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Comments of the Biotechnology Industry Organization
Re: Availability for Public Disclosure and Submission to FDA
for Public Disclosure of Certain Data and Information Related to
Human Gene Therapy or Xenotransplantation.
April 18, 2001
TABLE OF CONTENTS
I. INTRODUCTION
II.EXECUTIVE SUMMARY
III.BACKGROUND
-
Gene Therapy
-
Xenotransplantation
-
FDA Regulatory Framework
IV. FDA’S PROPOSAL
-
The Elements of FDA’s Proposal
-
FDA’s Legal Bases for the Proposed Rule
1. The information required to be disclosed is no longer confidential
commercial information under FOIA
2.Even if the information required to be disclosed is confidential, FDA
has the legal authority to authorize its release to the public
V.RESPONSE TO FDA’S PROPOSAL
-
Contrary to FDA assertions, the information that would be disclosed
under FDA’s Proposal may be confidential
-
The fact that there has been previous public dialogue does not justify
the Proposed Rule
-
The release of limited information by companies does not establish
that such information may no longer be confidential
-
The Proposed Rule would require public disclosure of IND information
far beyond what is disclosed under Federal Securities laws and what
is routinely contained in other company related materials
-
FDA’s Proposal represents a dramatic reversal of its decades old
policy of maintaining the confidentiality of information associated
with investigational products
-
It would be arbitrary and capricious agency action for FDA to release
this IND information pursuant to FOIA based on the erroneous factual
claim that this information has been publicly disclosed and is no longer
confidential
-
Under FOIA, commercial information is confidential, and protected
from disclosure by FOIA Exemption 4, if disclosure would "cause
ubstantial harm to the competitive position of the person from whom
the information was obtained."
-
The comments from BIO’s members demonstrate the substantial competitive
harm that public disclosure of this confidential commercial information
would cause
-
Release of most IND information by FDA can only be done on a case-by-case
basis after an agency finding that release would not cause competitive
harm
-
Given the risk of competitive harm, it would be arbitrary and capricious
for FDA to release this IND information
-
FDA lacks the authority to require the release of confidential information
submitted under an IND.
-
FDA has no discretion to authorize the release of trade secret material
-
When Congress intends to require the release of confidential information,
it provides specific exceptions for doing so in the FD&C Act
-
FDA has not been delegated the authority to issue the Proposed Rule
a.Section 505(i) does not authorize the disclosure of confidential
information
b.Sections 701(a) and 903(b) do not authorize the disclosure of confidential
information
c.FDA cannot support the proposed rule under section 361 of the Public
Health Service Act
-
The Proposed Rule fails to take into account, and is inconsistent
with, Executive Order 12,600
-
Public disclosure of IND information would violate the takings clause
of the United States Constitution
-
BIO opposes expansion of the Proposed Rule
1.Expansion to cover other products is unjustified as a matter of fact
and law
2.Application of the Proposed Rule to a BLA is unjustified as a matter
of fact and law
-
Enforcement of FDA’s Proposal through the clinical hold mechanism is
wholly inappropriate as a matter of law and policy
VI. POLICY OBJECTIONS TO FDA’S PROPOSAL
-
FDA's Proposal lacks a reasoned analysis and a rational connection
to the problem identified
-
The Proposed Rule could have a negative impact on the kind of information
presented to FDA and in the manner that it is presented
-
The Proposed Rule is likely to increase volatility of stocks and hinder
ability of research companies to raise money in capital markets
-
The cost to industry has not been adequately evaluated
-
The ability of FDA to enforce the Proposed Rule fairly is highly suspect
VII.CONCLUSION
The Biotechnology Industry Organization (BIO) is pleased to submit comments
to the Food and Drug Administration (FDA) on the proposed rule "Availability
for Public Disclosure and Submission to FDA for Public Disclosure of Certain
Data and Information Related to Human Gene Therapy or Xenotransplantation."
66 Fed. Reg. 4688 (January 18, 2001) (the Proposed Rule or FDA’s Proposal)./
I.INTRODUCTION
BIO is the largest trade organization to serve and represent the biotechnology
industry in the United States (U.S.) and around the globe. BIO represents
more than 950 biotechnology companies and academic institutions engaged in
biotechnology research, which includes research and development of health
care, agricultural and environmental biotechnology products, as well as industrial
biotechnology applications. The amount of money invested in the U.S. biotechnology
industry exceeds 97 billion, much of which is focused on smaller companies./
Companies willing to undertake the time and expense associated with the development
of gene therapy and xenotransplantation products represent a minority of the
biotechnology industry. Of the 546 BIO members that are classified as biotechnology
companies, approximately 10% are involved in gene therapy research and approximately
13% in xenotransplantation research. Of these companies, most operate solely
at the research and development level with regard to gene therapy and xenotransplantation
products. The first biologics license application (BLA) for a gene therapy
product may soon be submitted to FDA. Researchers continue to explore different
indications, routes of administration, sources of therapeutic materials, dosing
regimes, patient populations, combination therapies, and novel vectors.
Biotechnology companies in pursuit of commercially viable gene therapy and
xenotransplantation products do so at enormous entrepreneurial risk. They
rely on the promise of future revenues to support the heavy investment required
for the research, development, and clinical investigation. Smaller companies,
especially, must rely on private venture capital and are particularly sensitive
to any event that may undercut their efforts in what is a highly competitive
field both scientifically and financially.
II. EXECUTIVE SUMMARY
Under the Proposed Rule, FDA would now require public disclosure of what
both industry and FDA considered for 60 years to be confidential commercial
or trade secret information in a gene therapy or xenotransplantation Investigational
New Drug exemption application (IND), including any amendment and annual report
thereto. Current FDA regulations and the United States Code prohibit the release
of such information. Under the Proposed Rule, however, such information would
be made available to the public, at virtually the same time it is submitted
to the agency. While FDA’s Proposal identifies several limited exceptions
to the release of information, by the agency’s own estimation "the vast
majority" of information in an IND would be publicly disclosable.
The notion that FDA should release investigational information in this manner
fundamentally reverses long-standing FDA policy; no other therapeutic products
under FDA’s jurisdiction are subject to such disclosure requirements during
their development. To the contrary, for at least the past 60 years, FDA, the
Department of Justice, and the federal courts have treated the information
submitted as part of an IND as confidential commercial and trade secret information,
unless specifically made public by the manufacturer of the product. FDA has
stated that its change in policy with regard to the release of this information
for gene therapy and xenotransplantation products is necessary because these
products pose unique public health issues requiring public education and input.
FDA’s Proposal is fatally defective as a matter of fact, law and public health
policy. Among the factual, legal and policy reasons supporting BIO’s view,
are the following:
- FDA’s assertion that the information they wish to make public is
"no longer confidential" is incorrect. FDA has made overbroad
generalizations as to what information currently is made public by
companies developing these products. Much of the information identified
by FDA as no longer confidential is not in the public domain
and continues to meet the judicially-imposed definition of confidential
commercial and trade secret information. The release of such information
is protected against disclosure under Exemption 4 of FOIA, where disclosure
would result in substantial competitive harm. FDA has not established
a factual basis for reversing at least 60 years of FDA, Department
of Justice, and judicial decisions regarding the confidential nature
of such information.
- Gene therapy and xenotransplantation companies have willingly cooperated
with FDA, HHS and NIH to provide the information and scientific expertise
necessary to allow public dialogue on an array of public health issues.
BIO anticipates that such cooperation will continue in the future,
even without the mandatory disclosure of information required under
the Proposed Rule. Historical cooperation by industry should not now
be used by the government to conclude that most IND-specific information
is no longer confidential.
- To the extent specific safety concerns about an investigational
product arise, FDA has a long and substantial record of utilizing
its regulatory authority to prevent or stop such clinical investigations
until the safety issues are resolved. Thus, the Proposed Rule will
not substantially further FDA’s claimed goal of improving patient
safety.
- As the companies and the product categories mature, the consequences
to the industry of releasing confidential and trade secret information
will become more significant. Retaining the confidential nature of
such information will become increasingly important because improper
disclosure will certainly cause substantial competitive harm. FDA
is unjustified in treating the investigational information for gene
therapy and xenotransplantation products differently than it does
such information from the rest of the pharmaceutical and biotechnology
industry.
- Companies have the right to have any proposed release of their confidential
commercial information evaluated on a case-by-case basis. The fact
that some data has historically been released by individual companies
is not dispositive, nor should companies be penalized in the future
for such cooperation.
- Disclosure of IND information in the categorical fashion mandated
by FDA’s Proposal violates the notice requirements of Executive Order
12,600. FDA’s Proposal re-defines certain information as no longer
confidential. By doing so, FDA seeks to deny companies of the right
to contest in court, pursuant to FOIA and the Administrative Procedure
Act, FDA’s decision to release specific information that a company
has kept confidential and whose release would cause substantial competitive
harm.
- FDA’s Proposal requires the public release of information that consists
of manufacturing methods or processes. Such information constitutes
trade secret information and it would be a criminal violation of section
301(j) of the Federal Food, Drug, and Cosmetic Act to release such
information. FDA has no discretion to authorize the release of such
information.
- Public disclosure by FDA of the information identified in the Proposed
Rule violates the Trade Secrets Act, which makes it a criminal offense
for an FDA employee to release trade secret or confidential commercial
information unless "authorized by law." The Proposed Rule
and the statutory provisions cited by FDA as the basis for the regulation
do not provide the necessary legal authority to support release of
the information under that provision.
- FDA’s explanation of why it has decided to adopt a blanket disclosure
rule at this time, for this class of products, is inadequate as a
matter of law. FDA has failed to establish a necessary link between
the specific risks it is seeking to address (e.g., the risk
of communicable disease) and the proposed solution. Moreover, FDA
fails to show that it considered other alternatives—including less
disruptive and more narrowly focused solutions.
- Public disclosure by FDA of the information identified in the Proposed
Rule violates the Takings Clause of the Fifth Amendment to the Constitution
of the United States.
- Section 505(i) of the Food, Drug and Cosmetic Act does not provide
the legal basis to place a manufacturer’s IND on clinical hold if
the manufacturer does not comply with FDA’s Proposal.
- If the "vast majority" of data in an IND is made available
to the public on an immediate basis, it will have a material impact
on capital development; it will seriously disrupt a company’s disclosure
obligations under SEC requirements; it will put competitor companies
on an almost equal footing with the company developing the product,
thereby disrupting the normal product development process; it will
provide potentially misleading information to the public, patients,
and consumers; and, it will place an enormous administrative and economic
burden on both the company and FDA.
BIO and its member companies appreciate the value of maintaining a public
dialogue on the health and safety issues that will arise as the development
of gene therapy and xenotransplantation products proceed. BIO believes, however,
that the public health will best be served by ensuring that information that
forms the basis of that dialogue is relevant, accurate, and timely. Thus,
in filing these comments BIO does not intend to suggest any decrease in industry’s
strong commitment to working with FDA to ensure that the interests of patient
safety and public health remain paramount. Nor is industry any less willing,
under appropriate circumstances, to cooperate with FDA in the voluntary release
of investigational product information. Rather, BIO objects to the mandatory
disclosure of valuable confidential commercial and trade secret information
that would become standard practice under the Proposed Rule and would subject
companies to significant competitive disadvantage, in many cases without any
corresponding benefit to the public health or safety.
III.BACKGROUND
A.Gene Therapy
Gene therapy is a promising technology that uses genes themselves as therapeutic
agents to treat hereditary genetic disorders. FDA defines human gene
therapy as "the administration of genetic material to modify or manipulate
the expression of a gene product or to alter the biological properties of
living cells for therapeutic use." In gene therapy, a faulty or missing
gene can be replaced to offset a genetic cause of a disease. Sometimes in
gene therapy, cells are removed from a patient, altered to counter the genetic
cause of the disease, and put back into the body. Sometimes new cells are
introduced to produce needed cell-growth factor or perform a beneficial cellular
function.
Recent reports indicate that the hope for gene therapy is well placed. For
example, several gene therapy products for the treatment of cancer have demonstrated
safety, and have begun to demonstrate efficacy in clinical trials./ In addition,
researchers in France recently reported that infants suffering from Severe
Combined Immunodeficiency Disease (SCID) have had their immune systems restored
by gene therapy./ And last year, American researchers described preliminary
data that could lead to a gene-based cure for the debilitating blood disease,
hemophilia./
Historically, individual gene therapy companies have cooperated with the
NIH and provided certain limited information to the RAC. A limited review
of industry submissions to NIH shows that companies provide gene therapy protocols;
informed consent documents; and brief summaries of safety, efficacy and manufacturing
information in response to the questions contained in the existing NIH Guidelines.
In addition, the companies provide safety reports and annual reports as well.
Not all gene therapy protocols and related information, however, are provided
to the RAC. Clinical trials may proceed—and, in fact, are proceeding—without
NIH funding and at medical institutions that do not receive NIH support. There
are also foreign studies currently underway. None of these types of clinical
trials fall under NIH jurisdiction and therefore information on them is not
necessarily disclosed to NIH. In short, some companies have the option of
protecting all of their confidential commercial and trade secret information
by proceeding outside the scope of NIH. FDA’s Proposal, however, seeks to
require disclosure even for those who have taken specific steps to protect
their information.
B.Xenotransplantation
FDA defines xenotransplantation as ". . . any procedure that
involves the transplantation, implantation, or infusion to a human recipient
of either (a) live cells, tissues, or organs from a non-human animal source,
or (b) human body fluids, cells, tissues or organs that have had ex vivo contact
with live non-human animal cells, tissues or organs."/ Organ transplantation
has been found to be an especially effective, cost-efficient treatment for
severe, life-threatening heart, kidney, lung and other diseases. In some cases,
it is the only effective treatment. Unfortunately, however, the waiting list
for patients in the U.S. for organ transplants grows at a rate of over 20
percent per year. Each year, less than one-third of the people listed receive
solid organ transplants, so that approximately 10 people die each day waiting
for organs to become available.
The most significant obstacle to xenotransplantation is the human body’s
immune system. When tissue not recognized as human is introduced into the
body, hyperacute rejection occurs the body cuts off the flow of blood to the
donated organ. The most promising method for overcoming hyperacute rejection
is believed to be genetic modification. By inserting human genetic material
into pigs or other donor animals, it is believed that the human body will
recognize the new organ as human and begin to use it as its own. Several biotechnology
companies are working to overcome hyperacute rejection and other obstacles
to xenotransplantation.
Unlike gene therapy, where individual companies have been providing a limited
amount of information to the RAC for over a decade, there has been no such
process for the public submission of information to the government by xenotransplantation
companies. Rather, at various public meetings, individuals companies have
made public presentations on various aspects of their product development
activities. These presentations have been made at the request of public officials,
with only certain companies voluntarily agreeing to participate.
C.FDA Regulatory Framework
Primary responsibility for the regulation of new medical products, including
their clinical testing, rests with the Food and Drug Administration. FDA derives
this authority from two statutes: the Federal Food, Drug, and Cosmetic Act
(FD&C Act),/ which provides a basic framework for regulation of drugs
and devices, and the Biologics Act of 1902,/ now codified as part of the Public
Health Service Act,/ which gives federal officials authority over "biological
products" including "any virus, therapeutic serum, toxin, antitoxin,
vaccine, blood, blood component or derivative, allergenic product, or analogous
product."/
Gene therapy products (for instance, viral vectors containing genetic material
to be transferred) and xenotransplantation products fall within the definition
of biological products and are subject to the licensing provisions of the
Public Health Service Act (as well as to some of the provisions such as the
"investigational new drug" provisions of the FD&C Act). Thus,
FDA is the federal agency charged by statute with regulating new products
derived from recombinant DNA technology. FDA has stated unambiguously that
"all gene therapy products are regulated by the FDA."/ More recently,
FDA has made it clear that xenotransplantation products are also subject to
FDA regulation under both the Public Health Service Act (42 U.S.C. § 262)
and the FD&C Act. FDA further stated that "In accordance with the
statutory provisions governing premarket development, xenotransplantation
products are subject to FDA review and approval. Investigators of such products
should obtain FDA review of preapproved xenotransplantation clinical trials
before proceeding."/ Generally speaking, this requires an applicant for
marketing approval to demonstrate, through carefully controlled clinical trials,
that the product is safe and effective, or in the case of a biologic, safe,
pure, and potent.
Any entity wishing to administer an investigational drug product (including
a biologic) to humans must submit an investigational new drug application
(IND) to FDA. FDA’s primary objective when reviewing an IND is to assure the
safety and the rights of research subjects./ When the investigation progresses
to phases 2 and 3, FDA also reviews the IND to assure that the quality of
the scientific evaluation is adequate to permit an evaluation of the product’s
effectiveness and safety./ To enable FDA to accomplish its objectives, sponsors
must provide specific categories of information for FDA’s review, prior to
initiating the IND studies.
The central focus of a sponsor’s initial IND submission should be on the
general investigational plan and on the clinical protocol./ The general investigational
plan provides a brief description of the overall plan for investigating the
product for the following year and should include the rationale for the drug
or the research study; the indication(s) being studied; the general approach
for evaluating the drug; an estimate of the number of patients that will receive
the experimental therapy; and any anticipated risks of particular severity
or seriousness./ The clinical protocol will vary with respect to the level
of detail depending on the phase of investigation. Regardless, clinical protocols
included in the IND should, at a minimum, contain a statement of the study’s
objectives and purpose; patient inclusion and exclusion criteria; an estimate
of the number of patients; a description of the study design including control
groups and methods for minimizing bias; method for determining the dose(s);
duration of individual patient exposure to the experimental therapy; the observations
and measurements being made to accomplish the objectives of the study; and
a description of clinical procedures, laboratory tests, or other measures
to be taken to monitor the effects of the drug and minimize risk./
Although the initial IND focuses on the general investigational plan and
the clinical protocol, FDA also requires the submission of information regarding
the chemistry and manufacturing of the product as well as data from animal
and previous human studies. The chemistry, manufacturing and control (CMC)
information must be submitted for both the active ingredient (drug substance)
and the final therapeutic product, in addition to a description of the product
labeling and an assessment of the potential environmental impact of manufacturing
the product./ The CMC information regarding the active ingredient must describe
its physical, chemical, or biological characteristics; state the name and
address of its manufacturer; provide the general method of its preparation;
include acceptable limits and analytical methods used to assure its identity,
strength, quality, and purity; and present data supporting its stability./
CMC information regarding the final therapeutic product must include a list
of all components used to manufacture it; describe its quantitative composition;
state the name and address of its manufacturer; provide a brief general description
of how it is manufactured and packaged; include acceptable limits and analytical
methods used to assure its identity, strength, quality, and purity; and include
information assuring its stability./
Data from previous animal and human studies must be adequate for the sponsor
to conclude that administering the experimental therapy to research subjects
will be reasonably safe. Such information must include sections describing
the pharmacological effects and mechanism(s) of action of the drug in animals;
information on the absorption, distribution, metabolism, and excretion of
the drug; and an integrated summary of the drug’s toxicological effects including
results of acute, subacute, chronic, and reproductive toxicity studies./ The
results of toxicology studies that support the safety of the proposed clinical
study should include full tabulations of data for a detailed review by FDA./
If the product has been studied previously in humans, including foreign investigations,
sponsors must provide detailed information about such studies that is relevant
to the product’s safety or its effectiveness for the proposed investigational
use(s)./
FDA also requires that the sponsor secure approval of the clinical trial
protocol by an Institutional Review Board (IRB)./ FDA regulations specify
the criteria with which proposed research is to be judged by the IRB. These
include: minimization of risk to the subjects, reasonable risks in relation
to anticipated benefits, equitable selection of subjects, assurance of informed
consent, adequate provisions for monitoring data, provisions for protecting
patient privacy, and assurances that decisions to participate in research
will not be coerced./
Safety Reports. During a clinical study of an investigational drug
conducted under an IND, the sponsor must notify FDA and all participating
investigators in a written safety report of: (1) any adverse experience associated
with the use of the drug / that is both serious / and unexpected, /
and (2) any finding from tests in laboratory animals that suggests a significant
risk for human subjects, including reports of mutagenicity, teratogenicity,
or carcinogenicity./ The safety report must be made no later than fifteen
calendar days after the sponsor’s initial receipt of the information/ unless
the event was fatal or life threatening, in which case a telephone or facsimile
report is required within seven calendar days./
Annual reports. IND sponsors must submit an annual report for each
IND. The report must include the status and progress of each ongoing study
governed by that IND, as well as a general summary of information obtained
during all associated clinical and nonclinical investigations in the preceding
year./ The annual report must include a narrative or tabular summary showing
the most frequent and most serious adverse experiences by body system; a summary
of all IND safety reports submitted during the previous year; a list of subjects
who died during participation in the investigation (and the cause of death);
a list of subjects who dropped out during the course of the investigation
in association with any adverse experience, whether or not thought to be related
to the product; and a summary of significant foreign marketing developments
such as withdrawal or suspension from marketing in any country./ FDA has not
articulated a reasoned basis for its decision to publicly disseminate much
of this information in order to protect patients enrolled in such studies,
or for that matter, to protect the general public. Nor has FDA considered
the negative consequences that such a disclaimer policy will have on these
emerging industries.
As evidenced by the above review of FDA’s regulatory requirements, the use
of investigational products is subject to substantial agency oversight. Clinical
trials involving gene therapy and xenotransplantation products are carefully
evaluated and monitored by FDA to assure the utmost safety relative to the
potential benefit offered by the therapeutic agent.
- FDA’s Proposal
- The Elements of FDA’s Proposal
FDA’s Proposal would require the public disclosure of the existence
as well as the substance of all INDs involving gene therapy and xenotransplantation
products. Such information, traditionally recognized by FDA as confidential
commercial and trade secret information for drugs and biologics, has never
previously been made public by FDA during the investigational stage of a
product’s development. The Proposed Rule specifies that companies would
be required to submit a redacted version of their IND information for use
by the agency when responding to FOIA requests. The FDA requires the submission
of a redacted version so as to assure a timely public release of the information.
By FDA’s own estimate the information that would be made public under the
Proposed Rule would include the "vast majority" of information
submitted in the initial IND, any amendments thereto, all annual reports,
and all serious adverse event reports. See 66 Fed. Reg. at 4693.
The rule also implicitly requires sponsors who opt not to publicly acknowledge
the existence of their IND to waive the right to keep their research confidential.
All other types of INDs and pending marketing applications are and always
have been kept strictly confidential by FDA. See 21 CFR §§ 312.130(a);
314.430(b) and (c).
FDA contends that this radical departure from the agency’s historical policy
is needed because ". . . these areas of clinical research
have the potential for unique public health risks and modification of the
human genome." Therefore the agency has tentatively concluded that
information heretofore not released prior to approval, should be released
so that there can be ". . . an opportunity for public education
on, and discussion and consideration of, public health and safety issues."
66 Fed. Reg. at 4688. The information FDA intends to disseminate consists
of the following:
Information for public disclosure. FDA will make available for public
disclosure the following types of data and information related to an IND
concerning human gene therapy or xenotransplantation. Names and other personal
identifiers of patients and, except as specifically provided in this section,
names and personal identifiers of any third party, such as physicians or
hospitals, will not be made available for public disclosure.
- Product and patient safety data and related information.
- results of animal and in vitro studies and tests that demonstrate
the safety and/or feasibility of the proposed procedures including:
- analysis of gene transfer
- analysis of expression
- analysis of persistence
- analysis of vector biodistribution
- evidence for immune response/anergy
- evidence for biological activity
- results of product safety testing including:
- testing for known xenogeneic and human infectious agents and replication
competent virus
- qualification of source herd
- qualification of individual source animal
- qualification of source organ/tissue/cells for xenotransplantation
in humans
- results of clinical studies and tests that demonstrate the safety
and/or feasibility of the proposed procedures including:
- analysis of gene transfer
- analysis of expression
- analysis of persistence
- analysis of vector biodistribution
- evidence for immune response/anergy
- evidence for biological activity
- information on monitoring or prevention of potential health risks
to the recipient, close contacts, and health care workers, such as:
- patient monitoring for replication competent retrovirus and viral
shedding
- measures taken to prevent transmission of infectious disease
- The name and address of the sponsor.
- The clinical indications to be studied.
- A protocol for each planned study, to include:
- scientific abstract and a nontechnical abstract
- statement of the objectives, purpose, and rationale of the study
- name and address of each investigator
- name and address of the official contacts of each local review body
as appropriate (Institutional Review Board, Institutional Biosafety
Committee) and the dated copies of each committee’s approval of the
study
- criteria for patient selection and exclusion
- estimate of the number of patients to be studied
- description of the treatment that will be administered to patients
- description of the clinical procedures, laboratory tests, or other
measures to be taken to monitor the safety and effects of the drug in
human subjects and to minimize risk
- Written informed consent form(s).
- Identification of the biological product(s) including:
- a description of product features that may affect patient safety
- vector name and type
- gene insert
- regulatory elements and their source
- intended target cells
- description of the delivery system
- A general description of the method of production including:
- source of cells, tissues, or organ(s)
- method used to prepare the vector containing cells
- method used to procure and prepare cells, tissues, or organs for xenotransplantation
- purity of cells
- adventitious agent testing
- ancillary products used during production
- herd colony and individual source animal health maintenance and surveillance
records
- biological specimens to be archived from source animals
- IND safety reports and other similar data and information.
- Information submitted in the annual report to include, as applicable:
- assessment of evidence of gene transfer
- assessment of evidence of gene expression in target cells
- assessment of evidence of biological activity
- assessment of evidence of immune response
- status of autopsy request and evidence of gene transfer and gonadal
distribution upon autopsy
- results from assessment for evidence of infection by agents associated
with the product
- adverse experiences, and
- a list of subjects who died during participation in the investigation,
with the cause of death for each subject
- The regulatory status of the IND:
- e.g., on hold, in effect, inactive, or withdrawn
- the dates of these actions, and
- the reasons for these actions
- Other relevant data and information that the Director, CBER, determines
are necessary for the appropriate consideration of the public health and
scientific issues, including relevant ethical issues, raised by human
gene therapy or xenotransplantation.
Suffice to say the routine disclosure of such a broad array of information
is unprecedented.
- FDA’s Legal Bases for the Proposed Rule
- The information required to be disclosed is no longer confidential commercial
information under FOIA.
The principal legal basis for the Proposed Rule is FDA’s assertion that
the types of information that companies would be required to disclose
is no longer considered confidential commercial information because
it is already routinely available in a number of public outlets. 66 Fed.
Reg. at 4693. As evidence of prior disclosure, FDA points to information
made available to the RAC at NIH; at FDA/NIH workshops on xenotransplantation;
in SEC filings; and through industry-sponsored websites and similar materials.
As described in detail below, however, when information currently in the
public domain is compared to the categories of information described in
FDA’s Proposal, it is clear that the Proposed Rule would encompass both
trade secret and confidential commercial information.
- Even if the information required to be disclosed is confidential, FDA
has the legal authority to authorize its release to the public.
Alternatively, FDA asserts that even if the information required to be
disclosed under the Proposed Rule is confidential, by issuing regulations
that mandate disclosure, the release of such information by FDA will be
"authorized by law" as provided under the Trade Secrets Act.
The Trade Secrets Act imposes criminal sanctions on government employees
who disclose, in any way that is "not authorized by law," trade
secret or other confidential information submitted to the government.
In its Proposed Rule, FDA concludes that agency regulations that specifically
provide for the disclosure of confidential information provide the requisite
legal authorization under the Trade Secrets Act.
For purposes of establishing its authority to amend its regulations,
FDA cites to section 505(i) of the FD&C Act (authority to issue regulations
imposing conditions on the investigation of new drugs); section 701(a)
of the FD&C Act (authority to issue regulations for the efficient
enforcement of the Act); section 903(b) (the agency’s "mission statement");
and section 361 of the Public Health Service Act (authority to issue regulations
necessary to prevent the introduction, transmission, or spread of communicable
diseases). As described below, however, FDA’s reliance on its regulatory
authority to override its duty to prevent unauthorized disclosure of confidential
information is severely misplaced.
- RESPONSE TO FDA’S PROPOSAL
- Contrary to FDA assertions, the information that would be disclosed
under FDA’s Proposal may be confidential.
FDA asserts that "the fact that these types of information
cannot be considered confidential is the principal basis for issuing this
proposed rule." 66 Fed. Reg. at 4693. BIO strongly disagrees with
FDA’s assertion. FDA has failed to establish that all of the IND information
it seeks to disclose is no longer confidential. Additionally, as a matter
of public health policy it is critical that this confidential commercial
information continue to be protected from disclosure.
- The fact that there has been previous public dialogue does not
justify the Proposed Rule.
Both the gene therapy industry through its NIH submissions and
the xenotransplantation industry, through its more limited participation
at government workshops, have disclosed to the public some information
that would normally be considered confidential commercial or trade
secret information. In these instances, however, public disclosure
has been made at the early stages of research and development
for these product categories. In contrast, the more mature pharmaceutical
and biotechnology sectors, and FDA, continue to hold as confidential
the identical information required to be disclosed by gene therapy
and xenotransplantation products under the Proposed Rule, because
of the well-recognized competitive harm that can result from such
disclosure. The need for these more mature industries to maintain
the confidentiality of their investigational information in the
future has not been questioned. There is no reason for the government
to take a different position with regard to information on gene
therapy or xenotransplantation products.
FDA asserts that there are unique public health risks associated
with gene therapy and xenotransplantation products that require
public education and discussion. Throughout the history of therapeutic
product development there have always been unique public health
issues facing FDA, for example, the original development of antibiotics
and the present day question of antibiotic resistance; the development
of highly toxic chemotherapeutic agents and radiation-emitting
products; and the concerns about viral contamination of cellular
products, including contamination with HIV and hepatitis. FDA
has ably addressed these issues, however, without requiring wholesale
disclosure of confidential commercial information related to the
products at issue.
Further, there remain serious public health risks attendant to
the clinical investigation of traditional pharmaceutical and biotechnology
products today. Patients in ongoing clinical trials suffer serious
adverse consequences or death (for instance, the deaths of several
patients in the early 1990’s in a clinical investigation of fialuridine),
yet FDA is not proposing a release of confidential commercial
or trade secret information for all such products. FDA, along
with HHS/NIH scientists and related Advisory Committees have learned
to effectively address the unique and controversial public health
issues of other therapeutic products without fundamentally altering
the product development process and without requiring the uniform
and automatic release of confidential commercial information.
There is nothing in the record that suggests the methods currently
employed by FDA to handle public health and safety concerns cannot
apply equally as well to the issues surrounding gene therapy and
xenotransplantation products. Moreover, companies engaged in gene
therapy and xenotansplantation product development have to date
been, and continue to be fully committed to promoting public dialogue
on specific health and safety concerns as the need arises. There
is no justification for imposing a blanket rule mandating disclosure
on the gene therapy and xenotransplantation industry, no evidence
that without such a rule FDA will not be able to protect the public
health, and no basis for the resultant competitive damage that
will be inflicted on developers of these products under the Proposed
Rule.
As a matter of public policy, it would appear that FDA is inappropriately
penalizing the industry’s public participation to date by asserting
that public-spirited conduct establishes that such information
now and in the future can no longer be considered confidential.
If FDA takes away the traditional expectation of confidentiality
for the product development process, it will have serious long-term
effects on the successful development of these life-saving therapies.
- The release of limited information by companies does not establish
that such information may no longer be confidential.
Gene therapy companies generally have cooperated with
NIH in providing a limited amount of information to NIH regarding
their clinical trials. That information, which is made public,
includes the protocol and informed consent as well as brief summaries
of safety, efficacy and manufacturing data in response to the
questions contained in Appendix M of the NIH Guidelines. FDA’s
Proposal could be interpreted to require substantially more information
that is considered confidential commercial information and even
trade secret information as defined in section 301(j) of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. § 331(j)). A brief review
of several categories of information in FDA’s Proposal illustrates
this concern.
The section of the proposed rule that sets forth the categories
of information to be disclosed is 21 CFR § 601.52(c). It contains
ten categories of information. See supra pages 16-19. The
first category is product and patient safety data and related
information. 21 CFR § 601.52(c)(1). This section identifies "results
of preclinical and clinical studies that demonstrate the safety
and/or feasibility of the proposed procedures." It then identifies
numerous specific types of information that may be disclosed but
also states that this category of publicly disclosable information
is "not limited" to the enumerated categories. Test
results for preclinical and clinical studies have long been considered
confidential commercial information by the biotechnology and pharmaceutical
industries.
Categories two, three, and four require sponsors to acknowledge
the existence of their investigational products, the indication(s)
they are pursuing, and the protocols that outline how they expect
to pursue each indication. Individual sponsors may, in the past,
have chosen to share such information through the NIH process
and other public outlets. It is, however, still material that
has long been considered confidential and protectable by the pharmaceutical
and biotechnology industries.
The sixth category of information to be disclosed deals with
the identification of the product and general descriptions of
the manufacturing methods. 21 CFR § 601.52(c)(6). The Proposed
Rule describes a number of specific categories of information
that must be disclosed including several that are trade secret
information such as "method used to prepare the vector containing
cells," "method used to procure and prepare cells,"
and "ancillary products used during production." The
eighth category of information includes information to be submitted
in an annual report. 21 CFR § 601.52(c)(8). This information would
include updates on the safety and efficacy of the product similar
to what is now submitted to FDA in an IND annual report. 21 CFR
§ 312.33. These summaries of safety and effectiveness are
carefully protected by the rest of the pharmaceutical industry
as confidential commercial information. (See also, footnote
36.) Lastly, the tenth category of information is anything that
FDA in the future determines should be disclosed to effectuate
the public consideration of these issues. 21 CFR § 601.52(c)(10).
FDA, of course, cannot arbitrarily add information to the list
of information to be disclosed that it has yet to identify as
doing so would not provide industry any notice or opportunity
to comment.
FDA has not established that the information provided to NIH
by gene therapy companies for public disclosure is consistent
with the broad and uncertain disclosure required under the Proposed
Rule. Nor can FDA find such support since, as discussed directly
above, the categories of information enumerated in the Proposed
Rule merely suggest examples of the information that will be available
for public release. For example, regarding the tenth category,
FDA arbitrarily states that it will include any future information
FDA needs.
BIO believes that there are substantial differences between what
companies are publicly disclosing to NIH and what FDA could require
to be disclosed in a properly redacted IND under the Proposed
Rule. Additionally, as noted previously, there are gene therapy
clinical trials that are not subject to NIH jurisdiction and for
which such information is not publicly available through NIH.
Moreover, given BIO’s comments to NIH (see supra note
1) objecting to disclosure of confidential information, it is
reasonable to assume that the amount of information publicly disclosed
at NIH may change in the future. Consequently, FDA should not
be relying on current disclosure policies in that forum for purposes
of justifying its own regulatory proposal regarding future disclosures
by FDA of IND information.
With regard to xenotransplantation, a limited number of companies
have participated in various public meetings sponsored by FDA
and/or HHS since approximately 1998. Companies have provided some
limited information on the safety of their products; their protocols
and their methods of manufacturing. Undoubtedly much of this information,
if not voluntarily disclosed by the company, would have been considered
trade secret and/or confidential commercial information and deserves
to retain that status in the future. It is critical to understand
that such information was provided voluntarily in the interest
of fostering the precise dialogue FDA now claims needs to occur.
It is also significant that most xenotransplantation companies
have not participated in these public meetings. Finally, there
is no continuing public release of such information to NIH or
other regulatory agency. Thus, there is simply no concrete factual
evidence in the record to establish that this information is no
longer deemed confidential by the industry.
The limited public disclosure of confidential commercial and
trade secret information in the past represents much less than
the amount of information that FDA is demanding for public release
over the lifetime of an IND. To require such far-ranging and damaging
public disclosure based on the existing factual record would be
arbitrary and capricious.
- The Proposed Rule would require public disclosure of IND information
far beyond what is disclosed under Federal Securities laws and
what is routinely contained in other company related materials.
FDA seeks to further justify the breadth of the Proposed Rule,
in part, by stating that "information related to the categories
of information FDA proposes to disclose is available through publicly
accessible filings to the Securities and Exchange Commission ("SEC")."
FDA misunderstands the scope and focus of SEC disclosure requirements.
In fact, the SEC disclosures are limited to particular material
information that would be relevant to the average investor. The
SEC does not require disclosure of the volume of technical and
proprietary records and information that would be disclosed under
the Proposed Rule. SEC requirements designed to insure that investors
have a general understanding of companies in which they invest
is far too fragile a string to bootstrap a vast new regulation
that would significantly change the gene therapy and xenotransplantation
industries.
The disclosure requirements for public companies are contained
in two statutes. The disclosure requirements for companies seeking
to register securities with the SEC are contained in the Securities
Act of 1933/ and SEC rules promulgated thereunder, while the periodic
and ongoing disclosure obligations of public companies are contained
in the Securities Exchange Act of 1934/ and SEC rules promulgated
thereunder. Both statutes require disclosure of certain material
information. Information is material if a reasonable investor
would consider the information important in making an investment
decision. /
Public companies are not required to disclose all material information.
Instead, companies are required to disclose information only as
mandated by line-item SEC disclosure rules, most of which are
contained in Regulation S-K./ The requirements of Regulation S-K
pursuant to which gene therapy and xenotransplantation companies
disclose their products, clinical trials, development pipelines
and other information about drug development and delivery are
Item 101, which requires the company to provide a description
of its business, products and each segment of its business, and
Item 303, which requires management to discuss and analyze the
company’s financial condition and results of operations. In addition,
Item 601 requires the company to file as exhibits certain enumerated
documents, including material contracts not made in the ordinary
course of business.
Even in a Form S-1 one of the most comprehensive SEC-mandated
disclosure documents gene therapy and xenotransplantation companies
disclose only very limited summaries of their products and pending
clinical trials. In a typical Form S-1, a company may include
a two or three page summary of the company’s business followed
by a more detailed description spanning ten to twenty pages. The
business section may have as little as one paragraph devoted to
each major product and any ongoing clinical trials related to
that product. The results of a phase of clinical trials, if made
public, ordinarily would be summarized in one or two sentences.
In addition, the company typically would include one or two risk
factors, each a paragraph or two in length, related to the uncertainties
of clinical trials and FDA approval. None of this investor-related
information is intended to convey technical information of the
type contained in an IND. In fact, the SEC’s "Plain English"
rules specifically prohibit companies from using "highly
technical business terminology."/
Gene therapy and xenotransplantation companies are required to
file as exhibits to their registration statements (and their reports
on Form 10-K and Form 10-Q) copies of their material agreements,
including license and marketing agreements. Companies typically
do not file documents related to clinical trials as exhibits to
SEC filings. In addition, companies are allowed to redact trade
secrets and commercial or financial information including confidential
pricing and design information, by requesting confidential treatment
of the information./
Lastly, FDA cites to a series of private and public websites
and generally asserts that they contain the information that they
now conclude is no longer confidential. As with the SEC discussion
above, the amount and depth of information contained on such sites
is generally for the lay reader and/or investor. There is no factual
basis in the record to support a contrary conclusion.
- FDA’s Proposal represents a dramatic reversal of its decades
old policy of maintaining the confidentiality of information associated
with investigational products.
FDA states in the preamble to the Proposed Rule that it does
not consider the information required to be disclosed under the
proposed regulation as proprietary because it has been made publicly
available through various mechanisms and its disclosure has not
impeded commercial development. 66 Fed. Reg. at 4691. Thus, with
a summary wave of its hand, the agency sweeps aside over 60 years
of agency precedent and industry expectations regarding the confidentiality
of information relating to products under investigation.
FDA and the courts traditionally have agreed that IND information
is confidential commercial information protected from disclosure
under FOIA. In the preamble to the Proposed Rule FDA admits that:
Historically, much of the data and information submitted in IND
and unapproved biological product files has been considered confidential
commercial information.
66 Fed. Reg. at 4693. Even with the agency’s broad expansion
of its disclosure policy in 1974, as mandated by FOIA, the confidentiality
of information pertaining to an investigational product has been
held inviolate, as reflected in FDA’s current regulations:
601.50 Confidentiality of data and information in an investigational
new drug notice for a biological product.
- The existence of an IND notice for a biological product will
not be disclosed by the Food and Drug Administration unless
it has previously been publicly disclosed or acknowledged.
- The availability for public disclosure of all data and information
in an IND file for a biological product shall be handled in
accordance with the provisions established in § 601.51.
601.51 Confidentiality of data and information in applications
for biologics licenses.
(c) If the existence of a biological product file has not been
publicly disclosed or acknowledged, no data or information in
the biological product file is available for public disclosure.
(d)(1) If the existence of a biological product file has been
publicly disclosed or acknowledged before a license has been issued,
no data or information contained in the file is available for
public disclosure before such license is issued, but the Commissioner
may, in his discretion, disclose a summary of such selected portions
of the safety and effectiveness data as are appropriate for public
consideration of a specific pending issue.
21 CFR §§ 601.50 and 601.51. See also 21 CFR
§ 312.130 and 21 CFR § 812.38. Indeed, until now, FDA
has never wavered from its treatment of information relating to
an investigational product as confidential:
Drug manufacturers have always claimed trade secret status for
the data generated from preclinical and clinical trials, on the
theory that these data provide an important competitive advantage
over those who do not have access to it. The Agency has generally
agreed with this position since enactment of the Federal Food,
Drug, and Cosmetic Act in 1938, by interpreting the term "method
or process which as a trade secret is entitled to protection"
in section 301(j) as encompassing animal and human testing data./
Suddenly, however, FDA proposes that its long-standing tradition
of protecting the confidentiality of all information contained
in an IND, of protecting even the fact that an IND exists, will
no longer apply to gene therapy and xenotransplantation products.
Not only would FDA’s Proposed Rule overturn decades of agency
interpretation of law and policy, but it would also undercut a
substantial body of judicial precedent upholding the confidentiality
of information relating to products under investigation. In FOIA
cases attempting to obtain the release of information from FDA,
courts have consistently held that where competitive injury can
be shown, commercial information contained in an IND is confidential
and protected from disclosure under Exemption 4. For example,
in Public Citizen Health Research Group v. FDA, 185 F.3d
898 (D.C. Cir. 1999), a FOIA request was made for the release
of information contained in investigational new drug applications
that had been abandoned by Schering Corporation when clinical
testing revealed serious risks. 185 F.2d at 903. The D.C. Circuit,
recognizing the confidential nature of information contained in
four out of the five INDs at issue, upheld the treatment of IND
data as confidential and remanded the case for a determination
of whether any non-confidential information could be segregated
and disclosed. See also Public Citizen Health
Research Group v. FDA, 539 F.Supp. 1320, 1327 (D.D.C. 1982)
(information that would disclose to competitors, free of charge,
the benefits of costly research and testing held to sustain a
claim of substantial competitive injury); Public Citizen Health
Research Group v. FDA, 704 F.2d 1280, 1291 (D.C. Cir. 1983).
In each of these cases, FDA defended its long-held policy of nondisclosure.
B.It would be arbitrary and capricious agency action for FDA to release
this IND information pursuant to FOIA based on the erroneous factual claim
that this information has been publicly disclosed and is no longer confidential.
1.Under FOIA, commercial information is confidential, and protected from
disclosure by FOIA Exemption 4, if disclosure would "cause substantial
harm to the competitive position of the person from whom the information
was obtained."
Exemption 4 of the FOIA protects "trade secrets and commercial and financial
information obtained from a person [that is] privileged or confidential."
5 U.S.C. §552(b)(4). Since 1983, FDA and the Court of Appeals for the District
of Columbia have applied a narrow definition of the term trade secret for
purposes of evaluating information against Exemption 4 of FOIA. See Public
Citizen Health Research Group v. FDA, 704 F.2d 1280, 1288 (D.C. Cir. 1983).
A trade secret is defined as
a secret, commercially valuable plan, formula, process, or device
that is used for the making, preparing, compounding, or processing
of trade commodities and that can be said to be the end product of
either innovation or substantial effort.
Id. Importantly, chemistry, manufacturing and control (CMC) information
falls within the ambit of the trade secret definition. See Public Citizen
Health Research Group v. FDA, 997 F. Supp. 56 n.2 (D.D.C. 1998).
In order to qualify under Exemption 4 as "commercial or financial information,"
the information must be (1) commercial or financial, (2) obtained
from a person outside the government, and (3) privileged or confidential.
National Parks and Conservation Ass’n. v. Morton, 498 F.2d 765 (D.C.
Cir. 1974). Information is of a commercial or financial nature if it relates
to business or trade. Public Citizen Health Research Group v. FDA,
704 F.2d 1280, 1290 (D.C. Cir. 1983). The term "person" refers to
a wide range of entities, including corporations. There is no question that
both of these requirements are met by the information submitted by BIO’s members
to FDA. The only question in this matter is whether the information qualifies
as "confidential" for purposes of the FOIA.
The courts use different tests to determine whether information is within
Exemption 4, depending on whether the information is voluntarily or mandatorally
submitted to the government. As the Department of Justice has acknowledged
in its manual on the FOIA, "submissions that are required to realize
the benefits of a voluntary program are to be considered mandatory."
DOJ Freedom of Information Act Guide (May 2000); See also Critical
Mass Energy Project v. NRC, 975 F.2d 871 (D.C. Cir. 1992). FDA, the industry,
and the courts have all recognized that IND submissions are to be considered
mandatory for FOIA purposes. Accordingly, as recognized by the court in Critical
Mass, the following test set forth in National Parks should be
applied to determine whether information qualifies as confidential under FOIA
Exemption 4:
To summarize, commercial or financial information is "confidential"
for purposes of the exemption if disclosure of the information
is likely to have either of the following effects: (1) to
impair the Government’s ability to obtain necessary information
in the future; or (2) to cause substantial harm to the competitive
position of the person from whom the information was obtained.
National Parks, 498 F.2d at 770. FDA’s Proposal contravenes the judicial
standard for evaluating the confidential nature of information contained in
gene therapy and xenotransplantation INDs.
In order to show the likelihood of substantial competitive harm, it is not
necessary to show actual competitive harm. Instead, actual competition coupled
with the likelihood of substantial competitive injury is all that need be
shown. Gulf & Western Industries, Inc. v. United States, 615
F.2d 527 (D.C. Cir. 1980). There is no question that the accumulation of safety
and efficacy data is costly and that it represents a company’s best judgment
of how and where to expend scarce resources. Consistent with that reality,
FDA has long recognized that such data submitted as part of the new drug approval
process provides a competitive advantage to the submitter:
The Commissioner concludes that there can be no question, under present
law, about the tremendous economic value of the full reports of safety
and effectiveness data contained in an IND, NDA, INAD, or NADA. Such
information costs hundreds of thousands, and in some instances, millions
of dollars to obtain. Release of such information would allow a competitor
to obtain approval from the FDA for marketing an identical product,
at a mere fraction of the cost.
39 Fed.Reg. 44634 (1974). Courts have also concluded that competitive harm
may result where disclosure of data submitted in an IND may be used by a competitor
for purposes of determining the feasibility of pursuing similar avenues of
research and development. See e.g., Public Citizen Health
Research Group v. FDA, 964 F.Supp. 413, 415 (D.D.C. 1997) (suggesting
that a claim of competitive harm could stem from the notion that disclosure
of a protocol would provide "insight" into pre-approval test results
and future marketing strategies).
2.The comments from BIO’s members demonstrate the substantial competitive
harm that public disclosure of this confidential commercial information
would cause.
Both gene therapy and xenotransplantation are heavily (and, in some cases,
almost exclusively) dependent on private investment sources to support their
lengthy and complicated scientific product development process. In both areas,
the diseases that are being studied are almost exclusively serious or life-threatening.
There is substantial competition amongst companies within specific disease
areas both to be first to bring such a product to the market and to raise
the huge amounts of capital necessary to reach that goal. It has been estimated
that it will take approximately 7-10 years and 350 million dollars on average
to develop and obtain approval of a gene therapy or genotransplantation product.
Thus there can be no question that these are highly competitive biotechnology
product development categories.
For the remainder of the biotechnology industry and the entire traditional
pharmaceutical industry, the kind of information that would be disclosed under
FDA’s Proposal is always treated as trade secret and/or confidential commercial
information. That is certainly no different for these two product sectors.
Disclosure of serious adverse event reports and annual reports prior to FDA
approval could cause substantial competitive harm to a sponsor. For example,
some experiences during a clinical trial that would be classified as "adverse
events" might in fact suggest a new indication for research and development.
Disclosure of such an event might have little bearing on patient safety or
the public dialogue FDA hopes to promote, but could cost the company the opportunity
to patent its product for the new indication in question. To give another
example, the rate of adverse events can indicate the number of patients currently
enrolled in clinical trials of a product. From this information, a competitor
could determine the stage and the pace of a company’s product development.
Similarly, the information in an annual report would be of tremendous value
to a competitor in the early stages of developing a competing product. A competitor
could combine dose response information, preliminary effectiveness reports,
and preclinical study results (submitted to NIH before the trial commences)
to design a study specifically to demonstrate the superiority of its competing
drug. (Ordinarily, under the current disclosure rules, a competitor would
not have enough information to tailor its investigational plan in this manner.)
Dose response information could tell the competitor which dose levels work
and which do not. Dose response information combined with adverse event reports
might show the maximum tolerable dose. The number of patients completing the
trial, and the number of patients that have dropped out, could indicate if
there was a problem with the study design, protocol requirements, dose, testing,
or logistics. The previous year’s clinical and non-clinical investigations
could give a competitor an inside view of a company’s development plan and
perhaps even insight as to the specific animal models being developed for
preclinical work. Protocol amendments to expand patient cohorts, or the addition
of preclinical studies, could tell a competitor whether a company has made
process changes. In short, disclosure of the information in an adverse event
report and an annual report could allow a competitor to duplicate a company’s
work without the same expenditure of time and money, or even allow it to avoid
expensive and time-consuming research altogether. Such reports, therefore,
contain precisely the kind of data that the courts have held to be within
Exemption 4.
3.Release of most IND information by FDA can only be done on a case-by-case
basis after an agency finding that release would not cause competitive harm.
The test set forth in National Park focuses on evidence of competitive
harm on an individualized basis. Executive Order 12,600 recognizes the individualized
nature of FOIA decisions under Exemption 4 by requiring agencies to give specific
notice to individual submitters of proprietary information and to provide
a reasonable period of time within which an individual submitter can object
to disclosure of its information and can provide factual information to support
its contention regarding confidentiality. 52 Fed. Reg. 23781 (June 23, 1987).
Accordingly, FDA cannot use any limited release of information by some companies
in the past to deny an individual submitter the right to demonstrate that
it would suffer competitive harm in the future by release of specific information
in its particular situation. Instead, pursuant to National Park and
Executive Order 12,600, any release of information by FDA can only be done
after an agency finding that release would not cause competitive harm in a
particular case.
The opportunity to identify all of the grounds upon which disclosure is opposed
is critical to submitters in order to maintain confidence in the agency’s
ability to properly protect confidential commercial information. Wrongful
disclosure of information that should have been withheld under Exemption 4
of FOIA will support a "reverse FOIA" suit against FDA under the
Administrative Procedure Act. See Chrysler Corp. v. Brown, 441
U.S. 281 (1979). Wrongful disclosure under Exemption 4 may even result in
criminal liability under the Trade Secrets Act, 18 U.S.C. § 1905. See
CNA Fin. Corp. v. Donovan, 830 F.2d 1132, 1151-52 (D.C.Cir. 1987),
cert. denied 485 U.S. 977 (1988).
FDA seeks to justify its proposed regulation by suggesting that the type
of information covered by the proposal has been customarily disclosed to the
public by some members of the industry. FDA seems to be seeking to bring itself
within the ruling of the D. C. Circuit in its Critical Mass decision.
However, the Critical Mass decision cannot be used to support the proposed
regulation. To begin with, that case is distinguishable since it applies to
information provided on a voluntary basis, and thus is inapplicable to information,
such as the IND submissions in question here, which have uniformly been treated
by FDA, the industry and the courts as mandatory submissions. Moreover, Critical
Mass merely provides that Exemption 4 protects from disclosure
where it is shown that the information in question "would customarily
not be released to the public by the person from whom it was obtained."
975 F.2d at 878-879. Nothing in Critical Mass requires disclosure
in a way that precludes a company from submitting factual evidence establishing
that, regardless of what might have been done in the past with some information,
the company would suffer substantial competitive harm in the future if the
particular information in question was disclosed.
4.Given the risk of competitive harm, it would be arbitrary and capricious
for FDA to release this IND information.
The Administrative Procedure Act requires that FDA act in a fashion that
is not arbitrary or capricious, an abuse of its discretion, or otherwise not
in accordance with law. See Zeneca, Inc., v. Shalala, 213 F.3d
161 (4th Cir. 2000); Arent v. Shalala, 70 F.3d 610 (D.C.
Cir. 1995). In light of the evidence in the record as to the competitive harm
that could be caused by the release of the information called for in FDA’s
proposed regulation, it would be arbitrary and capricious for FDA to adopt
this proposed regulation. It would be arbitrary and capricious for the agency
to otherwise seek to coerce an IND applicant into "voluntarily"
providing information for public disclosure as a condition for proceeding
with its IND clinical trials. Instead, in the event that FDA seeks disclosure
of any IND information that has historically been treated as confidential,
FDA can do so only on a case-by-case basis after an agency finding that release
of the information would not cause competitive harm in that particular situation.
Further, it would be arbitrary and capricious for FDA to finalize this extraordinarily
broad rule based upon the extremely limited factual record that exists. See
Motor Vehicle Manufacturer’s Ass’n. v. State Farm Mutual Automobile Insurance
Co., 463 U.S. 29(1983); Teva v. FDA, __ F.3d __, 2000 WL 1838303
(D.C. Cir. November 15, 2000). The last category of information cited in FDA’s
proposed regulation (21 CFR § 601.52(c)(10)), designed to act as a catchall
for whatever the agency decides to disclose in the future, is especially indicative
of the arbitrariness of the Proposed Rule.
- FDA lacks the authority to require the release of confidential information
submitted under an IND.
FDA also argues that it can support the rule on a separate and independent
basis. According to the agency, even if all of the material at issue in the
proposed rule is confidential commercial information, FDA can nevertheless
authorize full public dissemination by issuing an appropriate disclosure rule.
We disagree with the agency’s reasoning on several levels.
- FDA has no discretion to authorize the release of trade secret material.
BIO disagrees with the premise that the information at issue is,
at most, confidential commercial information. As noted in section
V.B.1. of our comments, the information described in section 601.52(c)
of the proposed rule includes significant amounts of trade secret
material.
Section 301(j) makes it a crime for any person within FDA (or the
Department, for that matter) to disclose information acquired under
the new drug or investigational new drug provisions of the FD&C
Act concerning "any method or process which as a trade secret
is entitled to protection." 21 U.S.C. 331(j). The only exceptions
permitted under section 301(j) are for the release of information
in judicial proceedings or certain legislative proceedings. In all
other respects, section 301(j) fully relieves FDA of any discretion
to issue regulations authorizing the release of trade secret material
to the public.
For example, each of the 13 specific categories in section 601.52(c)(6)
describes information that, for gene therapy and xenotransplant products,
meets the definition of a trade secret under section 301(j) of the
FD&C Act and 21 CFR § 20.61(a). Taken as a whole, section
601.52(c)(6) would require a sponsor to disclose its entire means
and method of production from isolation of source material, to the
methods used to procure, prepare and assay host cells, to the insertion
of the relevant gene, to the means of delivery. Under any definition,
this is core trade secret material. Moreover, for gene therapy and
xenotransplantation products, the productive process and the final
product are nearly inseparable; to disclose the information listed
by FDA is, in no uncertain terms, to "give away the store."
The agency's statement that it is seeking only a "general description
of the method of production" (proposed section 601.52(c)(6)) cannot
overcome the problem. The list of specific items to be disclosed by
FDA is far from "general." Indeed, for the information to be useful,
it will have to be specific. However, if it is specific, it is fully
protected under section 301(j). The agency cannot have it both ways,
and it certainly cannot issue a rule that would allow for the dissemination
of information that is clearly within the scope of section 301(j).
- When Congress intends to require the release of confidential information,
it provides specific exceptions for doing so in the FD&C Act.
BIO disagrees with the agency’s position that FDA may use general
rulemaking authority to create specific exemptions that require the
disclosure of confidential commercial information. Congress provided
the agency with a broad grant of authority under section 701(a) to
issue rules as needed to support the efficient enforcement of the
Act. Congress also authorized the agency to issue rules under section
505(i) to support the safe study of investigational new drugs. Congress
did not, however, authorize FDA to issue regulations authorizing the
disclosure of information that is otherwise subject to protection
under an array of federal statutes. Indeed, where Congress intended
for the agency to release confidential information, Congress included
specific statutory exceptions within the FD&C Act.
In this way, the proposed rule stands in conflict with a fundamental
principle of statutory construction: When exceptions to a general
rule are specified by statute, other exceptions are not to be implied
or presumed (expressio unius est exclusio alterius). Section
505(l) of the FD&C Act is one such specific exception authorized
by Congress. Section 505(l) provides an exception to the general rule
against non-disclosure of confidential information, by allowing for
the release of safety and effectiveness data submitted in a new drug
application when certain specific conditions have been met. See
Public Citizen Health Research Group v. FDA, 185 F.3d 898, 902
(D.C. Cir. 1999) ("[W]hen the Congress enacted section 355(l)
[505(l)] it did not mandate disclosure of information in an IND.")
In 1997, Congress added section 505B to the Act, to allow for the
disclosure of confidential information about the existence of and
status of postmarketing studies. As FDA recently explained, "[s]ection
506B provides FDA with statutory authority to disclose data and information,
including certain information that may be considered to constitute
confidential commercial information." FDA Draft Guidance for
Industry: Reports on the State of Postmarketing Studies Implementation
of Section 130 of the Food and Drug Administration Modernization Act
of 1997 (April 2001). Without such specific grants of authority,
the agency cannot require the disclosure of information that is otherwise
statutorily exempt under Exemption 4 to the FOIA.
- FDA has not been delegated the authority to issue the Proposed Rule.
BIO disagrees with the agency’s conclusion that it has specifically
been delegated the authority to issue a general rule requiring the
release of confidential commercial information submitted under an
IND. As the agency is aware, Exemption 4 protects both trade secrets
and confidential commercial information, and it protects the interests
of the government as well as the interests of the submitter.
FDA as a general matter, is precluded under the TSA, from releasing
any information that falls within the scope of Exemption 4 of the
FOIA, including confidential commercial information. See
McDonnell Douglas Corp. v. NASA, 180 F.3d 303, 305 (D.C. Cir.
1999).
More specifically, the Trade Secrets Act (the "TSA") prohibits
(by criminal prosecution, imprisonment, and loss of employment) the
release of trade secret and commercial information, unless "authorized
by law." 18 U.S.C. 1905. The TSA acts as a general prohibition
or restraint on the freedom of government employees to disseminate
confidential information to third parties. See generally CNA Fin.
Corp. v. Donovan, 830 F.2d 1132, 1149 (D.C. Cir. 1987), cert.
denied 485 U.S. 977 (1988). The scope of the protection required
by the TSA is considered to be coextensive with the scope of the protection
under FOIA Exemption 4. Accordingly, when a person submits to the
federal government information that falls within Exemption 4, the
government is precluded under the TSA from releasing that information.
McDonnell Douglas Corp., 180 F.3d at 305.
This general prohibition may, however, be set aside if the disclosure
at issue has been "authorized by law" within the meaning
of the TSA. FDA claims in the proposed rule that it has ample statutory
authority to authorize the disclosure of information otherwise covered
by the TSA. As discussed above, the agency in fact has no discretion
to authorize the release of trade secret material described in section
301(j) of the FD&C Act. We also believe, for the reasons discussed
below, that neither the FD&C Act nor the PHS Act authorizes the
agency to issue regulations that would allow, as a general matter,
confidential commercial information developed under an active IND
to be released to the public. Although the FD&C Act includes several
provisions that specifically authorize the release of commercial information,
Congress has not provided FDA with general authority to issue rules
requiring the release of such information.
The authority to issue regulations requiring the disclosure of confidential
information must be based on a specific grant from Congress, and is
subject to any limitations that Congress may have imposed. See
Chrysler v. Brown, 441 U.S. 281, 308 (1979) (the central issue
is whether the statutory grant of authority cited by the agency contemplated
the regulations providing for the release of the information). In
Chrysler, the Court analyzed whether the Department of Labor
("DOL") had the authority to require the disclosure of certain
confidential employment information and, in doing so, stated the following
standard:
The pertinent inquiry is whether under any of the arguable statutory
grants of authority the [DOL] disclosure regulation . . . are reasonable
within the contemplation of that grant of authority. We think it
is clear that when it enacted these statutes, Congress was not concerned
with public disclosure of trade secrets or confidential business information,
and, unless we were to hold that any federal statute that implies
some authority to collect information must grant legislative authority
to disclose that information to the public, it is simply not possible
to find in these statutes a delegation of the disclosure authority
asserted by the [DOL] here. [emphasis added]
Id. at 306. With that standard in mind, we believe FDA has
failed to identify a source of authority to support each release of
confidential information required under the proposed rule.
a.Section 505(i) does not authorize the disclosure of confidential
information
The primary source of authority relied upon by FDA is section 505(i)
of the FD&C Act. Under section 505(i), the agency is authorized
to issue regulations exempting drugs intended solely for investigational
use by qualified experts from the new drug approval requirements.
Section 505(i) outlines the types of conditions under which Congress
believed such an exemption should be granted. These include an adequate
showing that the drug is safe for clinical testing and adequate procedures
to ensure that patients are informed of and consent to the risks associated
with the investigation. Section 505(i) also contemplates the collection
of data and the submission of that information to the agency on a
periodic basis. See section 505(i)(1)(C).
There is, however, nothing in the plain language of section 505(i)
indicating that it represents a substantive grant of legislative power
to promulgate rules authorizing the release of trade secrets or confidential
business information. See Chrysler, 441 U.S. at 310. Nor can
the statement in section 505(i) that FDA may consider "other
conditions" relating to "protection of the public health"
be taken as authorizing the public release of data collected under
section 505(i). The agency reads this provision as if it were a "blank
check." In fact, such an open-ended provision must always be
limited by context and, in fairness, there is nothing in the surrounding
language to suggest that Congress had in mind the types of disclosures
found in the proposed rule. /
Recognizing the limits of the plain language of section 505(i), the
agency offers a reference to legislative history. According to FDA,
section 505(i) was added in 1962 as part of a larger set of amendments
to the FD&C Act. One overall purpose of the larger set of amendments
was, as FDA states, to make information on drugs more available to
physicians and the general public. Although the agency never completes
the thought, the suggestion is that the legislative history thereby
supports the idea that FDA was given authority in section 505(i) to
authorize the release of confidential information.
Putting aside the thin logic, the agency's factual premise is simply
incorrect. The "legislative history" cited by the agency
not only says nothing about the release of confidential information
but, more important (and as the agency should know), it is a reference
to improving the labeling of drug products and to imposing requirements
on manufacturers to disseminate package insert information. /
It has nothing at all to do with the release of otherwise confidential
information.
In short, neither the plain language of section 505(i), nor the one
piece of history cited by FDA, suggests in any way that section 505(i)
was intended to authorize regulations limiting the scope of the TSA.
See Chrysler, 441 U.S. at 312.
b.Sections 701(a) and 903(b) do not authorize the disclosure of confidential
information.
Other than a reference to FDA’s general authority to issue rules
as needed to enforce the FD&C Act (see section 701(a)), the only
other provision under the FD&C Act that FDA cites as source of
authority for requiring the release of confidential business information
is section 903(b), which sets forth the agency’s "Mission Statement."
There is nothing on the face of this provision that even remotely
suggests that Congress intended for it to be used to authorize the
public dissemination of confidential business information. It is a
general statement of goals and aspirations, not an independent source
of legal authority for the agency.
Based on the agency’s logic that a general statement of the agency’s
"public health" mission authorizes FDA to issue a rule as
detailed and specific as this one there would be no limit to FDA’s
authority. See American Pharmaceutical Association v. Mathews,
530 F.2d 1054 (D.C. Cir. 1976). Whatever authority FDA believes was
delegated to the agency under section 903(b), it does not include
the authority necessary to authorize regulations overriding the scope
of the TSA.
Absent a specific substantive grant of authority, FDA’s reference
to section 701(a) adds no additional authority. The fact that FDA’s
rulemaking authority has over the years been "broadly construed"
(66 Fed. Reg. at 4694) simply is not enough. FDA indeed has broad
authority to issue regulations related to the public health purposes
of the FD&C Act, provided it can be shown that the regulations
further congressional objectives memorialized elsewhere in the statute.
The agency has identified only two possible sources of authority on
which to base a rule under section 701(a), neither of which contemplates
congressional intent to allow an exception to federal nondisclosure
laws.
c.FDA cannot support the proposed rule under section 361 of the Public
Health Service Act
Finally, the agency argues that it may authorize the disclosure of
confidential business information under section 361 of the Public
Health Service Act (the "PHS Act"). Section 361 authorizes
the Surgeon General to issue regulations "necessary to
prevent the introduction, transmission, or spread of communicable
diseases . . . ." 21 USC 264(a) (emphasis added). When read in
context, along with the other sources of authority delegated by Congress
to the Surgeon General, there is again no statutory language to suggest
that Congress intended for this provision to be used to authorize
the general release of IND information otherwise protected by the
TSA.
Moreover, the agency’s reference to section 361 of the PHS Act highlights
a critical problem with the agency’s overall approach. As noted, section
361 authorizes only those regulations determined to be "necessary"
to prevent the spread of communicable disease. FDA, however, has failed
to show the necessary and essential link between the risk it is seeking
to address under section 361 (the spread of communicable disease through
the study of gene therapy and xenotransplant products) and the proposed
solution (the public dissemination of confidential commercial information
developed under all gene therapy and xenotransplant INDs). See
generally Motor Vehicle Mfrs. Ass’n v. State Farm Mut. Auto. Ins.
Co., 463 U.S. 29, 43 (1983).
According to the agency, "The public availability of information
this proposed rule envisions will permit public attention to any emerging
risks associated with these experimental techniques, early detection
and definition of which will permit the agency and sponsors to take
steps to prevent or minimize the introduction of communicable diseases."
66 Fed. Reg. at 4695. Whatever may be the "plain language"
meaning behind this sentence, it certainly does not establish a necessary
link between the problem and the solution.
FDA has a long history of protecting the type of information described
in the proposed rule. See section V.A.4. above. The agency is now
taking the position that the public interest, in this instance, requires
disclosure of otherwise protected information. Missing, however, from
the agency’s analysis is a thorough explanation as to why such an
unprecedented release of confidential IND information is required
and necessary in this instance. For example, there is no indication
that the agency considered whether alternative approaches would have
been equally effective. There is no explanation why only an across-the-board
release of confidential IND information, at the time of submission,
is needed to "permit public attention to any emerging risks,"
help with "early detection," and allow FDA and sponsors
to "take steps to prevent or minimize the introduction of communicable
diseases."
Before requiring such an exceptional, blanket release of confidential
information, the agency must consider reasonable alternatives and
show why they would not work. To do otherwise would be arbitrary,
capricious, and not in accordance with law. See, e.g., Qwest Communication
International Inc. v. FCC, 229 F.3d 1172, 1183-84 (D.C. Cir. 2000).
- The Proposed Rule fails to take into account, and is inconsistent
with, Executive Order 12600.
Executive Order 12600, issued June 23, 1987, requires federal agencies
to establish pre-disclosure notification procedures before releasing
confidential commercial information. See 59 Fed. Reg. 531,
532 (Jan. 5, 1994). In 1994, FDA memorialized its compliance with
the terms of the Executive Order by amending its regulations under
21 CFR part 20, establishing a specific process for the submission
and designation of confidential information, and for the resolution
of disputes regarding the disclosure of such information. Id.
The Proposed Rule failed to consider the Executive Order in several
respects, all of which render the Proposal defective.
The Executive Order provides that notification requirements contemplated
by the Order need not be followed if, among other things, the disclosure
of confidential information is being required by an agency rule. In
that case, however, the rule must specify only "narrow classes of
records" and must provide "in exceptional circumstances for notice
when the submitter provides written justification, at the time the
information is submitted or a reasonable time thereafter, that disclosure
of the information could reasonably be expected to cause substantial
harm." E.O. 12600, sec. 8(d).
Here, the Proposed Rule is far from narrowly drawn, as required by
the Executive order. On its face, the proposal is sweeping as to the
type of information that would be released, as well as the products
that would be impacted. It describes ten categories of information
that reach into every facet of every IND for every gene therapy and
xenotansplantation product. For example, according to the preamble,
proposed section 601.52(c)(1) is similar to existing provisions that
require the disclosure of all safety and effectiveness data
following product approval, except that the proposal "would extend
this throughout the entire product development process for
a product related to human gene therapy or xenotransplantation." 66
Fed. Reg. at 4696. Similarly, all indications under study, and all
protocols for all products in this class, must be disclosed, as must
the manufacturing methods (including 13 subcategories of information)
for all such products. See sections 601.52(c)(3), (4), and
(6). All IND safety reports would become public under the rule. Finally,
the rule includes an open-ended "other information" category that
is patently inconsistent with the Order.
A "narrow" rule would have sought to disclose only the most essential
information, for only those products that raised a specific issue.
And, a "narrow" rule would have been calibrated specifically to require
only those disclosure necessary to address a well-defined, specific
problem.
Second, the rule makes no provision for the type of procedure contemplated
under section 8(d)(3) of the Executive Order. Even if FDA has the
authority to require the release of the confidential information at
issue in this rule (and, as discussed above, we do not believe that
it does), it still must allow sponsors access to the same procedures
applicable to all other persons who submit information to FDA and
the rest of the Federal government. For example, under the proposed
rule, sponsors must decide upon submission of the IND whether they
will seek to protect certain information, and must do so under the
threat of having their study placed immediately on clinical hold (see
discussion, below). Opportunity for de novo review of the
agency's disclosure decisions, on a case-by-case basis, will effectively
be lost by those sponsors who are under pressure to move forward with
their studies. Moreover, sponsors must "declare, under penalty of
perjury" (see proposed section 601.53(e)) that they have not
redacted information that FDA now believes it is authorized to disclose.
Such requirements, not to mention the absence of a well-structured
pre-disclosure notification process. are wholly at odds with what
is contemplated in the Executive Order. The agency, however, failed
at all to incorporate the Order into its thinking.
- Public disclosure of IND information would violate the takings clause of the United States Constitution
BIO objects to the public dissemination of IND information
as proposed by FDA as a "taking" of property for public
use without just compensation, in violation of the Fifth Amendment
to the United States Constitution./
It is well established that trade secrets and confidential commercial
information are "property" protected by the Fifth Amendment
to the United States Constitution. Ruckelshaus v. Monsanto,
467 U.S. 986, 1003-1004 (1984). Consistent with that view, the Ninth
Circuit has recognized that state protected property rights may exist
in association with such intangible property as governmental privileges
granted to private parties. See G.S. Rasmussen & Assoc. v.
Kalitta Flying Service, 958 F.2d 896 (9th Cir. 1992), cert.
denied 508 U.S. 896 (1993) (the right to rely on engineering and
test data submitted to demonstrate the safety and airworthiness of
particular aircraft modifications under requirements of the Federal
Aviation Act and the Code of Federal Regulations created a property
interest under California law for the engineer who submitted the data);
see also Miles v. Scripps Clinic and Research Foundation, 810
F.Supp. 1091 (S.D. Cal. 1993) (the intangible right to commercialization
of a genetically engineered cell line existed as a state property
right). Generally, with respect to such intangible property interests,
"the right to exclude others is central to the very definition
of the property interest." Monsanto, 467 U.S. at 1011.
See also id. at 1002 ("Because of the intangible nature
of a trade secret, the extent of the property right therein is defined
by the extent to which the owner of the secret protects his interest
from disclosure to others".). In short, the essence of ownership
of a trade secret or confidential commercial information is the right
to exclude others. Once secrecy has been lost, the property has been
irrevocably destroyed. Id. at 1011-1012.
Government action constitutes a per se taking if it deprives
the property owner of all economically beneficial use of his property,
or if it constitutes an appropriation of one or more of the property
owner’s fundamental ownership rights in the property (including the
right to exclude others from making use of the property)./ Disclosure
of trade secrets and confidential commercial information compiled
during the testing of an investigational new drug or biologic would
do both. By disclosing information that would allow a company’s competitor
to duplicate its research without the same expenditure of time and
money or to avoid that research altogether, FDA would strip the company
of its ability to use that information profitably in a commercial
setting.
At least one cour |