Minor Use Minor Species Update - Federation of Animal Science ...
Minor Use Minor Species Update - Federation of Animal Science ...
Minor Use Minor Species Update - Federation of Animal Science ...
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MINOR SPECIES UPDATE<br />
<strong>Federation</strong> <strong>of</strong><br />
<strong>Animal</strong> <strong>Science</strong> Societies<br />
Washington, D.C.<br />
April 28, 2008<br />
Meg Oeller, DVM<br />
Office <strong>of</strong> <strong>Minor</strong> <strong>Use</strong> & <strong>Minor</strong> <strong>Species</strong><br />
1
TODAY’S S TOPICS<br />
Background<br />
<strong>Minor</strong> <strong>Use</strong> <strong>Minor</strong> <strong>Species</strong> (MUMS)<br />
Policies & Programs<br />
Office <strong>of</strong> <strong>Minor</strong> <strong>Use</strong> & <strong>Minor</strong> <strong>Species</strong><br />
<strong>Animal</strong> Drug Development<br />
(OMUMSADD)<br />
Small Numbers<br />
NRSP-7 7 Program <strong>Update</strong><br />
2
BACKGROUND<br />
3
Drug Approval<br />
is Expensive<br />
4
The Problem<br />
<strong>Minor</strong> uses and minor species<br />
markets are too small to be<br />
economically worthwhile for<br />
pharmaceutical sponsors to<br />
seek FDA approval for drugs<br />
for these markets.<br />
5
Definitions<br />
6
What’s s <strong>Minor</strong><br />
<strong>Minor</strong> <strong>Species</strong><br />
– ALL animals<br />
other than<br />
humans that<br />
aren’t major<br />
species<br />
7
Major <strong>Species</strong><br />
Cattle<br />
Swine<br />
Chickens<br />
Turkeys<br />
Dogs<br />
Cats<br />
Horses<br />
8
<strong>Minor</strong> <strong>Use</strong> in a Major <strong>Species</strong><br />
The intended use <strong>of</strong> a<br />
drug in a major<br />
species for an<br />
indication that occurs<br />
infrequently and in<br />
only a small number <strong>of</strong><br />
animals, , or in limited<br />
geographic areas and<br />
in only a small number<br />
<strong>of</strong> animals annually<br />
9
MINOR USE & MINOR SPECIES<br />
POLICIES & PROGRAMS<br />
10
How Are Drugs Available for<br />
<strong>Minor</strong> <strong>Use</strong>s & <strong>Minor</strong> <strong>Species</strong><br />
Approvals – Not many <strong>of</strong> these<br />
Extra-label <strong>Use</strong> – Not for medicated<br />
feeds (Regulations 21 CFR 530)<br />
Compliance Policy Guide 615.115 for<br />
extra-label use <strong>of</strong> medicated feeds for<br />
minor species<br />
Provisions <strong>of</strong> the <strong>Minor</strong> <strong>Use</strong> & <strong>Minor</strong><br />
<strong>Species</strong> <strong>Animal</strong> Health Act <strong>of</strong> 2004<br />
11
Provisions <strong>of</strong> the MUMS Act<br />
Definitions<br />
Exclusivity for<br />
residue studies<br />
Conditional Approval<br />
Indexing<br />
Designation<br />
Established Office<br />
<strong>of</strong> MUMS <strong>Animal</strong><br />
Drug Development<br />
12
Conditional Approval<br />
13
Conditional Approval<br />
Allows early marketing to get some return<br />
on investment for sponsors<br />
Drug must meet all approval requirements<br />
to current standard except for<br />
effectiveness at time <strong>of</strong> Conditional Approval<br />
Sponsor has up to 5 years (annual renewals)<br />
to complete effectiveness section to the full<br />
standard to receive a complete approval<br />
In effect now – Proposed rule in development<br />
14
Indexing<br />
15
Why<br />
These are the products that cannot<br />
practically use the drug approval<br />
process – too varied, too inherently<br />
valuable, too rare, etc.<br />
For example: zoo animals, lab<br />
animals, pet birds, ornamental fish,<br />
and pocket pets<br />
16
Indexing Summary<br />
Legally-Marketed Unapproved <strong>Animal</strong> Drug<br />
Index (the Index)<br />
Applies to non-food (or early life stages)<br />
minor species only – no transgenics<br />
3-step process - eligibility<br />
- acceptance <strong>of</strong> expert panel<br />
- request for indexing<br />
Inclusion on Index based on report <strong>of</strong> an<br />
outside expert panel (FDA must agree)<br />
Problems can result in removal from Index<br />
17
Indexing Status<br />
Proposed rule published August 22, 2006<br />
Comments received from 6 organizations<br />
Final Rule published December 6, 2007<br />
Went into effect February 19, 2008<br />
Process is fully described in the rule<br />
http://www.fda.gov/OHRMS/DOCKETS/<br />
98fr/E7-23580.pdf<br />
Hired Dr. Joan Gotthardt to head up the<br />
program (Hooray!)<br />
18
Designation<br />
19
Designation<br />
Like human “Orphan Drugs”<br />
Incentives - eligibility for grants<br />
- 7 years marketing exclusivity<br />
Sponsors may request designation for a<br />
specific drug/dosage form/intended use<br />
Once a designation is granted, no other<br />
identical designation may be granted<br />
Sponsor must provide annual reports to<br />
show progress toward approval<br />
20
Designation Status<br />
Final rule published 7/26/2007<br />
- Went into effect 10/9/2007<br />
So far, have granted 53 designations<br />
* 46 for aquaculture uses<br />
* 4 for small ruminants<br />
* 2 for minor use in dogs<br />
* 1 for minor use in horses<br />
http://www.fda.gov/cvm/MUMSDrugDesg.htm<br />
21
SMALL NUMBERS<br />
Remember, <strong>Minor</strong> <strong>Use</strong><br />
status depends on<br />
the disease or<br />
condition<br />
affecting only a<br />
“small number”<br />
<strong>of</strong> animals annually<br />
22
So, What is a Small Number<br />
Based on Human Orphan Drug<br />
Model (conditions affecting fewer<br />
than 200,000 people annually)<br />
7 major species => 7 different<br />
“small numbers”<br />
Different approaches used to<br />
determine these numbers for<br />
companion and food-producing<br />
animals<br />
23
Where Can You See them<br />
Just published a Proposed Rule to<br />
suggest these numbers ( Federal<br />
Register - March 18, 2008)<br />
http://a257.g.akamaitech.net/7/257/<br />
2422/01jan20081800/edocket.access.<br />
gpo.gov/2008/pdf/E8-5385.pdf<br />
We would appreciate your<br />
comments<br />
24
These are the small numbers<br />
PROPOSED<br />
50,000 Horses<br />
70,000 Dogs<br />
120,000 Cats<br />
310,000 Cattle<br />
1,450,000 Pigs<br />
14,000,000 Turkeys<br />
72,000,000 Chickens<br />
25
OFFICE OF MINOR USE &<br />
MINOR SPECIES ANIMAL<br />
DRUG DEVELOPMENT<br />
(OMUMSADD)<br />
26
What’s s up in OMUMSADD<br />
Problem solving…<br />
27
Responsibilities <strong>of</strong> OMUMS<br />
Drafting <strong>of</strong> implementing regulations<br />
& Guidance Documents<br />
Designation <strong>of</strong> MUMS drugs<br />
Administration <strong>of</strong> grants<br />
(in the planning stages now)<br />
Indexing<br />
<strong>Minor</strong> <strong>Use</strong> determinations (<strong>Use</strong>r fees)<br />
Liaison to NRSP-7 7 (USDA)<br />
Liaison to minor use / minor species<br />
stakeholders<br />
28
Current Staffing<br />
o<br />
o<br />
o<br />
o<br />
Bernadette Dunham<br />
now Center Director<br />
Meg Oeller Acting<br />
OMUMS Director<br />
Joan Gotthardt<br />
Director <strong>of</strong> Indexing<br />
Andrew Beaulieu –<br />
contractor & guru<br />
29
Staffing Plan for OMUMSADD<br />
Office Director<br />
Contractor<br />
(½ time)<br />
Director<br />
<strong>of</strong><br />
Indexing<br />
Veterinary<br />
Medical Officer<br />
for NRSP-7<br />
Veterinary<br />
Medical Officer<br />
for Indexing<br />
Consumer Safety<br />
Officer<br />
30
NRSP-7 7 UPDATE<br />
31
NRSP-7<br />
National Research Support Project #7<br />
USDA program to facilitate<br />
approvals for minor species for<br />
animals <strong>of</strong> agricultural importance<br />
Generates public data for use<br />
by commercial sponsors<br />
Contact information on website<br />
32
NRSP-7 7 News<br />
Albendazole approved for<br />
Liver flukes in goats!!!!<br />
Significant progress on<br />
other projects<br />
33
Current NRSP-7 7 Stats<br />
27 Approvals<br />
4 Complete PMFs available<br />
14 Active projects in progress<br />
Active projects for rabbits,<br />
goats, various fish, bees,<br />
sheep, quail, pheasants, and<br />
partridges<br />
34
Current NRSP-7 7 Sheep Projects<br />
Public Master File:<br />
– Amoxicillin/bacterial<br />
infections<br />
Projects in progress:<br />
– Intravaginal progesterone<br />
(CIDR)/induction <strong>of</strong> estrus<br />
– Florfenicol/respiratory<br />
infections (on hold)<br />
35
Current NRSP-7 7 Goat Projects<br />
Public Master Files:<br />
– Ivermectin/GI parasites<br />
– Levamisole/GI parasites<br />
– Clorsulon/flukes<br />
Projects in progress:<br />
– Intravaginal progesterone (CIDR)<br />
– Tulathromycin/respiratory infection<br />
36
Current NRSP-7 7 Fish Projects<br />
Erythromycin/BKD/<br />
salmonids<br />
Carp Pituitary/spawning/<br />
finfish<br />
Oxytetracycline/vibriosis/<br />
finfish<br />
Strontium chloride/marking/<br />
finfish<br />
Sulfa/ormetoprim/finfish<br />
Florfenicol/infections/<br />
finfish<br />
37
Current NRSP-7 7 Gamebird<br />
Projects<br />
In Progress:<br />
– Fenbendazole –<br />
pheasants/partridges/quail<br />
– Lasalocid - pheasants<br />
38
Current NRSP-7 7 Misc Projects<br />
Honey bees:<br />
– Lincomycin/American<br />
foulbrood<br />
Rabbits:<br />
– Ivermectin/ear mites<br />
39
Projects just getting started<br />
Lasalocid for coccidiosis in deer<br />
Fenbendazole for GI parasites in deer<br />
GnRHa/Domperidone as a spawning<br />
aid for ornamental fish<br />
Metomidate for sedation <strong>of</strong> ornamental<br />
fish<br />
40
For further information…<br />
NRSP-7 – http://www.nrsp7.org<br />
FDA/CVM <strong>Minor</strong> <strong>Use</strong> & <strong>Minor</strong> <strong>Species</strong> info:<br />
http://www.fda.gov/cvm/index/mums/<br />
minortoc.htm<br />
or call me at (240) 276-9005<br />
or email me: margaret.oeller@fda.hhs.gov<br />
or Dr. Gotthardt: joan.gotthardt@fda.hhs.gov<br />
or Dr. Beaulieu: andrew.beaulieu@fda.hhs.gov<br />
41
Any Questions<br />
THANK YOU!<br />
42