FDA Regulation of Tobacco Washington, DC October 21, 2015 The Impact of MRTP – A look at the MRTP...
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Transcript of FDA Regulation of Tobacco Washington, DC October 21, 2015 The Impact of MRTP – A look at the MRTP...
FDA Regulation of
Tobacco
Washington, DC
October 21, 2015
The Impact of MRTP – A look at the MRTP process, and the impact on products
Denny Henigan, Director, Legal and Policy Analysis, Campaign for Tobacco Free Kids
Raymond S. Niaura, PhD, Associate Director for Science, Schroeder Institute for Tobacco Research and Policy Studies
David Sweanor, Adjunct Professor, Faculty of Law, University of Ottawa
Moderated by Jim Solyst, Vice President, Federal Regulatory Affairs, Swedish Match North America
THE IMPACT OF MRTP A Look at the MRTP Process and
the Impact on Products
Moderated by Jim Solyst
Vice President, Federal Regulatory Affairs
Swedish Match North America
Status of the Swedish Match MRTP Application
• Submitted to FDA in June 2014 and determined to be complete in late August.
• The entire application, except for proprietary information, was made publicly available and there was an extended (nearly six months) review and comment period.
• As required by the Act, the FDA Tobacco Product Scientific Advisory Committee (TPSAC) met on April 9-10, 2015 to review the application and address questions posed by FDA CTP.
• Swedish Match and FDA provided briefing documents to the TPSAC. The Swedish Match document provides a readable version of the scientific evidence. The FDA document posed questions for the TPSAC to consider, and more importantly gives a sense of the Center’s thinking.
• FDA determined there needed to be a review and comment period for the eight “amendments” submitted by Swedish Match at the request of FDA.
Possible Decisions and What Is Success?
• FDA could reject the MRTP application entirely; or decide to grant a MRTP order and accept the three suggested warning label changes.
• Or the decision will be something in between.• Granting a MRTP order, with or without the proposed warning label
changes, would be a historic development and certainly a “success” for proponents of tobacco harm reduction.
What Would a MRTP Order Mean to Swedish Match?
• Would require a postmarket surveillance program.• Would allow the Company to communicate the meaning of the
MRTP order to the public and stakeholders.• Swedish Match would work with FDA to determine exactly what can
and cannot be communicated, but by granting a MRTP order, FDA has determined that:– Switching from cigarettes to General snus reduces an individual’s risk;
and
– The order benefits the health or the overall population.
Evidence-Based Risk Communication: Right-to-know the Relative Risk
Ray Niaura, PhD
Director of Science and Training
Schroeder Institute for Tobacco Research and Policy Studies
Truth Initiative
Risk Perceptions: Why?
Lights
PREPs
Snus
E-cigs/ENDS
MRTPs
Winning hearts and minds?
Tan ASL, Bigman CA. E-cigarette awareness and perceived harmfulness: prevalence and
associations with smoking-cessation outcomes. Am J Prev Med 2014; 47: 141–9.
Perceived e-cig risk in young
British smokers
Trends in electronic cigarette use in young people in Great Britain over 2013-2014
Arnott, Britton, Cheeseman, Dockrell, Eastwood, Jarvis, & McNeill ASH, CR-UK, PHE
2014
9
10
The Impact of MRTP-A look at the MRTP process, and the impact on
products
David SweanorAdjunct Professor, Faculty of Law
University of Ottawa
WARNINGS AND MODIFIED RISK TOBACCO PRODUCTS
Dennis Henigan
Director, Legal and Policy Analysis
Campaign for Tobacco-Free Kids
SMOKELESS WARNINGS SOUGHT BY RJ REYNOLDS CITIZEN PETITION
• WARNING: This product can cause mouth cancer.
• WARNING: This product can cause gum disease and tooth loss.
• WARNING: This product is not a safe alternative to cigarettes.
• WARNING: No tobacco product is safe, but this product presents substantially lower risks to health than cigarettes.
• Or WARNING: No tobacco product is safe; however, exclusive use of smokeless tobacco products presents substantially less risk to health than cigarettes.
• WARNING: Smokeless tobacco is addictive.
SMOKELESS WARNINGS SOUGHT BY SWEDISH MATCH MODIFIED RISK
APPLICATION
• WARNING: This product can cause mouth cancer.
• WARNING: This product can cause gum disease and tooth loss.
• WARNING: This product is not a safe alternative to cigarettes.
• WARNING: No tobacco product is safe, but this product presents substantially lower risks to health than cigarettes.
• WARNING: Smokeless tobacco is addictive.
Source: Swedish Match Premarket Consumer Perception Survey Protocol, Appendix B: Research Stimuli