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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

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