be distributed or sold, Smoking Everywhere will have no source of revenue once its inventory is exhausted, if FDA continues to refuse admission of its products on the ground that those products are unapproved drug-device combinations. To obtain approval as a drug under the FDCA is undoubtedly a long and expensive process, and according to Smoking Everywhere, its inventory is already near depletion. (Declaration of Elicko Taleb [#10-1] at, 4). Furthermore, Smoking Everywhere currently has binding contracts with overseas suppliers as well as approximately 120 independent distributors that would be jeopardized if Smoking Everywhere were delayed indefinitely in bringing its products to market. (Id.). Based on these representations, it is clear that the potential economic loss and loss
that has only one product line.
NJOY raises similar concerns. It has been selling electronic cigarettes since early
2007 and has now sold at least 135,000 units in the United States. (NJOY Complaint
[#22] at,-r 13). Like Smoking Everywhere, NJOY’s sole business line is electronic
cigarettes. (Leadbeater Dec!. [#24-1] at,-r 6). As a result, “[v]irtually all ofNJOY’s
revenues are derived from the importation of E-Cigarettes into the United States.” (Jd. at
,-r 4). Because electronic cigarettes and their related components are the only product line
for both companies and because plaintiffs generate all, or virtually all, of their revenue
from the sale of imported electronic cigarettes, the potential for economic loss absent
preliminary injunctive relief is sufficiently grave to threaten plaintiffs’ very existence.
Therefore, the Court is satisfied that plaintiffs have shown the necessary irreparable
harm. 19
19 It is also worth noting that even if the claimed economic injury did not threaten plaintiffs’ viability, it is still irreparable because plaintiffs cannot recover money damages against FDA. Where a plaintiff cannot recover damages from an agency because the agency has sovereign immunity, “any loss of income suffered by [the] plaintiff is irreparable per se.” Feinerman v. Bernardi, 558 F. Supp. 2d 36, 51 (D.D.C. 2008); see also Clarke v. Office ofFed. Housing Enter. Oversight, 355 F. Supp. 2d 56, 65 (D.D.C. 2004) (Leon, J.) (noting that “courts have recognized that economic loss may constitute ‘irreparable harm’ where a plaintiffs alleged damages are unrecoverable”). Absent a waiver, sovereign immunity shields the federal government and its agencies, like FDA, from suit. FDIC v. Meyer, 510 U.S. 471, 475 (1994). The APA, of course, waives sovereign immunity for federal agencies but only in actions “seeking relief other than money damages.” 5 U.S.C. § 702. Even though the Federal Tort Claims Act (“FTCA”) waives immunity for damages in some instances, it does not do so here. Claims “based upon an act or omission of an employee of the Government … in the execution of a
III. Harm To Third Parties And The Public Interest
Having concluded that the likelihood of success on the merits and the likelihood of irreparable harm weigh in favor of plaintiffs, only a brief comment is warranted as to the two remaining elements of the preliminary injunction inquiry. FDA contends that the public interest in health and safety weighs in favor of denying preliminary relief because, by enforcing the FDCA as it sees fit, FDA protects the public from unsafe and ineffective
drugs. FDA further contends that the potential harm to other interested parties or to the
public interest, should the court grant the preliminary injunction and allow the
unapproved electronic cigarettes into the market, would far outweigh the economic harm
to plaintiffs, should the court deny the preliminary injunction. I disagree. While FDA’s
interest in protecting public health and safety is, in the abstract, paramount to plaintiffs’
purely economic interests, given the particular facts and circumstances of this case, I am not convinced that the threat to the public interest in general or to third parties in
particular is as great as FDA suggests. Together, both Smoking Everywhere and NJOY have already sold hundreds of thousands of electronic cigarettes, yet FDA cites no evidence that those electronic cigarettes have endangered anyone. Nor has FDA cited any evidence that electronic cigarettes are any more an immediate threat to public health and
statute or regulation, whether or not such statute or regulation be valid,” as well as claims arising out of “interference with contract rights,” both of which would most likely apply in this case, are excluded from the FTCA’s general waiver of sovereign immunity for torts. 28 U.S.C. § 2680(a), (h). There being no apparent avenue for obtaining damages against FDA, any economic loss suffered by plaintiffs due to the detention or refused admission of their products can never be recovered and is therefore irreparable.
safety than traditional cigarettes, which are readily available to the public. Furthennore, now that FDA has regulatory power over electronic cigarettes through the Tobacco Act, any harm to the public interest or to third parties caused by an injunction that merely forbids FDA from regulating electronic cigarettes as a drug-device combination is greatly diminished. At best, therefore, the potential hann to the public interest or to other interested parties only marginally favors, ifat all, the denial of preliminary injunctive relief. To the extent the balance ofhanns and the public interest favor FDA, those factors are overcome nevertheless by the likelihood of success on the merits and the likelihood of irreparable hann, both of which strongly favor plaintiffs. Consequently, plaintiffs have, in my judgment, met their burden for establishing entitlement to a preliminary injunction.
CONCLUSION
This case appears to be yet another example of FDA’s aggressive efforts to regulate recreational tobacco products as drugs or devices under the FDCA. Ironically, notwithstanding that Congress has now taken the unprecedented step of granting FDA jurisdiction over those products, FDA remains undeterred. Unfortunately, its tenacious drive to maximize its regulatory power has resulted in its advocacy of an interpretation of the relevant law that I find, at first blush, to be unreasonable and unacceptable. I am mindful, however, that the purpose of preliminary injunctive relief is merely “preventative, or protective; it seeks to maintain the status quo pending a final detennination of the merits of the suit.” Wash. Metro. Area Transit Comm ‘n v. Holiday Tours, Inc., 559 F.2d 841, 844 (D.C. Cir. 1977). Because I have concluded that plaintiffs are substantially likely to succeed on the merits and are likely to suffer irreparable harm if I do not return the parties to the status quo ante, their respective motions for preliminary
The Memorandum in Support of Plaintiff Smoking Everywhere Inc's Motion for Temporary Restraining Order and Preliminary Injunction.
The copy is in pdf format and enclosed below.
“The electronic cigarette is not a proven nicotine replacement therapy. WHO has no scientific evidence to confirm the product's safety and efficacy.”
World Health Organization, Press Release, “Marketers of electronic cigarettes should halt unproved therapy claims” (September 19, 2008)
“Makers and retailers of these products have been making unproven health claims about their products, claiming that they are safer than normal cigarettes and asserting that they can help people to quit smoking. Absent scientific evidence, these claims are in blatant violation of FDA rules. In fact, no studies have been done on e-cigarettes to date regarding their health effects or their effectiveness as cessation aids.”
Statement of the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, and Campaign for Tobacco-Free Kids (March 24, 2009)
“We basically don't know anything about them [electronic cigarettes]. They've never been tested for safety or efficacy to help people stop smoking.”
Dr. Richard Hurt, Director, Nicotine Dependence Center, Mayo Clinic (June 2, 2009)
“We do not know yet how the ‘smoking' technology these products use affects human health. We do not yet know all of the ingredients in these products and, accordingly, the impact of those ingredients on the health of people who 'smoke' e-cigarettes or the people around them. We do not know what ingredients these products actually deliver (nicotine or otherwise) and what the risks of these products might be. We have seen no studies regarding whether e-cigarettes actually help smokers quit or, instead, delay cessation attempts by providing smokers with a way to continue their smoking behaviors when they cannot smoke a tobacco product.”
American Legacy Foundation, Statement, “Electronic Cigarettes” (May 2009)
“E-cigarettes are also being marketed towards young people, who can purchase them in fruit flavors and online, without having to verify their ages.”
Statement of the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, and Campaign for Tobacco-Free Kids (March 24, 2009)
“It looks like a cigarette and is marketed as a cigarette. There's nothing that prevents youth from getting addicted to nicotine.”
Dr. Jonathan Winickoff, Chairman, American Academy of Pediatrics Tobacco Consortium (June 2, 2009)
“Finally, and of critical importance, information is not yet available as to whether e-cigarettes might actually encourage children and teens and young adults to take their first step toward smoking cigarettes, drawn in by the products' novelty and variety of flavors, including strawberry, banana and chocolate.”
American Legacy Foundation, Statement, “Electronic Cigarettes” (May 2009)
In a Washington Post article published Thursday, Dr. Elizabeth M. Whelan, the president of the American Council on Science and Health calls the recent FDA press conference on electronic cigarettes "distorted, incomplete and misleading." She further states the FDA "was violating its long-cherished tradition of sticking to sound science as the basis for its policies. And in doing so, it is putting the lives and health of millions of Americans at risk."
Strong words against the government agency charged with protecting the public from unsafe consumer products from a woman notorious for attacking industries who make unscientific or overstated health claims. One might think she would side with the FDA against e-cigarette manufacturers and retailers claiming they are a smoking cessation product or a "healthier alternative" that contains "no carcinogens" without FDA approved studies to back them up.
Instead, Dr. Whelan has the FDA squarely in her sights and says they "should be sponsoring studies to evaluate its safety and efficacy -- leaving it on the market in the interim." Among the points she feels the FDA left out are the facts that cigarettes are lethal because of their users inhalation of massive amounts of smoke. "It is the inhaled smoke that kills in so many ways -- from cancers, cardiovascular and lung disease, and more" says Whelan.
She goes on to point out the "abysmal failures" of currently FDA approved smoking cessation aids like the patch and nicotine gum, pointing out their success rates are less than 15% after one year "condemning millions of addicted smokers to a lingering death." She says the public desperately needs new alternatives, but anti smoking groups like the American Lung Association, the Campaign for Tobacco Free Kids and now even the FDA seem to be of the same mindset against new alternatives and "whose collective motto seems to be 'quit or die'."
Unexpected support for e-cigs from a woman whose organization has come under fire in the past for accepting funding from pharmaceutical companies. In 1982 the Center for Science in the Public Interest said of the ACSH "Through voodoo or alchemy, bodies of scientific knowledge are transmogrified into industry-oriented position statements." But it seems this time she's not siding with any drug company benefactors, the makers of the very products she says are ineffective and who stand to lose millions if smokers turn to e-cigarettes rather than their products.
Instead she says the FDA should be looking for new alternatives and thinks the electronic cigarette might just be what the doctor ordered. She points out that e-cigs have over a million users yet "the FDA, lacking data that e-cigarettes pose a health hazard, was so desperate, it called on consumers to phone in adverse side effects of e-cigarettes so they could begin to build a case against them and proceed with their intended ban. They neglected, however, to request smokers who successfully quit using the e-cigarette to also call in."
So what is Dr. Whelans final opinion on electronic cigarettes? "Any alternative acceptable to addicted smokers should be taken seriously. Instead of condemning the e-cigarette, the FDA should be sponsoring studies to evaluate its safety and efficacy -- leaving it on the market in the interim."
Read the Washington times article "FDA smoke screen on e-cigarettes" here
The Food and Drug Administration (FDA) has joined other health experts to warn consumers about potential health risks associated with electronic cigarettes.
Also known as "e-cigarettes," electronic cigarettes are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes.
Sold online and in many shopping malls, the devices generally contain cartridges filled with nicotine, flavor, and other chemicals. They turn nicotine, which is highly addictive, and other chemicals into a vapor that is inhaled by the user.
“The FDA is concerned about the safety of these products and how they are marketed to the public,” says Margaret A. Hamburg, M.D., commissioner of food and drugs.
The agency is concerned that
The potential health risks posed by the use of e-cigarettes were addressed in a July 22, 2009, phone conference between Joshua M. Sharfstein, M.D., principal deputy commissioner of food and drugs; Jonathan Winickoff, M.D., chair of the American Academy of Pediatrics Tobacco Consortium; Jonathan Samet, M.D., director of the University of Southern California's Institute for Global Health; and Matthew T. McKenna, M.D., director of the Office on Smoking and Health at the national Centers for Disease Control and Prevention.
Conference participants stressed the importance of parents being aware of the health and marketing concerns associated with e-cigarettes. It was stated that parents may want to tell their children and teenagers that these products are not safe to use.
Of particular concern to parents is that e-cigarettes are sold without any legal age restrictions, and are available in different flavors (such as chocolate, strawberry and mint) which may appeal to young people.
In addition, the devices do not contain any health warnings comparable to FDA-approved nicotine replacement products or conventional cigarettes.
During the phone conference, which was shared with the news media, FDA announced findings from a laboratory analysis that indicates that electronic cigarettes expose users to harmful chemical ingredients.
FDA’s Division of Pharmaceutical Analysis—part of the agency's Center for Drug Evaluation and Research—analyzed the ingredients in a small sample of cartridges from two leading brands of e-cigarette samples.
One sample was found to contain diethylene glycol, a toxic chemical used in antifreeze. Several other samples were found to contain carcinogens, including nitrosamines.
Agency Actions
FDA has been examining and detaining shipments of e-cigarettes at the border and has found that the products it has examined thus far meet the definition of a combination drug device product under the Federal Food, Drug, and Cosmetic Act. The agency has been challenged regarding its jurisdiction over certain e-cigarettes in a case currently pending in federal district court.
FDA is planning additional activities to address its concerns about electronic cigarettes.
Meanwhile, health care professionals and consumers may report serious adverse events or product quality problems with the use of e-cigarettes to FDA through the MedWatch program, either online or by phone at 1-800-FDA-1088.
The summary of results from the FDA preliminary analysis of Electronic Cigarettes.
The final report on the initial FDA Analyses of Electronic Cigarettes.
Date: May 4, 2009 To: Michael Levy, Supervisor Regulatory Counsel, CDER, Office of Compliance, Division of New Drugs and Labeling Compliance
From: B.J. Westenberger, Deputy Director, CDER/OPS/OTR, Division of Pharmaceutical Analysis
Subject: Evaluation of e-cigarettes
Background: The Center for Drug Evaluation and Research through the Office of Compliance (OC) has requested that the Division of Pharmaceutical Analysis (DPA) evaluate two brands of electronic cigarettes (e-cigarettes) for nicotine content and other impurities. An e-cigarette is advertised as an alternative to smoked tobacco products. It is a battery-powered device that provides inhaled doses of nicotine by delivering a vaporized propylene glycol/nicotine mixture as shown in Figure 1. The Center is concerned that in addition to nicotine delivery, the vapor may also provide other potentially harmful volatile components. DPA was asked to quantitate the amount of nicotine present in each brand and to evaluate each brand for the presence of tobacco specific nitrosamines (TSNA), certain tobacco specific impurities, ethylene glycol (EG) and diethylene glycol (DEG).
Test Products:
Conclusions: Nicotine is present in both products. The Smoking Everywhere Electronic Cigarette cartridges listed as containing no nicotine in some cases had very low amounts of nicotine present. Tobacco specific nitrosamines and tobacco specific impurities were detected in both products at very low levels. DEG was identified in one cartridge, Smoking Everywhere 555 High. See Table 1 for results of analyses of entire cartridges after extraction. A sparging apparatus (see figure in Attachment A) and headspace GC (HS-GC) analysis were utilized to simulate actual use of these products. With the sparging apparatus, nicotine was detected in cartridges claiming to contain nicotine and quantitated by LC-UV; cotinine was also found in some products by this procedure. Repeat testing of 3 different cartridges with the same label (menthol high) gave varying results from 26.8 to 43.2 mcg nicotine/100 mL puff. HS-GC detected nicotine in both products and ?-Nicotyrine was detected in all Njoy cartridges (see Table 2).
DPATR-FY-09-23 Page 1 of 8 5/4/2009
Experimental: See Attachment A for further experimental details.
•
Nicotine content was analyzed by HPLC-UV and GC-MS. Quantification was done by HPLC-UV using two different extractions: a methanol extraction, and a 10% acetonitrile/ 1% phosphoric acid in water extraction.
•
Tobacco specific impurities and diethylene glycol were analyzed by GC-MS.
•
Diethylene glycol presence was confirmed with proton NMR.
•
Detection of nicotine and tobacco specific impurities during use of these products was estimated by simulating use temperatures and analyzing volatiles using head space GC-MS (HSGC-MS) and utilizing a sparging apparatus (see figure in attachment).
Results and Discussion:
Simulated Use: Nicotine and tobacco Specific Impurities by Head Space GC-MS (HSGC-MS) and sparging apparatus
HSGC is likely to be less sensitive than the GC-MS technique that takes advantage of injecting all of the soluble components and then volatilizing them at 280 °C; however, the head space analyzer can be set to a specific temperature to mimic what may be volatilized during use of the products.
The temperature of the heating element in each e-cigarette was determined by inserting a thermocouple and then activating the e-cigarette by drawing air through it. These temperatures ranged from 40 to 65°C. HSGC-MS analysis was conducted at 60°C to simulate the temperature that would be encountered during activation of an e-cigarette. Nicotine was detected in both products for all cartridges containing low, medium and high levels of nicotine but was not observed in cartridges identified as containing no nicotine. Screening for the possible tobacco specific impurities cotinine, nicotine-N-oxide, nornicotine, anabasine and myosmine was negative. ?-Nicotyrine was detected in all Njoy cartridges but was not detected in the Smoking Everywhere cartridges. The sparging apparatus was used to quantify the amount of nicotine released during use of these electronic cigarettes (Table 2). Levels found were consistent with the labeling (low, medium and high); however, the cartridge labeled “no” still delivered some nicotine. The cartridges labeled “high” delivered more nicotine than the approved Nicotrol product. Repeat testing of 3 different cartridges with the same label (menthol high) gave varying results from 26.8 to 43.2 mcg nicotine/100 mL puff.
References:
(1) http://www.njoythefreedom.com/
(2) http://www.smokingeverywhere.com/
(3) C.N. Man, L.H. Gam, S. Ismail, R. Lajis, R. Awang, J. Chromatogr. B 844 (2006) 322–327.
(4) S. S. Yang et al., J. Chromatogr. A, 942 (2002) 33-39.
(5) USP 31/NF 26, Official 12/1/08-4/30/09 NF Monographs: Diethylene Glycol Monoethyl Ether: Assay; pg 1126
See Attached PDF for tables and the full report
The U.S. Food and Drug Administration today announced that a laboratory analysis of electronic cigarette samples has found that they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient used in antifreeze.
Electronic cigarettes, also called “e-cigarettes,” are battery-operated devices that generally contain cartridges filled with nicotine, flavor and other chemicals. The electronic cigarette turns nicotine, which is highly addictive, and other chemicals into a vapor that is inhaled by the user.
These products are marketed and sold to young people and are readily available online and in shopping malls. In addition, these products do not contain any health warnings comparable to FDA-approved nicotine replacement products or conventional cigarettes. They are also available in different flavors, such as chocolate and mint, which may appeal to young people.
Public health experts expressed concern that electronic cigarettes could increase nicotine addiction and tobacco use in young people. Jonathan Winickoff, M.D., chair of the American Academy of Pediatrics Tobacco Consortium and Jonathan Samet, M.D., director of the Institute for Global Health at the University of Southern California, joined Joshua Sharfstein, M.D., principal deputy commissioner of the FDA, and Matthew McKenna, M.D., director of the Office of Smoking and Health for the Centers for Disease Control and Prevention, to discuss the potential risks associated with the use of electronic cigarettes.
“The FDA is concerned about the safety of these products and how they are marketed to the public,” said Margaret A. Hamburg, M.D., commissioner of food and drugs.
Because these products have not been submitted to the FDA for evaluation or approval, at this time the agency has no way of knowing, except for the limited testing it has performed, the levels of nicotine or the amounts or kinds of other chemicals that the various brands of these products deliver to the user.
The FDA’s Division of Pharmaceutical Analysis analyzed the ingredients in a small sample of cartridges from two leading brands of electronic cigarettes. In one sample, the FDA’s analyses detected diethylene glycol, a chemical used in antifreeze that is toxic to humans, and in several other samples, the FDA analyses detected carcinogens, including nitrosamines. These tests indicate that these products contained detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed.
The FDA has been examining and detaining shipments of e-cigarettes at the border and the products it has examined thus far meet the definition of a combination drug-device product under the Federal Food, Drug, and Cosmetic Act. The FDA has been challenged regarding its jurisdiction over certain e-cigarettes in a case currently pending in federal district court. The agency is also planning additional activities to address its concerns about these products.
Health care professionals and consumers may report serious adverse events (side effects) or product quality problems with the use of e-cigarettes to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail, fax or phone.
FTS-HHS FDA
Transcript for FDA's Media Briefing on Electronic Cigarettes
Moderator: Judy Leon
July 22, 2009
1:30 pm CT
Coordinator: Welcome and thank you for standing by. We’d like to inform all parties your lines will be in a listen only mode until today’s question and answer session. At that time to ask a question please press star 1. Also today’s conference is being recorded. If you have any objections you may disconnect at this time.
And now I’ll turn today’s call over to Judy Leon from the FDA Office of Public Affairs. Thank you, you may begin.
Judy Leon: Thank you very much. Welcome ladies and gentlemen. This is Judy Leon from FDA’s Office of Public Affairs. This is an FDA teleconference for credentialed media to hear FDA’s Principal Deputy Commissioner and other public health experts make an announcement about electronic cigarettes. This briefing is for credentialed media only.
Our speakers today are Dr. Joshua Sharfstein, Principal Deputy Commissioner of the Food and Drug Administration; Dr. Jonathan Winickoff, Chair of the American Academy of Pediatrics Tobacco Consortium; Dr. Jonathan Samet, Director of the Institute for Global Health at the University of Southern California; Dr. Matthew McKenna, Director of the Office of Smoking and Health at the Centers for Disease Control; Nick Westenberger from FDA’s Center for Drug Evaluation of Research and Michael Levy, Division Director Office of Compliance Center for Drug Evaluation and Research of the Food and Drug Administration.
Now I will turn the call over to Dr. Sharfstein.
Joshua Sharfstein: Thank you very much Judy and thanks to everybody on the call. I am Josh Sharfstein, the Principal Deputy Commissioner of the Food and Drug Administration. Recently there has been increased public attention on products called electronic cigarettes or e-cigarettes. These are essentially battery operated devices that generally contain cartridges filled with nicotine flavor and other chemicals that turn nicotine and other chemicals into a vapor to be inhaled by the user.
They are readily available in places where youth can access them including online and in malls, but little is known about these products, including how much nicotine is there, it’s getting in the body with other chemicals may be there and getting in the body and the impact of these products on the body.
Public health experts and organizations including the World Health Organization, the Centers for Disease Control and The American Cancer Society have expressed concerns about the safety of these products and the risk that electronic cigarettes may increase nicotine addiction among young people and ultimately lead kids to try conventional cigarettes.
The FDA has conducted a preliminary analysis of the ingredients in some samples of e-cigarettes and their components and we will be releasing and discussing the results of the analysis today. They have been posted at www.fda.gov. FDA is concerned about the safety of these products and how they are marketed. We believe it is important to convey these concerns about these products to the public and that’s the reason we’re holding the call today.
We are also examining, detaining and refusing shipments of certain e-cigarettes at the border and the agency is printing other activities to address
these concerns. I’d like turn to some experts and internal FDA and external FDA to discuss some of the issues related to electronic cigarettes and I’ll be introducing them one followed by the other.
The first is Nick Westenberger. Mr. Westenberger is the Deputy Director at the Center for Drug Evaluation and Research at FDA in the Division of Pharmaceutical Analysis. He has served with FDA for 39 years. Mr. Westenberger?
Nick Westenberger: Thank you. Good afternoon. My name is Nick Westenberger, I’m the Deputy Director at CDER’s Division of Pharmaceutical Analysis, where preliminary testing has been conducted on electronic cigarettes. Testing was performed by a team of analytical chemists under my supervision and I wrote the final report. FDA’s Center for Drug Evaluation and Research was interested in the ingredients contained in electronic cigarettes. CDER’s Office of Compliance purchased some samples of electronic cigarettes for analysis.
Along with the e-cigarettes were cartridges containing propylene glycol, nicotine and flavor mixtures that are inserted in the e-cigarette, vaporized and inhaled by the user. Some of the cartridges were labeled as containing no nicotine. Others were labeled as low, medium or high indicating different levels of nicotine present. These samples were subsequently provided to CDER’s Division of Pharmaceutical Analysis for testing.
The products were evaluated by several different analytical techniques in this laboratory including, liquid chromatography with UV detection, liquid chromatography with mass detection, gas chromatography with mass detection, (head) space gas chromatography and finally nuclear magnetic resonance spectroscopy. The cartridges were analyzed in their entirety as a
complete unit and also in a pseudo smoking mode using the e-cigarette mechanism and trapping the dispelled vapors before testing.
Testing was performed in only one FDA laboratory on a limited number of samples and therefore additional testing needs to be conducted to confirm our findings and to survey the entire marketplace. Results from these various tests raised two areas of concern: safety and product quality.
With respect to safety the majority of the samples tested positive for the presence of tobacco specific impurities suspected of being harmful to humans such as anabasine, myosmine, and beta-nicotyrine. These impurities have well defined specifications in the FDA approved smoking cessation products but not in these.
Half the samples also tested positive for the presence of certain tobacco specific nitrosoamines that are known human carcinogens such as N-(nitrosonornicotine), and 4-(methylnitrosoamino)-1-(3-pyridyl)-1-butanone. In addition to these carcinogenic impurities one cartridge was found to have approximately 1% diethylene glycol present a toxic compound to humans. As far as the manufacturing quality some of the cartridges listed as containing no nicotine were actually found to have nicotine present.
Variability in the amount of nicotine delivered is also an issue. Three different cartridges with the same label contained significantly different amounts of nicotine per puff ranging anywhere from 27 to 43 micrograms. All of these results indicate a lack of general overall quality control. In summary these results suggest e-cigarettes could have safety and quality concerns. Thank you.
Joshua Sharfstein: Okay thank you Mr. Westenberger. I should have noted that you are in St. Louis is that correct?
Nick Westenberger: That is correct.
Joshua Sharfstein: In the lab there.
Nick Westenberger: CDER laboratory in St. Louis.
Joshua Sharfstein: Okay, we’re now going to go across the country to Dr. Jonathan Samet in Los Angeles. Dr. Samet is the Director for the Institute for Global Health at the University of Southern California. He’s a leading authority on the health effects of smoking and air pollution and he serves as Consulting Editor and Senior Scientific Editor for the Surgeon General Reports on smoking and health including the 1985, 1986, 1990, 2004 and 2006 reports. Dr. Samet, turn it over to you to comment on the finding and other aspects of electronic cigarettes.
Jonathan Samet: Okay thank you and good afternoon to everyone. I’m going to make a few very specific points. I think first point, we know very little about these devices and what they deliver to people. Consequently any claims as to possible benefits to health or utility in cessation just cannot be supported. Second and I think this speaks to the results that were just reviewed by Mr. Westenberger. The products are variable and at least the presence of tobacco specific nitrosoamines known carcinogens was established. I think finding - the finding of diethylene glycol, a known toxin, one that in fact has been found to be the cause of some tragic episodes of poisoning is of concern.
Again it speaks to the needs of the public to understand that in using a product that is poorly characterized, inhaling a vapor, a heated vapor into their body’s
that has had very little characterization is assuming potentially some unknown risks.
An additional point is that these devices are a sharp contrast to the types of nicotine replacement therapy that are available, that are FDA approved that have gone through a rigorous testing. Their quality is controlled and we also know as to the degree of benefit of using these products for cessation, a substantial record of clinical trials and now actual population experience.
And I think the contrast with a device with absolutely no information of this sort available should be striking to all and I think told to the public very clearly. And I think the last point which will be addressed is that there’s now placing another form of nicotine and other nicotine delivery system into the hands of the public.
And I know that Dr. Winickoff will be commenting on these points. So just I think the bottom line here is simple, these are devices of delivering nicotine through unknown magnitude into the body with no proven benefit for cessation and some indication that there may be risks. Thank you.
Joshua Sharfstein: Thank you very much Dr. Samet. We’re now going to go over to Boston where Dr. Jonathan Winickoff is on the line. Dr. Winickoff is a practicing Pediatrician and Assistant Professor of Pediatrics at Harvard Medical School and the Chair of the American Academy of Pediatrics Tobacco Consortium. Dr. Winickoff?
Jonathan Winickoff: Thanks Dr. Sharfstein. There’s two main points that I’ll be covering in my remarks. Number one is the appeal of these products to young people and the second one is the concern that the e-cigarettes may serve as a gateway to smoking. The e-cigarette is unregulated both as to how it is constituted and
how and to whom it’s marketed. It looks like a cigarette and it’s used like a cigarette, it’s marketed as a cigarette enough has the potential to normalize and queue smoking behavior. Advertising may promote modeling the use of e-cigarettes and regular cigarettes by use.
Now electronic cigarettes are available on the market in a variety of flavors such as bubblegum, chocolate and mint. Past experience suggests that these products may be particularly appealing to young people. The appeal of flavored cigarettes, a flavored regular cigarette has long been associated with young and novice smokers. Tobacco industry research has demonstrated that fruit and candy flavors increase the social acceptance of cigarettes, increase the excitement factor for example, sharing flavors and increase the curiosity to try the product.
Flavored regular cigarettes promote youth initiation and help young occasional smokers to become daily smokers. Similarly e-cigarettes might encourage children, teens and young adults to take their first step toward smoking cigarettes. Young people may be attracted to these products due to their novelty, safety claims and the av- availability of the products in a variety of fruit, candy, cola and chocolate flavors. In addition these products are easily accessed online, in stores and at mall kiosks where young people often hang out.
One cigarette company is claimed to be putting vitamins in the cartridges. This is either a direct or an implied health claim that may confuse some potential users into thinking that the product promotes health when it actually might lead to nicotine dependence. The advertising warning that “this product is for adults only” appears tailor made to appeal to kids. Once a youth has decided to try an e-cigarette there’s nothing that protects him from getting
addicted to nicotine by puffing this product. Nicotine itself is not safe for children.
Nicotine addiction is one of the hardest addictions to break. An expanding pool of unregulated nicotine products that appeal to youth might increase the overall number of individuals who become nicotine dependent for life and later use regular cigarettes.
Once you’ve smoked the e-cigarette and are nicotine dependent the leap to a regular cigarette may not seem as great. Between 1/3 and 1/2 of all youth who try a regular cigarette will become daily smokers because of the highly addictive nature of nicotine. It is therefore vital to decrease exposure to products that would lead to experimentation with nicotine. It is not a safe drug to try.
My last point is that nicotine can be toxic in higher amounts for adults but it takes much less to have toxic effects in children. It is unclear what safety mechanisms are in place for these devices. For example, a young child modeling a parent might be able to inhale the entire nicotine load of an e-cigarette cartridge simply by puffing until it was empty. In my remarks I’ve discussed the appeal of the cigarette to young people and concern that the e-cigarette might serve as a gateway to smoking.
Joshua Sharfstein: Okay thank you very much Dr. Winickoff. The- the last person to make initial comments will be Dr. Matthew McKenna. Dr. McKenna is the Director of the Office on Smoking and Health at the Centers for Disease Control and Prevention. He is a commissioned officer in the United States Public Health Service. He supervises more than 100 scientists and other personnel who are responsible for leading federal activities in tobac- tobacco control at the nations leading public health agency, the CDC. Dr. McKenna?
Matthew McKenna: Thanks Dr. Sharfstein for including CDC on the- this very important call today. We at CDC are firmly committed to protecting our nation from tobacco use which is the number one preventable killer in this country. Behavior is responsible for over 400,000 premature deaths each year and every per- for every person who dies from smoking, 20 more suffer from at least one serious tobacco related illness. As a nation we can’t lose our momentum in the fight to end the tobacco use epidemic. We have to maintain our drive to protect all our loved ones of the number one preventable cause of death.
And not only are tobacco products highly addictive but their use is fueled by an industry that’s heavily in new product development. These products are promoted through innovative media that makes smoking appear to be attractive, sexy and maturing to use. These images have no other purpose than to hook new generations of smokers. Just today approximately 3,600 young people will try smoking for the first time and 1,100 will become addicted to tobacco. Without help to quit half of these will die prematurely from this addiction.
Over the last decades our nation has made tremendous progress in protecting our neighbors, family and friends from exposure to second hand smoke, reducing youth initiation and helping tobacco users quit successfully. E-cigarettes closely resemble a real cigarette. Users then exhale a vapor that mimics smoke. Therefore beyond potential harms to the user the use of these products could counter the impact from smoke free laws as well as other policies that have decreased the social acceptability of smoking behaviors.
E-cigarettes stand to reintroduce the appearance of smoking in other wise smoke free environments like malls, restaurants and even day cares. This could potentially impact use tobacco una- initiation in use of real cigarettes.
Now currently we don’t have evidence to support claims as you heard that e-cigarettes are safe for effective quit aid for tobacco users. It’s not clear what the misuse levels are that could lead to nicotine poisoning. But we do have a mountain of evidence demonstrating that the modeling of this behavior by peers, parents and other adults and even actors in the movies makes it more likely that exposed kids will pick up the habit.
As the nations prevention agency we need to protect our youth and the many generations to come from the seduction and influence of any form of tobacco use simulated or real. The CDC’s committed to working with FDA, our communities and our close partners to ensure that the current and future generations of kids do not become victims of the tobacco use epidemic. I want to thank you again for providing us with the opportunity to share our perspectives on this call and I’ll now turn our discussion over to Judy Leon at the FDA.
Judy Leon: Thank you very much. Operator at this time we would like to invite credentialed media to enter the queue to ask questions. I’d like to remind reporters that everyone in the interest of time will get one question and one follow up. So at this time we will take questions from reporters.
Coordinator: Thank you. At this time for questions please press star 1, unmute your line and record your name to be introduced. Again press star 1. To withdraw the request you may press star 2. Thank you. One moment for your first question.
Judy Leon: And one more reminder to reporters please state your name and your media affiliation.
Coordinator: Thank you, our first question comes from (Andrea Bruce). Your line is open and state your media outlet.
(Andrea Bruce): Hi everybody. I was wondering could you tell me how many of these devices you tested, how many cartridges. And I understand that you are seizing some shipments on the border. Are you moving towards seizing or asking products to be taken off shelves that are already existing at stores or kiosks around the country and finally are you expecting to make any moves for pre-market approval process for these things? Thanks.
Joshua Sharfstein: Hi this is Josh Sharfstein. I’m going to ask Mr. Westenberger in St. Louis to answer the first question about the number of samples that were tested and then I’ll turn over to Michael Levy from the Center for Drugs at FDA to talk about the enforcement questions you made. Mr. Westenberger?
Nick Westenberger: Yes we had two different product manufacturers and there were 19 different cartridges that we tested from those two products.
Joshua Sharfstein: Great and Mr. Levy?
Michael Levy: Well, I think you were asking what our enforcement options are for domestic action?
Joshua Sharfstein: I think the first question, actually (Andrea) could you repeat the second...
(Andrea Bruce): Yeah, I mean you had mentioned that you were seizing some at borders. What I’m curious about is there any move to request recall off shelves that already exist in kiosks and malls around the country or any kind of (interjection) online where they’re sold? Is there anything you’re doing domestically?
Michael Levy: Well let me just tell you what we’ve been doing. We have actively been reviewing imported shipments of e-cigarettes. We’ve been examining and detaining them before entry into the United States.
We found so far that the products we’ve reviewed meet the definition of both the drug and the device under the Federal Food Drug and Cosmetic Act and therefore we’ve refused them to - we’ve refused to admit these products into the United States because they’re not the subject of an approved drug or device application. To date we have refused 50 shipments of e-cigarettes and we are actively reviewing a number more.
Some of the shipments that we refused contain multiple products. In terms of domestic action we are actively considering all of our enforcement options for future action both against the imported e-cigarettes and at this point we think that all e-cigarettes are imported and against the domestic distributors of the imported cigarettes.
Judy Leon: And (Andrea) did you have a follow up question?
(Andrea Bruce): I’m sure I did but I can’t remember.
Judy Leon: Okay thank you. Operator we’ll take our next caller please.
Coordinator: Thank you, next (Jared Favole) your line is open and state your media outlet please.
(Jared Favole): Hi this is (Jared Favole) with Dow Jones Newswires. I appreciate you all taking my call. First is just a - a simple question. The gentlemen who spoke a second, I think Dr. Westenberger would, would you mind spelling your first and last name just for all of us.
Judy Leon: I will do that for the benefit of everybody on the phone.
(Jerrod Travoli): Okay.
Judy Leon: It is Benjamin Westenberger, W-E-S-T-E-N-B-E-R-G-E-R. And then (Jared) I’m sure that was not your whole question.
(Jared Favole): No that wasn’t, that was to make sure I didn’t get anybody’s name incorrect. But so I’m confused. What action if any are you all taking today. So you did this analysis, what happens next? You continue reviewing, I’m confused as to what do we tell consumers?
Joshua Sharfstein: Sure let me, this is Josh Sharfstein. Today the FDA is expressing concern about these products based on the result of the laboratory analysis that we had and the input that we’ve gotten from experts that you’ve heard around the country. We, as you heard from Mr. Levy, have been taking some enforcement action and we are considering other enforcement actions but we want people to know why. We want people to understand the concerns the FDA has both about what’s in the product and how they’re being marketed.
(Jared Favole): What other if you can expand a little bit, what other enforcement actions are you considering?
Joshua Sharfstein: I’ll ask, you know, Michael Levy. I’m not sure we talked about all our different enforcement actions beforehand but Michael do you want to...
Michael Levy: I wouldn’t comment specifically on e-cigarettes but I would say that if the enforcement options that are usually available to FDA include seizure, injunction, recalls and possible criminal sanctions.
(Jared Favole): Okay, got you. Thank you very much.
Judy Leon: Thank you. Operator we’ll take the next caller please.
Coordinator: Thank you, one moment please. Thank you, next we have (Debbie Elliott) your line is open and state your media outlet please.
(Debbie Elliott): Hi, it’s (Debbie Elliott) with NPR. And I’m a little confused too. Does this now mean that it is illegal for these products to be sold in the U.S.?
Michael Levy: Well I - that is a bit of a complicated question. The products that we have reviewed so far we have found to be illegal. Now I will say that there is pending litigation on the issue of FDA’s jurisdiction over e-cigarettes so I - and, you know, we’re not going to comment on the pending litigation at this time.
Joshua Sharfstein: And let me, this is Josh Sharfstein, let me say that we felt that it’s important while there is litigation and while we are considering our options there is not a reason to be confused about FDA’s position on these as a public health issue. And that relates to our concerns over what’s in the products and how they’re being sold and what we’ve heard from experts including experts at the Centers for Disease Control.
Judy Leon: (Debbie) did you have a follow up?
(Debbie Elliott): Yes. Some of the companies that have imported these cigarettes or e-cigarettes that are selling them claim that they should be regulated under the - regulated the same way that tobacco is. So I guess my question is now that FDA does
have jurisdiction over tobacco how does that effect how you would enforce your position on these products?
Joshua Sharfstein: I’m going to ask Michael Levy to answer that.
Michael Levy: I’d go back to what I said before which is that the products that we’ve reviewed so far we found them all to be drugs and devices and we do not believe that the new Act will change our conclusion on any of those products. And that said, you know, we are also evaluating the new Act in terms of how does that res- how does that affect our ability to exercise jurisdiction over these products.
Judy Leon: And just for a point of clarification that is Michael Levy addressing the legal questions. His name is listed on your media advisory. Operator we’ll take the next question now.
Coordinator: Thank you, next question a (Kim Dixon) your line is open and state your media outlet please.
(Kim Dixon): Hi it’s (Kim Dixon) at Reuters. Can you tell me who are these two leading manufacturers that you mentioned in the release?
Joshua Sharfstein: I think it’s Mr. Westenberger can talk about the brands that - that were tested.
Judy Leon: Is your question pertaining to the testing that was done?
(Kim Dixon): Well yeah, you could talk about both, the testing that was done, what the brands were and then what other national brands you know of that sell in the U.S.
Judy Leon: For some reason we’re having trouble hearing you. Can you get closer to the phone and restate your question please?
(Kim Dixon): Yeah, hang on please.
Judy Leon: We can barely hear you.
(Kim Dixon): Yeah so the question is what were brands tested and what are the other national brands that are selling these products in the U.S.?
Joshua Sharfstein: So Mr. Westenberger from St. Louis could you mention which of the names of the brands that were tested?
Nick Westenberger: The two brands that we tested and I don’t really have the manufacturers name in front of me but the product name was Smoking Everywhere and Njoy, that’s spelled with a capital N, small j, small o, small y. The two products were Smoking Everywhere and Njoy.
(Kim Dixon): Okay.
Nick Westenberger: They’re multiple cartridges with those two products with different flavor incentive, cherry, apple, menthol and also different levels of nicotine present. Though some of them had no nicotine which would imply that it was a smoking cessation type product, others had low, middle or high levels of nicotine present.
Joshua Sharfstein: Okay thank you Mr. Westenberger. I don’t think we have a list of all the products that are on the market.
Judy Leon: Let me also add that we have now posted on the FDA Web site our lab results and more information where reporters can - can get that. Did you have a follow up (Kim)?
(Kim Dixon): Well just do you know if any of the large tobacco manufacturers sell these products in the U.S. or in Europe?
Michael Levy: Not that we’re aware of.
Joshua Sharfstein: Michael Levy, not that we’re aware of.
(Kim Dixon): Okay.
Judy Leon: Operator we’ll take the next question please.
Coordinator: Okay thank you. (Liz Szabo) your line is open and state your media outlet please.
(Liz Szabo): Hi I’m with USA Today. I was wondering when did you begin this enforcement action seizing shipments of cigarettes at the border?
Michael Levy: We began examining and detaining shipments at the border when we first became aware of this type of product being imported which I believe was in July or August 2007, I’m sorry, 2008.
Joshua Sharfstein: That was Michael Levy.
(Liz Szabo): Okay thanks.
Judy Leon: (Liz) did you have a follow up?
(Liz Zabo): Yeah, I was just wondering do you have any idea how many of these products are used each year? Is it in the hundreds of thousands, millions?
Joshua Sharfstein: We don’t know.
(Liz Szabo): Okay.
Judy Leon: Okay thank you. Operator we’ll take the next call please.
Coordinator: Thank you. (Matt Perrone) your line is open and state your media outlet.
(Matt Perrone): Yes the Associated Press. Thanks guys. So it sounds like from what you’re saying these products never should have been allowed on the market to begin with. Was there some oversight that they were, you know, they were entering commerce to begin with? It sounds like they’re just plain illegal.
Michael Levy: This is Mike Levy again. Well I mean there are a number of ways for these products to get into the United States without them being properly declared for FDA review. Again the ones that we have reviewed we’ve found to be illegally marketed and we have reviewed - refused those products.
(Matt Perrone): Okay and what would these companies have to do for them to be legally marketed if they had submitted, you know, PMAs, pre-market applications? Would - would they be legal then?
Joshua Sharfstein: It would depend for what purpose, this is Josh Sharfstein, but if they were interested in having them marketed as a smoking cessation device they could submit an application that demonstrates that it’s safe and effective for that use.
(Matt Perrone): I see. To your knowledge have any - have any done that?
Joshua Sharfstein: Not to my knowledge.
Judy Leon: Thank you (Matt). Operator we’ll take the next call.
Coordinator: Thank you. (Harlan Spector) your line is open and state your media outlet please.
(Harlan Spector): Hi (Harlan Spector) from the Cleveland Plain Dealer. Can you tell me just in layman’s terms in terms of the impurities you mentioned, the carcinogens, can you explain that? I’m not sure what the chemical - the chemicals you mentioned not exactly sure what they mean?
Joshua Sharfstein: Sure I may as that Dr. Samet in Los Angeles to maybe provide some context on that.
Jonathan Samet: So I’ll - I’ll mention first that the one group of compounds were the tobacco specific nitrosoamines which are quite closely linked in smokers to lung cancer and they were found in detectible - they were detected. And then a number of chemical impurities related to nicotine were detected and then in one sample there the diethylene glycol the presence of diethylene glycol was detected and this is a toxic of material somewhat akin to what is the ethylene glycols in antifreeze.
So I think the - perhaps the major point is that as was pointed out there’s variation in the amount of material in these cartridges, the manufacturing processes themselves apparently we don’t know much about. And the bottom line is that people are inhaling amounts of nicotine that don’t seem to be
necessarily tightly controlled based on the testing and there are chemical impurities that are known to have health risks in what is inhaled.
Judy Leon: Okay thank you very much. Operator we’ll take the next question.
Coordinator: Thank you. (Val Willingham) your line is open and state your media outlet please.
(Val Willingham): Yeah, (Val Willingham) from CNN I’m sorry this question may have been asked before but I’m going to ask it again. If a parent finds that their child is using this, any suggestions?
Joshua Sharfstein: I think that’s a good question for Dr. Winickoff of the American Academy of Pediatrics in Boston.
Jonathan Winickoff: Thanks for the question. I think it’s very important that parents be extremely clear with their children that these are not safe products. And that they recommend and perhaps put a rule in place that the child is not to use this product.
(Val Willingham): Thank you.
Joshua Sharfstein: Let me just see if Dr. McKenna from CDC would like to comment on the public health recommendations on these products.
Matthew McKenna: Yeah, you know, the other sort of message I would append to Dr. Winickoff’s statement is that the - any parent that finds out their child is using this should also investigate whether or not they may be using tobacco products more generally. And there is evidence that adolescents and kids who are using these and becoming addicted to them can benefit from professional counseling
services from clinical providers as well as other sort of counseling assistance. And too, if the parent finds this out seek out that sort of professional service.
Those sorts of resources can be found on hotline numbers like the 1-800-QUITNOW number that’s available and people can contact anywhere in the United States.
Judy Leon: Okay and (Val) did you have a follow up?
Joshua Sharfstein: And let me also just say, this is Dr. Sharfstein, that parents of children who aren’t necessarily using these at home may want to talk to their kids about the potential danger. Because of the way these are marketed it may give kids a sense that it’s easy to try and there are different flavors to try and parents whose children are not addicted to nicotine may want to make it be aware that this could potentially affect their when it (unintelligible) it turn into a nicotine problem for the child.
(Val Willingham): No I have no other follow up. Thank you.
Judy Leon: Our next ques- thank you. Operator we will take the next question.
Coordinator: Thank you. (Alicia Ault) your line is open and state your media outlet please.
(Alicia Ault): Yes, (Alicia Ault) with Internal Medicine News. I’m wondering if anybody could give me a sense of how these products are actually being marketed. Are they being marketed specifically to adults for smoking cessation or as a smoke free alternative to cigarettes?
Joshua Sharfstein: I’m going to ask Michael Levy to talk about the ones we’ve looked at at FDA.
Michael Levy: The ones we’ve looked at have been marketed in pretty much anyway you can imagine both as a smoking cessation product and as an alternative when you cannot smoke, in other words for a smoke free environment.
Joshua Sharfstein: And Dr. Winickoff is there anything you want to mention about?
Jonathan Winickoff: Yeah I would say they’re also being marketed as an entry level product. In other words for people who or for children and young adults who are nicotine naïve this could and is being marketed as an entry level product to try nicotine. It’s pretty clear with the use of fruit and candy flavored product even going so far as chocolate chip cookie flavored product what these are being marketed for.
Judy Leon: Okay thank you. Operator, we have time for one more question.
Coordinator: Okay thank you. (Dan DeNoon) your line is open and state your media outlet please.
(Dan DeNoon): Thanks this is (Dan DeNoon) with WebMD. I’m just not clear whether anything has changed at FDA. So you’ve already been intercepting these and banning them - banning entry of these products. Now you have two products that are clearly appear to be illegal. Will - is anything going to change? Will there be any action at all that’s different from what we had yesterday since you’ve made these announcements? Thank you.
Joshua Sharfstein: This is Dr. Sharfstein. I think the first thing is we hope because of having media calls like this that people can understand why we’re so concerned about these products. And we hope that does change things and second we do want people to know that we are concerned and we are going to be considering all(talkful) and enforcement options for these products because of our public health concerns about them.
(Dan DeNoon): So will there be any action against these two specific brands that have been tested now?
Michael Levy: Can’t comment on that today.
Judy Leon: Okay. Thank you very much. Ladies and gentlemen, this concludes today’s media teleconference. I’d like to thank all of you for joining us and a special thank you to all of our speakers today. A replay will be available in one hour and will be available to you for the next seven days. If you have follow up questions please don’t hesitate to call FDA’s Office of Public Affairs at 301-796-4540 and please be advised I will repeat that we have posted the lab reports and others materials pertaining to today’s teleconference on our Web site www.fda.gov. Thank you very much and have a great evening.
END
In a 32 page ruling released today for the Smoking Everywhere vs FDA lawsuit, US Federal Judge Richard Leon has said the FDA has no jurisdiction over electronic cigarettes, at least in so far as regulating them as drug delivery devices. The FDA's efforts to regulate ecigarettes as a drug has taken a severe blow and ecig makers, sellers and users around the globe are rejoicing.
In his ruling Judge Leon had scathing words for the FDA:
This case appears to be yet another example of FDA's aggressive efforts to regulate recreational tobacco products as drugs or devices, Unfortunately it's tenacious drive to maximize its regulatory power has resulted in its advocacy of an interpretation of the relevant law that I find, at first blush, to be unreasonable and unacceptable."
Ray Story, CEO of Smoking Everywhere said ""big big big victory for us." and ecigarette forums around the Internet lit up tonight with rejoicing and celebration at the good news.
What effect with this ruling have as the electronic cigarette industry faces challenges from attorney generals from California and other states as well as stiff opposition from anti smoking groups has yet to be seen.
For now however, it seems the FDA is out of luck calling electronic cigarettes a drug delivery system and any legal battles claiming ecigs should be banned because they are not FDA approved drugs are severely compromised. For now.
This is not the final ruling, only the preliminary injunction, but it is good news for vapers everywhere and the FDA has it's work cut out for it to prove ecigs are a drug system at trial.
More news to come as it flows in!
Full Text of Judge Leon's Ruling in Smoking Everywhere vs FDA Lawsuit