here - American Herbal Products Association
Transcription
here - American Herbal Products Association
The Official Publication of the American Herbal Products Association July 2011 www.ahpa.org Volume 30, Number 7 In this issue of the AHPA Report Inside AHPA 2 • AHPA Relaunches Expanded NDI Database and Updated Notifications Submissions Package • Microscopic ID of Popular Botanical Materials Seminar Set for October 1-2 • Donations for Botanical Safety Handbook Soar • Findings from AHPA-ERB Foundation-funded Ginseng Report Presented at Forest Ecology Conference • Dietary Supplement Caucus Hosts Tenth Capitol Hill Briefing • McGuffin Highlights Value of AHPA’s Work at ODS Practicum • AHPA’s Lampe Receives NPA Champion Award • Savings Opportunities for AHPA Members Special Topics 10 • The Food Safety Modernization Act: A Review of Implementation Meetings and Strategies by Merle Zimmermann, Ph.D., AHPA Information Analyst • California Plaintiffs Can More Easily Sue Companies over Misleading “Made in U.S.A.” Claims by Linda Dougherty, Esq., Ullman, Shapiro & Ullman Legal & Regulatory 14 • FDA Releases NDI Guidance; AHPA to Host NDI Seminar • Latest Dietary Supplement Proposition 65 Settlement Proposed for $80,000; Complaints Continue to Be Filed by Michael McGuffin, AHPA President • Sens. Durbin and Blumenthal Introduce Dietary Supplement Legislation in the Senate • Consent-Decree Conviction and Dividing Up Ill-Gotten Gains by Anthony L. Young, Esq., Partner, Kleinfeld, Kaplan and Becker, LLP, and AHPA General Counsel • Four Marijuana Bills Introduced in the House; DOJ Memo Creates Regulatory Concern for States by Michael McGuffin • Sens. Hatch and Harkin Express Support to FDA’s Hamburg for Upcoming NDI Guidelines Botanical Science Update 21 • Meetings Attended NCCAM Stakeholder Roundtable and Advisory Board Meetings by Steven Dentali, Ph.D. • Request for Proposal: ODS Analytical Methods for Dietary Supplements • Literature Citations by Steven Dentali, Ph.D. FDA Collaborative Validation of Pesticide-Residue Analysis; FDA Finds Pesticides Must be 5-10 ppb to Consistently Measure; Using Genetics and Chemistry to Determine Natural Product Origin; The Beginning of the End of ORAC Marketing?; Synergists in Goldenseal; “Coffee Table” Book on Chocolate; Beyond Açaí: Four Under-Utilized Fruits of the Amazon Region; Website Info for St. John’s Wort Rated as Poor; St. John’s Wort for Moderate Depression: Better and Longer Lasting Calendar of Botanical Events 25 Inside AHPA AHPA Relaunches Expanded NDI Database and Updated Notifications Submissions Package In anticipation of the July 1 release of the Food and Drug Administration’s (FDA) guidance on new dietary ingredients (NDIs), the American Herbal Products Association (AHPA) has updated and relaunched two important resources for dietary supplement companies that include NDIs in their products. The newly revised AHPA NDI Database and the AHPA Notifications Submissions Package are available to AHPA members at a sizeable discount. Both products are designed to assist companies that intend to sell an NDI or a dietary supplement that contains an NDI. The Federal Food, Drug, and Cosmetic Act (FFDCA) as amended by the Dietary Supplement Health and Education Act of 1994 defines a “new dietary ingredient” as one that was not marketed in the United States prior to October 15, 1994. In order to comply with this law, companies that intend to sell an NDI or a dietary supplement that contains an NDI must first submit a notification to FDA that includes information that is the basis for the company’s conclusion that the dietary supplement will “reasonably be expected to be safe.” With these unique, newly updated NDI products, AHPA is able to offer its members—and the supplement industry at large—the stepby-step tools they need to file successful NDI notifications. “Both of these newly updated resources provide leading-edge, how-to information and time- and money-saving materials to help AHPA member companies successfully navigate the complexities of the NDI submissions process,” said AHPA President Michael McGuffin. “With the database and guidance updates we will provide to purchasers, these products will continue to provide the best information on this most important regulatory process long into the future.” The AHPA Report, the official voice of the American Herbal Products Association (AHPA), is published monthly as a service to AHPA members and friends of the herbal products industry. The material contained in this publication is for the information of AHPA members. Although the information is believed to be correct, AHPA disclaims all responsibility for any damage or liability that may result from any reliance on the information contained in this publication. Articles may not be reproduced or reprinted without written permission from AHPA. The AHPA NDI Database—Relaunched and Expanded With more than 575 entries, the AHPA New Dietary Ingredient (NDI) Database provides indispensable access to and understanding of notifications submitted to FDA for new NDIs that are used in dietary supplements. It is the only up-to-date compilation of NDI notifications available. This subscriber-based database also provides a concise “outcome statement” for each NDI file that quickly summarizes how FDA has responded to every notification, and the problems—if any—that the agency identified for each. As part of the subscription, AHPA members will be notified by email when additions are made to the AHPA NDI Database. Additionally, AHPA members will receive a $370 per year discount when they subscribe. For more information and to subscribe to The AHPA NDI Database, click here. The AHPA NDI Database is a joint project of AHPA, which is responsible for its content, and NPIcenter, part of the New Hope Supply Network, which provides technical support to maintain the database. The AHPA NDI Notifications Submissions Package—Newly Revised and Updated The AHPA NDI Notifications Submissions Package contains the tools needed to successfully navigate FDA’s NDI notification requirements: A 40-page Guidance for New Dietary Ingredient Notifications for Manufacturers and Distributors of New Dietary Ingredients AHPA Staff Michael McGuffin, President Steven Dentali, Ph.D., Chief Science Officer Devon Powell, Chief Operations Officer Frank Lampe, Director of Communications & Editor, AHPA Report Rosie Ysasi, Certification Program Coordinator Merle Zimmermann, Ph.D., Information Analyst Anthony Young, General Counsel, Kleinfeld, Kaplan & Becker Peter Evich, National Legislative Consultant, Van Scoyoc Associates Kellie Greene Design, Layout & Production, AHPA Report Monica Emerich, Ph.D., Copy Editor, AHPA Report Bill Schoenbart, D.A.O.M., Proofreader, AHPA Report July 2011 • Page 2 Send inquiries, comments or requests to: American Herbal Products Association 8630 Fenton Street, Suite 918 Silver Spring, MD 20910 Phone: 301-588-1171 Fax: 301-588-1174 Email: [email protected] Website: www.ahpa.org © Copyright 2011, American Herbal Products Association (updated June 2011) explains the NDI regulations, details what information to include—and exclude—in a notification, and provides three hands-on worksheets The transcript and audio file of an AHPA-sponsored teleseminar conducted by industry legal, nutrition, and regulatory experts A tour and demonstration of the AHPA NDI Database A Food and Drug Law Journal article by Michael McGuffin, AHPA president, and Anthony Young, AHPA general counsel, titled, “Premarket Notifications of New Dietary Ingredients: A Ten-Year Review” Purchasers will automatically receive an update of the Guidance for New Dietary Ingredient Notifications for Manufacturers and Distributors of New Dietary Ingredients shortly after the release of FDA’s guidance document on NDIs. AHPA members will receive a $300 discount when they purchase this package. For more information and to order the AHPA NDI Notifications Submissions Package, click here. Click here to view an article on the AHPA NDI products and an interview with AHPA President Michael McGuffin at NewHope360.com. AHPA’s Michael McGuffin participates in successful fundraiser for Sen. Tom Harkin Michael McGuffin, AHPA president (r.), joins Sen. Tom Harkin, D-Iowa, at a fundraiser for Harkin that was held at the Natural Products Association Marketplace conference and trade show on June 24 in Las Vegas. McGuffin was a host of the fundraiser. July 2011 • Page 3 O R AT O R I E S A EMIST S AB L Did you know Alkemists offers more than cGMP Identity Testing? LK Alkemists provides higher-end analytical testing of proprietary herbal blends, customized plant extracts, sports nutrition products and herbal energy drinks. • Marker/Active Compound Characterization • Pharmaceutical adulterant Screening • Pharmaceutical-grade Nutraceutical Testing • Herbal Blend Fingerprinting & Identification • HPLC Method Development & Validation (ELSD, UV, Fluorescence, etc.) • Routine, QC & Pharmacopeial Testing (USP, PPRC, JP, EP, BP, AOAC, AHP, etc.) • Shelf-Life Testing and Stability Studies • Composite Reference Botanicals (CRBs) 714-754-4372 WWW.ALKEMIST.COM July 2011 • Page 4 Microscopic ID of Popular Botanical Materials Seminar Set for October 1-2 In order to assist manufacturers and suppliers in meeting the burdens of verifying the identity of botanical ingredients under the Food and Drug Administration’s good manufacturing practice (cGMP) and to protect them from potential liability, the American Herbal Products Association (AHPA) is presenting a two-day educational training program, “Microscopic Identification of Popular Botanical Materials.” The hands-on program is scheduled for the weekend of October 1-2, 2011, at Rutgers University in New Brunswick, N.J. Elan Sudberg, CEO of Alkemist Pharmaceuticals, will teach the course. The federal cGMP regulation (21 CFR 111) requires that all dietary ingredients be tested or examined to verify identity prior to use in a finished product. The material presented will familiarize participants with the various plant parts at the macroscopic level to create an understanding of the characteristic cellular features of each plant part using botanicalmicroscopy techniques developed over the last century by botanists all over the world. “It was probably one of the most useful ‘short courses’ I’ve ever taken,” says David R. Schroeder, who works in the quality control division for Standard Process, Inc., in Palmyra, Wis. “I’d done a lot of reading on botanical microscopy, but none of it was really ‘clicking’ until I took this course.” Program Goals The program’s overall goal is to have participants leave with the experience necessary to confidently conduct microscopic analysis on a variety of popular botanical ingredients. Additional program objectives: Provide the beginning to intermediate microscopist the skills and ability to confidently and competently analyze popular botanical ingredients often used in commercial products Provide hands-on experience: The majority of the program (~75%) will be spent on the use of the microscope and the analysis of botanical materials, including: »» Example preparation and review »» Identification of adulterated material, including common fillers used to “cut” materials, such as flow agents & soluble excipients »» Connecting the dots: Comparing a Certificate of Analysis (COA) and specifications to micro-analysis results; General background on microscopy and usage of a microscope Identification of appropriate reference resources: »» Voucher specimens »» Published references. Information will be presented in morphological groups such as barks, roots, leaves, seeds, etc., and their characteristic microscopic components. The basic structure of the various tissue types will be discussed and identified using actual examples from a vast database of microscopic botanical images. Participants will spend a significant amount of time during the program conducting hands-on training using a microscope. Equipment, chemicals, and supplies will be discussed, if time permits and/or if requested. Who Should Attend? The “Microscopic Identification of Popular Botanical Materials” seminar is geared toward laboratory personnel, QA/QC personnel, dietary supplement companies looking for economical means to comply with the cGMP requirements regarding establishing identity, or anyone with an interest in utilizing microscopy as a tool for the identification of botanicals. For Registration and More Information To register and for more information, visit the seminar page on the AHPA website, contact Devon Powell via email, or call 301.588.1171, ext. 102. July 2011 • Page 5 Donations for Support of Botanical Safety Handbook Soar After a series of email outreaches and personal calls by members of the Development Committee of the American Herbal Products Association (AHPA) Education and Research Foundation on Botanicals (AHPAERB Foundation), donations to support the publication of the upcoming, revised edition of the Botanical Safety Handbook (BSH) saw a large spike during the months of May and June. As a result of these efforts, a number of companies and individuals have joined or made additional donations in support of the BSH: At the $,5000 level: Bodybuilding.com, The Hain Celestial Group, Herbalife $4,000: Rainbow Light, Traditional Medicinals $2,500: Herb Pharm $2,000: Frontier Natural Products $1,000: Alkemist Laboratories, Iovate Health Sciences, Motherlove Herbal Company, Nuherbs, Paragon Laboratories, Sabinsa $500: American Botanical Council, BI Nutraceuticals, Beehive Botanicals, Dicentra, EuroPharma, St. Francis Herb Farm, Mountain Meadow Herbs, Pacific Botanicals, Pharmline $250: Earth Mama Angel Baby, Evergreen Herbs $100: Dagmar Goldschmidt, Howard Miller “Thanks to the generosity of these industry leaders, we’re closer than ever to reaching our donor goal for the BSH,” noted Beth Lambert, chair of the AHPA-ERB Foundation. “All of us working on this important project thank these new donors, who join a growing list of progressive companies and individuals that have made the support of the new BSH a priority.” Supporters will be recognized as a named supporter of the revised edition. The new edition of the BSH will update this classic text with significantly expanded information on more than 500 herbs. It is the product of a four-year collaboration of AHPA’s high-caliber research and review team of experts in the fields of traditional herbalism, conventional medicine, toxicology, botany, and other areas. There is still time to make an annual pledge or one-time, tax-deductible contribution to support the distribution and continued development of this highly informative, clinically relevant publication. The levels of support are listed below, along with the other donors that have given generously to the BSH project. Visionary ($10,000+): Herbs, Etc. Benefactor ($5,000+): Aveda, Herb Pharm, Nature’s Way, Traditional Medicinals Champion ($2,500+): Amin Talati, CRC Insurance, Emerson Ecologics, Frontier Natural Products, General Nutrition Centers, Michael McGuffin, Pacific Nutritionals, Systemic Formulas Sponsor ($1,000+): Arise & Shine, Bent Creek Institute, Herbalist & Alchemist, Mountain Rose Herbs, NOW Foods, Jim Prochnow, Vitality Works Advocate ($500+): Jon Beninger, Steven Dentali, Beth Lambert, New Chapter Supporter ($250+): Bighorn Botanicals, Mary Beth Watkins Other Supporters: Cindy Angerhofer See the AHPA-ERB Foundation website and click on “Make a Donation” for the benefits associated with each level of support and for more information, or contact Devon Powell, 301.588.1171, ext. 102, to contribute today. The AHPA-ERB Foundation is a non-profit 501(c)(3) educational foundation founded by AHPA for the purpose of promoting education and research on medicinal, therapeutic and health-promoting herbs. Information on completed and current projects is available online at www.AHPAFoundation.org. Findings from AHPA-ERB Foundationfunded Ginseng Report Presented at Forest Ecology Conference Speaking on June 23, 2011, at the 8th North American Forest Ecology Workshop, held in Roanoke, Va., James Chamberlain, Ph.D., research forest products technologist at the National Agroforestry Center of the U.S. Department of Agriculture Forest Service, presented research about wild-crafted American ginseng (Panax quinquefolius L.) from an unpublished report funded by the American Herbal Products Association Foundation for Education & Research on Botanicals (AHPA-ERB Foundation). With support from the AHPA-ERB Foundation, Virginia Tech and the Forest Service, Chamberlain’s presentation, “Relationships Between Harvest of American Ginseng and Hardwood Timber Production,” examined the relationship between the reported harvest of American ginseng and hardwood timber in the forests of the eastern United States. “American ginseng has been collected from eastern hardwood forests and has added significantly to the economy of rural America for hundreds of years,” Chamberlain said. “The harvest of ginseng and timber are closely related; often loggers were digging ginseng, as well. We found that on average, American ginseng provided close to $25 million to the economies of the rural eastern United States every year from 2000 through 2007.” The study found no relationship between the harvest of ginseng and the amount of public forest lands in counties from which it was collected. “We did find a strong relationship between forests with large July 2011 • Page 6 trees and ginseng harvest; as forests mature and produce larger trees, ginseng harvest increased,” Chamberlain said. “This study demonstrates the importance of having good data on medicinal forest products and providing transparency to these important forest natural resources. Through these and future efforts, the industry, academia, and the government can work together to help improve the sustainability of the plants that are critical to the herbal medicine industry,” he added. some of the challenges and opportunities faced by forest ecologists working in the southeastern United States—a region dominated by short-rotation pine plantations. The AHPA-ERB Foundation is a non-profit 501(c)(3) educational foundation founded by AHPA for the purpose of promoting education and research on medicinal, therapeutic, and health-promoting herbs. Information on completed and current projects is available online at www.AHPAFoundation.org. “The U.S. Fish and Wildlife Service has compiled data on ginseng harvests for more than 25 years,” noted Michael McGuffin, American Herbal Products Association (AHPA) president and an AHPA-ERB Foundation board member. “The foundation believes that it is essential to the understanding of the commerce of wildharvested plants to have specific data about that level of commerce, in this case, American ginseng. This is especially important when we recognize the importance of the wild-harvesting of medicinal plants in rural areas with high unemployment.” Dietary Supplement Caucus Hosts Tenth Capitol Hill Briefing An article co-authored by Chamberlain that includes some of the findings from the AHPA-ERB Foundation report has been submitted to a peer-reviewed journal for publication. The most recent Capitol Hill-based luncheon briefing, held on June 15, was filled to capacity with more than 125 people present, and featured two speakers: former linebacker for the Chicago Bears and National Football League Hall of Famer Dick Butkus; and sports dietitian Dave Ellis, anti-doping chair and president of the Collegiate and Professional Sports Dietitians Association. The North American Forest Ecology Workshop allows forest ecologists from Canada, Mexico, and the United States to gather and exchange current research and management approaches. The conference theme, “Forest Ecology in a Managed Landscape,” reflects The Congressional Dietary Supplement Caucus (DSC), in cooperation with four supplement industry trade associations—the American Herbal Products Association, the Council for Responsible Nutrition, the Natural Products Association, and the United Natural Products Alliance—reached a milestone in hosting its tenth DSC Briefing on Capitol Hill since June 2008. Ellis focused on the importance of proper nutrition for athletes and July 2011 • Page 7 how supplements can play a valuable role in meeting the increased nutrient requirements due to depletions resulting from intense exercise and training. He advised athletes to focus on four key areas—including properly managing their food supply; being aware of which dietary supplements are “permissible;” getting consistent periods of rest; and making sure they get adequate amounts of quality foods. Ellis said proper nutrition is a powerful tool that “can really help an athlete outwork the competition.” Butkus discussed his “I Play Clean” campaign, a national initiative geared at educating high school athletes about the impact and physical consequences of illegal anabolic steroid use. He also noted the difference between illegal steroids and dietary supplements, stating: “Dietary supplements are not steroids and steroids are not dietary supplements. There is a legitimate role for supplements in sports nutrition, with products like multivitamins, protein bars, powders, to name a couple.” Butkus continued: “There is no place [in sports] for products that are tainted with steroids or prescription drugs and are then illegally marketed as dietary supplements.” He pointed to the need to educate parents, athletes, and team leaders about nutrition and proper training as strategies to help discourage young athletes from using anabolic steroids. More information, including a public service announcement, is available on the “I Play Clean” website. The dietary supplement industry trade associations are also concerned that athletes may be unable to distinguish between legitimate dietary supplements and products that are illegally marketed as dietary supplements but in fact contain anabolic steroids or other pharmaceutical ingredients; therefore, the industry joined forces with the Food and Drug Administration last December to support strengthened education and enforcement efforts in this area. McGuffin Highlights Value of AHPA’s Work at ODS Practicum On June 8, 2011, American Herbal Products Association (AHPA) President Michael McGuffin provided examples of AHPA’s activities on behalf of the herbal products industry during the National Institutes of Health (NIH) Office of Dietary Supplements’ (ODS) 2011 Mary Frances Picciano Dietary Supplement Research Practicum. McGuffin’s presentation was part of the four-day practicum, held on the main NIH campus in Bethesda, Md., June 6-9. At the invitation of ODS, McGuffin joined teachers and doctoral or post-doctoral students with an interest in dietary supplement use, regulation, and policy in “A Conversation with the Industry.” In addition to the educational sessions, practicum participants met with various stakeholders—Congressional representatives, the dietary supplement industry, consumer advocacy groups, and media—who study, advocate, regulate, or educate about dietary supplements. McGuffin provided an overview of AHPA’s emphasis on representation, education, communication, and industry self-regulation. He July 2011 • Page 8 also highlighted some of AHPA’s specific work in protecting the marketplace, including the association’s leadership in gaining passage of the Dietary Supplement and Nonprescription Drug Consumer Protection Act, the law that instituted mandatory reporting of serious adverse events for both dietary supplements and nonprescription drugs. Additionally, he discussed AHPA’s current process for revising its seminal work on herbal safety, the Botanical Safety Handbook, and described the creation and maintenance of the AHPA New Dietary Ingredient Database. “The annual ODS Practicum provides an excellent forum for academics and others with an interest in supplement research and education to gain a better understanding of this product class,” said McGuffin. “My goal was to communicate the value that a trade association can bring to the trade, but also to consumers and to healthcare practitioners, by strengthening the dietary supplement law and by addressing product safety and assisting in regulatory compliance.” McGuffin’s ODS Practicum presentation is available on the AHPA website. More information on the annual practicum is available here. level possible and hopefully—in some small way—contribute to the common good.” Savings Opportunities for AHPA Members Within the pages of this edition of AHPA Report, we are pleased to provide our members with several valuable money-saving opportunities. The following goods and services are offered at a discount for—or are uniquely available to—AHPA members this month: »» American Herbal Pharmacopoeia, 10% off for AHPA members (page 19) »» AHPA NDI Database and NDI Notifications Submissions Package, members-only offers (page 24) »» CPG Jobs, 15% off for employers (page 5) »» TSYS Merchant Solutions, members-only offer (page 9) »» The Tan Sheet, $360 off of new subscriptions (page 11) To learn about AHPA’s revision of the Botanical Safety Handbook, visit the AHPA Foundation for Education and Research on Botanicals (AHPA-ERB Foundation) website. AHPA’s Lampe Receives NPA Champion Award At a ceremony held during the 2011 Natural Products Association MarketPlace conference and trade show in Las Vegas from June 2325, Frank Lampe, the director of communications for the American Herbal Products Association, received the organization’s Champion Award, which is given to industry members for making notable contributions to the natural products industry above and beyond commercial success. Lampe was recognized for more than 22 years of service to healthyliving media, including his role as a pioneer in the “Lifestyles of Health and Sustainability” (LOHAS) market, where he helped identify and quantify the marketplace and oversaw the first research on the LOHAS consumer. In 2000, Natural Business Communications, which he co-founded, launched the groundbreaking LOHAS Journal. He also has served as editor of Natural Foods Merchandiser, editorial director at New Hope Natural Media, and executive vice president of InnoVision Health Media. During his acceptance speech, Lampe noted that his first industry trade show was the Natural Nutritional Foods Association show in July of 1988, also in Las Vegas. “What gets me out of bed each morning and what drives me is the focus, the dedication, the values, the passion and the willingness to share of all the people I’ve met and admired who make the world a better place,” he said. “It’s what has pushed me every single day to do my own work at the highest July 2011 • Page 9 Special Topics The Food Safety Modernization Act: A Review of Implementation Meetings and Strategies by Merle Zimmermann, Ph.D., AHPA Information Analyst The Food Safety Modernization Act (FSMA), passed by Congress in December 2010 and signed by President Obama in January 2011, has revolutionized the field of food safety. The biggest change to food safety law since the passage of the Federal Food, Drug, and Cosmetic Act in 1938, the FSMA empowers the Food and Drug Administration (FDA) with extended powers in its mission of protecting the nation’s food supply and also enacts a paradigm shift in the agency’s approach to food safety. Instead of FDA having to primarily react to individual food hazard events, FDA is now able to be proactive and prevent such events from occurring at all. The new law tasks the agency and industry to apply science-based hazard analysis and preemptive auditing to identify and isolate questionable goods before they are released to the marketplace. Among other provisions, the FSMA places additional responsibilities on importers for the safety of their food products and provides FDA with the power to detain said products when agency agents have “reason to believe” the products are adulterated or misbranded. While the FSMA is focused primarily on food production and products, the law is of importance to dietary supplement manufacturers and suppliers because elements of it apply to individual ingredients and facilities both inside and outside the United States. Exemptions exist to parts of the law applying to dietary supplement manufacturers, and these exemptions are equally applicable to both domestic and foreign firms due to U.S. trade agreements. (See the AHPA Updates of Dec. 20, 2010, and April 15, 2011, for further discussion of this topic.) FDA held several public meetings and hearings in March, April, and June 2011 to present and discuss how FDA should implement certain sections of the FSMA. In addition, FDA introduced a FSMA web portal focused on the new law. New rules resulting from FSMA will apply to all food sold in the United States, including imported food. During all of the proceedings, FDA staff underscored the common goal of food safety being shared by government regulation, industry, and consumers, and how the development of the FSMA would be a cooperative journey with government and industry working together. After the law’s passage, I attended the public FDA events, collecting information and comments on the FSMA throughout the proceedings. Aside from overview speeches discussing the entire law, three major topic groups were covered in five FDA meetings, hearings, and media briefings over the last four months. The FSMA and Importing Activities The focus of the first two meetings was on the pending implementation of some of the elements of FSMA Title III, Improving the Safety of Imported Food. More specifically, the March 29 meeting was titled, “FSMA and Imports: A New Paradigm for Importers,” and focused on the changes directly affecting FDA and interested parties such as growers, manufacturers, importers, and auditors. The March 30-31 meeting was called “Ensuring the Safety of Imported Foods and Animal Feed: Comparability of Food Safety Systems and Import Practices” and focused more on inter-government, bank, and multinational infrastructure development as opposed to individual comments. The first two meetings covered the same topics, however, and provided FDA ample opportunity to discuss the following sections of the FSMA in detail: Foreign Supplier Verification Program (Section 301) Voluntary Qualified Importer Program (Section 302) Building Capacity of Foreign Governments (Section 305) Accreditation of 3rd-Party Auditors (Section 307) During these meetings, FDA staff repeatedly stressed the risk-management nature of the new law, which requires FDA to efficiently use its resources and to focus testing and regulation efforts on highrisk foods and food ingredients while continuing to monitor lowrisk products at a lower rate. Participation in the agency’s voluntary supplier-verification and qualified-importer programs were suggested as ways that responsible companies could demonstrate their reduced levels of risk. FDA stated that participation in the programs would not necessarily put shipments in an express lane though the border, however. The agency also recognized that U.S. trade obligations require both domestic and foreign producers and importers to be treated on an equal footing. It communicated its understanding of the potential impact of new costs on small businesses and stated its intention to minimize these while still meeting its food safety goals. FDA promised that any new importer requirements would be clearly and widely publicized well in advance of compliance dates. Representatives from FDA explained that the last section, Accreditation of 3rd-Party Auditors (Section 307), will require accredited auditors to notify FDA of conditions that “could cause or contribute to a serious risk to the public health” during both regulatory and consultative audits and welcomed further comments and suggestions to clarify the exact scope of this section of the law. In a recent media briefing on international drug and food issues conducted by FDA, on June 20, 2011, these points were revisited. July 2011 • Page 10 FDA emphasized its commitment to international interagency cooperation and communication in implementing this part of the new law and the importance of the third-party auditing program in vetting imports and facilities for compliance. FDA mentioned that, in some cases, third-party auditing certification might be essential for products to be straightforwardly imported across the border. The agency is encouraging a position where the border crossing would primarily serve as a checkpoint where prior data would be reviewed and approved by the agency as opposed to its current, more elaborate role. The FSMA and Preventative Controls On April 20, 2011, FDA continued its outreach program on the FSMA law by holding a meeting entitled, “Focus on Preventative Controls for Facilities.” The focus of this meeting in the ongoing series was on preventative controls used by facilities to identify and address hazards associated with specific foods and food processes. The FSMA sections of particular interest in this meeting included: Inspections of Records (Section 101) Hazard Analysis and Risk-based Preventative Controls (Section 103) Performance Standards (Section 104) Fresh New Look! Discussion primarily centered on Section 103, Hazard Analysis and Risk-based Preventative Controls. Hazard analysis was discussed in the framework of Hazard Analysis and Critical Control Points (HACCP), a process where identifying and controlling potential food-safety hazards becomes the focus of a manufacturing safety system. This approach to product quality originated during World War II and was utilized during the NASA space flight program, where after-production testing to verify quality of artillery shells and astronaut dietary meals was impractical. When applied to food manufacturing, HACCP plans provide a systematic, science-based method to ensure food safety. It also provides for a new type of inspectional auditing, as a manufacturing plant’s HACCP plan can be reviewed and validated independently of physical inspection of the facility. The U.S. Department of Agriculture has published a very clear, generic HACCP guide for processing plants preparing raw meat and poultry products which, though it is focused on a different industry, nevertheless provides good insight into applying the HACCP philosophy. During a breakout session discussing preventative controls, FDA received a question from a webcast attendee regarding food categorization of high- and low-risk foods, and asking for further clarification. Jenny Scott, senior advisor to the director of the Office of Food Safety at FDA’s Center for Food Safety and Applied Nutrition, an- ‘‘The Tan Sheet’’ NONPRESCRIPTION PHARMACEUTICALS AND NUTRITIONALS Elsevier Business Intelligence is proud to partner with the American Herbal Products Association to bring you special pricing for new subscriptions to “The Tan Sheet”. 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SPECIAL OFFER FOR AHPA MEMBERS To start my subscription to “The Tan Sheet” (51 print issues plus free web access to www.TheTanSheet.com) for the discounted rate of $1,435 – a savings of $360 off the regular price of $1,795 Call Customer Service at 1-800-332-2181 and mention code AHPA11 Or Email [email protected] and include code AHPA11 July 2011 • Page 11 McNeil Seeks Supr eme On OTC Labeling Pre- Court Opinion emption D S an FDA significantly overhau ls a health claim linking phytosterols to a reduced risk of coronary heart disease, expanding the type of enriched conventi onal foods and forms of dietary supplements that can make the claim . . . ................. ..8 New private NBTY replaces long-tim e CEO Scott Rudolph with Jeffrey Nagel, a company outsider and supplement industry newcomer. The Carlyle Group brought Nagel in to “support and enhance the managem ent team,” says NBTY President and Chief Financial Officer Harvey Kamil ................. ..5 On The Hill House Adds Food Safety To Appropriations Bill To Resolve Procedural Glitch House Democrats move to resolve a constitutional glitch holding up a food safety reform bill by adding the legislation to a comprehensive appropri ations bill. The bill passes Dec. 8 by a 212-206 vote with food safety language nearly identical to the Senate’s more limited version of the legislation . . . . . . . ................. . 14 Table of Contents > Table of Contents > 3 3 ALS AND NUTR ITIONALS Vol. 18, No. 50 top sto ries FDA Expands Phytosterol Heart Health Claim In Propose d Rule PUbLISHed WeeKLY chiff M [email protected] om cNeil Consumer Healthc are argues in a consum Supreme Court’s 2009 er injury lawsuit that the decision in Wyeth v. Levine does not apply prescription pharmac to noneuticals because OTC different regulatory and Rx drugs are covered labeling schemes. by In a writ of certiora ri petition for a Supreme Johnson & Johnson Court hearing filed subsidiary asks the Nov. 30, the court to weigh in on up McNeil v. Valdes, this issue by taking in which McNeil appeals a July 2009 ruling Court of Appeal of by the Third District Florida. Louis Bograd, an attorney who works closely rejects McNeil’s stance with the trial lawyers’ on the Wyeth case, association, in which the Supreme 6-3 that FDA-approved Court determined labeling for prescrip tion drugs does not from seeking persona preclude patients l injury claims under state tort laws (“High Levine Ruling Returns Court’s Wyeth v. Pre-emption Status Quo,” “The Tan Sheet” March 9, 2009). Bograd, of the Center for Constitutional Litigatio pre-emption issue n, says the court’s for drugs in Wyeth, ruling on the and the relative lack rounding pre-emption of controversy surfor OTCs, makes the justices unlikely to v. Valdes. grant cert to McNeil ”Generally speaking , absent a conflict between courts, the Supreme the decisions of two Court relatively rarely appellate takes a case,” added litigation counsel at Bograd, senior Washington-based CCL. Bograd frequently writes amicus briefs on behalf of the America Justice, which in 2008 n Association for voiced objections to FDA movement toward empting liability claims a policy of prelinked to OTCs (“Tort Attorneys Concern Pre-emption Describe ed By State Claim d In OTC Rule,” “The Tan Sheet” Oct. 13, 2008). Circumventing Wyeth v. Levine The family of Armand o Valdes sued McNeil in 1999 under Florida after the then-16-year-old state tort law allegedly consumed caffeine plus a Tylenol taining pseudoephedrine product con, then suffered heatstro while playing roller ke and cardiorespirator hockey, leaving him y arrest permanently disabled . As far as Wyeth v. Levine is concerned, and as the Valdes family labeling mandated argues, the drug by FDA does not prevent companies from adding the combination of PSE, caffeine and physical warnings that activity creates heart-re But McNeil claims lated risks. FDA’s OTC monogra ph labeling requirem difference between ents create a material OTCs and prescription drugs, for which manufac ster label warnings through a “changes turers can bolbeing effected” procedu re. To sign up for FREE ONLINE ACCESS, Story Continues > 4 go to: http://The TanS heet.ElsevierBI. com Offer available for new subscriptions only. Offer expires 12/31/2011. swered: “What is food categorization? … We were intentionally vague in what we said here because we were hoping you would tell us how you might categorize foods. One question: Is it high risk or not?” This theme of public participation flows throughout FDA’s approach to the FSMA, with the agency welcoming information on how it should prioritize preparing best practices from existing companies and trade associations. Codex Alimentarius standards were also mentioned as a possible source of guidance for FDA, which the agency accepted gratefully. The definition of a facility was also discussed, as well as the distinction between what determines a large and small facility. Due to international trade agreements, all such definitions would apply equally to facilities stateside and overseas, and it was noted that exceptions related to “small” and “very small” businesses would need to be written carefully to be fair and equitable to both domestic and foreign producers. Although “small” businesses are limited to conducting operations within 275 miles from their headquarters or within the same state, the “very small” business category had no such restriction. It was noted that some very large operations had 25 or fewer employees, due to efficiencies gained in automating their facilities. FDA stated that it would consider the suggestions carefully to ensure that small businesses were not unfairly burdened. FDA suggested working with industry representatives to conduct safety and/or HACCP training for small businesses. The agency was interested in leveraging preexisting organizations and programs to distribute information. Following further discussion, attendees requested that FDA issue clear and direct guidance documents on the new laws to make it easier for small businesses to educate themselves about compliance with new and upcoming regulations. When asked about a particular guidance, which did not yet exist, FDA staff stated that it would be added to the list of documents to be produced. FDA representatives agreed on the importance of clear documentation and requested that comments be submitted to the FSMA dockets requesting any guidances that are needed so that the agency could prepare them and avoid future confusion. FSMA’s Inspections and Compliance Provisions On June 6, 2011, FDA engaged the community once more with a public meeting titled, “FDA Food Safety Modernization Act: Focus on Inspections and Compliance Provisions.” At the meeting, FDA provided a forum for interested persons to address the guidance, regulation, and/or the implementation activities related to the following topics: Enforcement Authorities Frequency and Targeting of Facility Inspections Manner of Inspection in a Preventative Controls Environment Enhancement of the Reportable Food Registry Several key themes reappeared throughout the discussion. During a discussion on how best to identify risk across the large variety of different manufacturing approaches and facilities, it was suggested by interested parties to conduct a joint FDA-industry study on well-blinded data from across the entire production process. Collected data could include results from a variety of different tests, biological and otherwise. The study might be a good way to identify high- and low-risk conditions in practical situations, providing concrete safety data across a wide spectrum of manufacturing methods. FDA, however, expressed disinterest in participating, noting a potential conflict of interest that might arise if the agency handled the blinded, raw testing data: as the participants would be anonymous, if FDA became aware of a potential food-safety issue from the study data, the agency would be unable to fulfill its responsibilities to take regulatory action. Nevertheless, the agency agreed that the information garnered from such a study would be invaluable in a science-based determination of food risk and reacted positively to the idea that industry could conduct such studies independently and report bottom-line results to the agency, which could then use them to enhance its food safety activities under the FSMA. Further discussion of how FDA would allocate its inspection resources for the greatest benefit focused on the need for FDA to develop a matrix-based approach that would allow investigators to consider the qualities of facilities and their operators along with the products they were involved in producing. Third-party auditing was suggested—along with food-risk assessment and HACCP-plan evaluation of manufacturing processes—as a means of deciding which facilities most needed inspection. Attendees recommended FDA require all manufacturing operations to submit HACCP plans on request to avoid document management issues and an unfair burden to small operators who might not have dedicated HACCP officers. Discussion at the meeting also touched on the additional powers given to FDA regarding product recalls and product holding. It was generally agreed that the FSMA, aside from granting the agency additional enforcement options, required it to use these extended enforcement powers in a responsible and clear fashion. Some of those present requested that FDA issue a guidance as soon as possible clearly explaining its uses of its new enforcement responsibilities and how they would fit into the current system of warnings and actions. It was also discussed that although FDA inspectors would initiate some of these new enforcement activities, the responsibility for any actions clearly needed to remain with commissionerlevel agency personnel, as the law states. July 2011 • Page 12 Conclusion The FSMA is clearly a game changer in the food safety field. The new focus on risk-analysis activities from FDA and its willingness to modify its point of view in response to comments from interested parties makes participating in these proceedings of high importance for industry. The new law requires FDA to increase the frequency of inspections to at least once every five years for low-risk facilities and products, and once every three years for high-risk facilities and products. The American Herbal Products Association (AHPA) already has guidances available to assist with inspection proceedings and other essential topics. These are available in the bookstore on the AHPA website. Further information on the three meetings held between FDA and industry is available. FDA has posted agendas and webcasts of the proceedings, available on-demand on the agency’s website: Importing and Foreign Inspection Provisions of FSMA, March 29, 2011 Preventative Controls in FSMA, April 20, 2011 Inspections and Compliance Provisions of FSMA, June 6, 2011 FDA is continuing to accept general written comments on FSMA, and AHPA’s Government Relations Committee is reviewing the process in the interim and plans to provide commentary. Please contact Michael McGuffin if you would like to participate in AHPA’s review or would like to contribute to the comments. California Plaintiffs Can More Easily Sue Companies over Misleading “Made in U.S.A.” Claims by Linda Dougherty, Esq. Both federal law and California law prohibit the false or misleading use of “Made in U.S.A.” claims on product labels. Such claims include any indication on the label that the product is domestically made (such as “Made in U.S.A.,” “Made in America,” “U.S.A.,” an American flag symbol, etc.). Under the Federal Trade Commission’s (FTC) standard, such a claim is deemed misleading unless “all or virtually all” of the costs associated with the product are domestic in origin. Thus, under federal law, it is possible for a product to lawfully make a “Made in U.S.A.” claim even if the product contains some minimal amount of foreign content. However, products sold or offered for sale in California must also comply with California’s standard, which is much more stringent than the FTC’s standard. Under California law, a “Made in U.S.A.” claim is deemed misleading whenever “the merchandise or any article, unit, or part thereof, has been entirely or substantially made, manufactured, or produced outside of the United States.” In other words, if any one component or ingredient of the product is imported, the product may not make a “Made in U.S.A.” claim under California law, regardless of how minimal that one component or ingredient is in relation to the overall product. In addition to California’s stricter standard, California differs from federal law in that the California law provides for a private right of action. This means that a class-action consumer lawsuit may be brought against a company that makes products sold in California if the products bear a “Made in U.S.A.” claim that does not comply with the California standard. The Kwikset case is an example of such a lawsuit. (Kwikset Corp. v. Super. Ct., No. S171845 [Cal. Jan. 27, 2011]). In Kwikset, a consumer in California bought a lockset sold by Kwikset Corporation that was labeled “Made in the U.S.A.” Upon learning that the lockset contained pins made in Taiwan, the consumer brought a lawsuit against Kwikset based on the California law prohibiting the use of “Made in U.S.A.” claims on products that contain any part that is made outside of the United States. In order to have standing to bring such a lawsuit in California, a plaintiff must show that he or she “lost money or property” as a result of the label misrepresentation. In Kwikset, the plaintiff argued that he satisfied this standing requirement insofar as he “lost” the money he paid for the product because he would not have bought it if he had known it contained foreign parts. The defendant company countered that a plaintiff has not “lost” any money so long as the product was not overpriced or defective. Arguing that the lockset, despite any label misrepresentation, was equal in value to the amount the plaintiff had paid for it, the defendant company alleged that the plaintiff had received the benefit of his bargain and therefore lacked standing to bring suit. On January 27, 2011, the Supreme Court of California settled this question in the Kwikset case, ruling that a plaintiff has satisfied the “lost money or property” standing requirement so long as he or she would not have purchased the product absent the label misrepresentation. In other words, if a plaintiff in California alleges that he or she was induced to buy a product based on a “Made in U.S.A.” claim that is false or misleading under California’s strict standard, that plaintiff has standing to sue. This decision drastically relaxes the standing requirement, thereby making it easier for plaintiffs in California to sue companies over label misrepresentations. While every company must be aware of the FTC standard, companies selling products labeled “Made in U.S.A.” in California are well advised to take steps to ensure that their products satisfy California’s stricter requirements for making such claims. Linda Dougherty, Esq., is an associate of the law firm of Ullman, Shapiro & Ullman, LLP. This article originally appeared in the February 2011 issue of Inside Aloe, the official publication of the International Aloe Science Council. July 2011 • Page 13 Legal & Regulatory FDA Releases NDI Guidance; AHPA to Host NDI Seminar The U.S. Food and Drug Administration (FDA) on July 1 posted its long-awaited guidance for new dietary ingredients (NDIs). The guidance, called “Draft Guidance for Industry: Dietary Supplements: New Dietary Ingredient Notifications and Related Issues,” can be accessed by clicking on the above title. A preliminary review of the guidance indicates that it is a combination of reinterpretation of certain elements of the existing law and specific suggestions to assist companies in providing the information needed to avoid having FDA identify concerns or objections to an NDI notification. American Herbal Products Association (AHPA) staff and counsel will be reviewing this guidance in greater detail over the next several days. “Even though the guidance is not binding, we should all be concerned about any attempt by FDA to use this forum to change the rules and practices that have been accepted and in place for 17 years,” commented Michael McGuffin, AHPA president. “At the same time, it appears that the agency has learned from the process of reviewing submitted notifications, and has described, for the first time, at least some of its expectations for the content of NDI notifications.” The AHPA Government Relations Committee will be preparing comments to submit to FDA on the draft guidance, as needed. Please contact Michael McGuffin if you would like to be involved in this review process. McGuffin was interviewed for an article on the NDI guidance that was posted on the NewHope360.com website on July 1. You can access that article here. Additionally, AHPA will host an educational seminar, “FDA’s New NDI Guidance: What You Need to Know.” This teleseminar will be scheduled within the next several weeks to ensure that adequate time is allowed to receive AHPA member input on FDA’s new guidance. It will include a review of FDA’s new teachings and will provide a step-by-step approach for successful submission of an NDI notification. Support Safety by Supporting the Botanical Safety Handbook Revision AHPA’s Botanical Safety Handbook is a reference book that provides safety information on more than 600 species in trade as ingredients in dietary supplements. An essential reference for healthcare providers, consumers, retailers and manufacturers of herbal products, its safety classifications are frequently cited in other publications. Time for an update • Significant herbal research has been published since the BSH was published in 1997 • A number of new ingredients are now on the market. The revision will be based upon comprehensive literature reviews for each herb, historical uses and traditional knowledge, and case reports of adverse reactions and herb-drug interactions, herb-drug interaction studies, metabolism studies, toxicology studies and clinical trials. The BSH revision is to be completed over a three-year period, and seed money for the project has been pledged by the Office of Dietary Supplements at the National Institutes of Health, the University of Massachusetts, and individual and corporate contributions to the AHPA-ERB Foundation. Pledge your tax-deductible contribution today! Contact Michael McGuffin at [email protected]. July 2011 • Page 14 Latest Dietary Supplement Proposition 65 Settlement Proposed for $80,000; Complaints Continue to Be Filed by Michael McGuffin, AHPA President Starting in April 2010 and as of June 14, 2011, a private plaintiff, San Diego, Calif.-based Environmental Research Center (ERC), has issued 223 (1) Proposition 65 notices—including almost 100 in 2011 alone—against 136 separate companies. Each of these notices alleges exposure to lead (and in one case to arsenic) by one or more dietary supplements or other natural products. Under California’s Proposition 65, “The Safe Drinking Water and Toxic Enforcement Act of 1986,” a product that exposes a consumer to more than 0.5 mcg per day of lead is generally required (1) to bear a “clear and reasonable” warning that the product contains lead and that lead is “known to the State of California to cause birth defects or other reproductive harm.” Only nine of the companies who have received notices from ERC have subsequently been named in complaints, which is the next step in the legal process through which a notice is resolved. One such complaint was filed in September 2010 against 1338299 Ontario, doing business as Integrity Marketing, in the matter of its product, Internal Flush®. Five retail chains were identified in separate notices as resellers of this product (2), which ERC alleged to “cause exposures to lead and lead compounds.” A proposed, stipulated-consent judgment, signed by both ERC and Integrity Marketing on April 18, 2011, has now been filed in the California Superior Court in Marin County. The judgment would result in total settlement costs of $80,000, presumably to be borne by Integrity Marketing rather than by the retailer defendants, each of whom is released from all claims under the terms of the proposed judgment. American Herbal Products Association (AHPA) members have been informed on numerous occasions over the past year of the activities of ERC in targeting supplement products. The activities of this plaintiff were first reported last summer to call attention to ERC’s first 52 notices, all of which had been issued in the prior four months (1). Subsequent articles noted this plaintiff’s continued attention to the supplement class (3, 4) and recorded a developing focus by ERC Proposition 65: The Options Companies that sell dietary supplements and other natural products, such as protein powders and green foods, need to be aware of their options in dealing with Proposition 65, especially as the law affects the presence of lead in these products. These include: Stay Out: Restrict your sales to exclude all California commerce, including Internet sales and sales made by 3rd-party distributors Stay Small: Limit the number of your employees to not more than nine Analyze for Lead Speciation: Confirm that any lead present at over 0.5 mcg/day at the highest-labeled daily dose is “naturally occurring” and so is present “solely as a result of natural geologic processes.” Consultations with numerous AHPA members indicate that the three points above are not realistic options for most companies. The California marketplace is essential to most natural product sales; only the smallest firms can comply with the small company exemption; the burden of proving that lead is naturally occurring rests squarely on marketers and is a costly process, especially for companies with numerous ingredients. That leaves the following options: Analyze and Limit: Do not be the second one to know how much lead is in your product! AHPA has reached agreements with analytical labs that provide significant discounts to AHPA members, and they will let you know if your products contain more than 0.5 mcg/day of lead. Contact Steven Dentali for more information. Warn: Provide the required clear and reasonable warning on any product lot with greater than 0.5 mcg/day of lead. Several companies have now taken this approach, and it may come to be that this labeling will become more common, so that most products in some classes will all provide the same information to consumers. Contact Michael McGuffin if you want to discuss this option further. Wait to Get Sued: The average settlement to date in the natural products category is just over $150,000, which does not include legal expenses. Wouldn’t you rather make a donation to the AHPA-ERB July 2011 • Page 15 Foundation instead? The only feasible ways to avoid this last option, in the face of the ongoing attention to the supplement product class, are either to analyze your products and keep them below 0.5 mcg/day of lead, or consider the use of product-warning labels. Are there other options? Many in the industry have suggested that new ideas need to be explored. It is generally agreed though that the likelihood of having the Proposition 65 law overturned is very low; the state legislature can only amend it by a two-thirds majority and only “to further its purposes,” and there is little evidence to suggest that the citizenry would vote to overturn the “Safe Drinking Water and Toxic Enforcement Act” (Proposition 65’s formal name). The idea of federal preemption has been examined for many years with no success. If you have any new ideas on this issue, please contact Michael McGuffin to discuss them. But in the meantime, the first five of the above options must be considered by all marketers doing business in California—as the last one is the default option and will be selected not by you, but by a private plaintiff. on green foods and products in the sports supplement category (5). In addition, AHPA and its Proposition 65 counsel, Trent Norris, from the firm Arnold & Porter, have prepared a document that is essential to understanding the impact of this law for supplement companies. Any AHPA member can obtain the document, Background on California Proposition 65: Issues related to heavy metals and herbal products, by downloading it. A more complete review of the issue is available in the form of AHPA’s educational symposium, Living with Proposition 65: Preventative Measures & Defending Against a 60-Day Notice, which can be purchased at the AHPA Bookstore. Sens. Durbin and Blumenthal Introduce Dietary Supplement Legislation in the Senate Sens. Dick Durbin, D-Ill., and Richard Blumenthal, D-Conn., on June 30 introduced legislation that, according to a press release posted on Durbin’s website, “would ensure that consumers have the information they need to distinguish between products that are safe and others that contain potentially dangerous ingredients which haven’t been approved by the Food and Drug Administration (FDA). 1. McGuffin M. August 2010. 52 New Proposition 65 complaints filed against supplements companies; Settlements now exceed $4 million. AHPA Report 25(8):10-11. “The Dietary Supplement Labeling Act would improve the information available to consumers, and to curb the prevalence of drinks and foods that are masquerading as dietary supplements as a means of avoiding reviews and regulation by the FDA,” according to Durbin in the release. 2. New Albertsons; CVS Pharmacy; The Kroger Company; Rite-Aid Corporation; and Wal-Mart Stores. According an earlier press release posted on Durbin’s site on June 27, the bill would: References 3. McGuffin M. September 2010. Proposition 65 redux. AHPA Report 25(9):13. Direct the Food and Drug Administration (FDA) to establish a definition for “conventional foods.” 4. Denhard J. October 2010. Steady rise on Prop 65 cases. AHPA Report 25(10):12. Require supplement labels to disclose known risks of ingredients and to display a mandatory warning if the product contains a dietary ingredient that may cause potentially serious adverse events. 5. McGuffin M. February 2011. Sports supplements, green foods targeted by Proposition 65 in 2010; Attention continuing in 2011. AHPA Report 26(2):12. Require manufacturers to register dietary supplement products Find a Fresh New World of Sales in the largest consumer magazine devoted entirely to readers passionate about herbs. • Affluent - Average HHI $90,967 • Engaged - Readers spend an average of 135 minutes reading each issue • Passionateaboutherbs Q 87% use herbal remedies frequently Q 80% plan to purchase organic/natural personal care products in the next 12 months Q 95% grow their own herbs • Theirinterestinherbsextendstotheadvertising Q 83% of our readers have taken action as a result of seeing an ad in The Herb Companion Reach your target audience with the authority on growing, cooking and healing with herbs! 800.678.5779 | [email protected] | www.HerbCompanion.com July 2011 • Page 16 with FDA, and provide a description of each dietary supplement, a list of ingredients, and a copy of the label. Require supplement labels to include a batch number. Durbin’s June 27 press release makes it clear that he is most focused on products in food or beverage forms and specifically mentions several liquid brands, including Rockstar Energy Drink, 5-Hour Energy, and Drank. The latter contains melatonin and, according to the press release, the company rebranded the product as a dietary supplement when FDA issued a warning letter last year, which identified melatonin as an unapproved food additive. According to Durbin, “FDA has not yet taken action, because without a clear definition for ‘conventional food and beverage’ it is difficult to address this kind of conflict.” “In reviewing this press release, it appears that this bill would largely propose legislative solutions where what is needed is regulatory enforcement,” commented Michael McGuffin, president of the American Herbal Products Association (AHPA). “Supplements may not be represented as conventional foods and must be labeled to include all information—including safety information—that is material in light of the consequences that may result from their use. And while no one will argue with the wisdom of using product lot numbers, it is already the standard industry practice to do so.” The most controversial part of the Dietary Supplement Labeling Act may well be its requirement for product registration, a change that Presents: Durbin has sought in the past. “AHPA is in communication with Senator Durbin’s office, and I will be reviewing the actual legislation as soon as it is available,” added McGuffin. “As always, AHPA’s primary focus will be on identifying and opposing any legislation that in any way reduces consumer access to safe dietary supplements.” Consent-Decree Conviction and Dividing Up Ill-Gotten Gains by Anthony L. Young, Esq., Partner, Kleinfeld, Kaplan and Becker, LLP, and AHPA General Counsel Signing a consent decree is serious business. Once a consent decree, a judicial decree that sanctions a voluntary agreement between parties in a dispute, has been signed and is in force, it must be complied with. When a company is found to be out of compliance or evading it, the consequences can be substantial. Quality Formulation Laboratories, American Sports Nutrition, and the companies’ owner and managers were each found guilty of criminal contempt in violating a consent decree regarding the operation of their dietary supplement manufacturing businesses. The consent decree required that the defendants shut down their manufacturing operations and not reopen their current facilities or any other ones without first correcting these violations and getting the Food and Drug Administration’s (FDA) approval to reopen. The criminal contempt charges alleged that managers Ahmad Desoky and Omar Desoky, with knowledge of the court’s order, assisted their father, company owner Mohamed S. Desoky, in violating the order, and thus were criminally liable for the violations, even though they were not named as defendants in the original civil case. What did they do? They set up their businesses in a separate location in another state, almost immediately after signing the consent decree. They moved their employees and their equipment to the new location. And they operated their former New Jersey facility in violation, as well. They were convicted on the criminal contempt charges in a jury trial and at press time await sentencing. Really, are the cGMPs for dietary supplements that difficult to meet? Where Does All That Forfeiture Money Go? It’s increasingly true that crime doesn’t pay. In successfully prosecuted criminal cases, the “fruits” of any crime are seized, whether those fruits are in bank accounts or in material assets such as big houses, cars, or boats. For example, the Federal Trade Commission takes seized fruits and sets up a system to try to return illegally gotten funds back to consumers who were misled. In the CortiSlim weight-loss dietary supplement case against Window Rock Enterprises Inc. and Infinity Advertising Inc., Los July 2011 • Page 17 Angeles-based companies that sold the product, FTC took two of the guilty parties’ homes, a boat, a car, and the title to one of the defendant’s relative’s home (while allowing the relative to live in it while they remained alive). In the Genescience Pharmaceuticals case, where a Chinese drug company and its CEO were found guilty for illegally marketing human growth hormone in the United States, $4.5 million was divided up among law enforcement offices in Rhode Island, and the defendants were required to donate $3 million to the Rhode Island Foundation to support sports anti-doping efforts. The company had previously forfeited an additional $2.7 million in the case. “I am pleased that this ground-breaking federal prosecution, which was a success on so many levels, has resulted in the distribution of such significant, forfeited amounts to state and local law enforcement agencies in Rhode Island. The defendants paid directly for their misconduct through the forfeiture of these assets,” noted U.S. Attorney Peter F. Neronha. Successful law enforcement is a growing vehicle for financing prosecutors and police forces. In California, county district attorneys’ offices use the money they receive from consumer-protection-case awards or settlements to fund their offices. And in many states, weights and measures enforcers do the same. In states along the Florida–New York corridor, law enforcement is funded by the value of seized drugs, cash, and cigarettes. Four Marijuana Bills Introduced in the House; DOJ Memo Creates Regulatory Concern for States by Michael McGuffin, AHPA President Three bills were introduced in the U.S. House of Representatives on May 25 that would, in the (unlikely?) event of passage, change the way that medical marijuana is regulated in the United States. The three bills are: H.R. 1983: The States’ Medical Marijuana Patient Protection Act, introduced by Rep. Barney Frank, D-Mass. H.R. 1984: The Small Business Banking Improvement Act of 2011, introduced by Rep. Jared Polis, D-Colo. H.R. 1985: The Small Business Tax Equity Act of 2011, introduced by Rep. Pete Stark, D-Calif. Each of these bills was co-sponsored by all three of these congressmen, and Rep. Ron Paul, R-Texas, joined as a co-sponsor of H.R. 1984 and H.R. 1985, as did Rep. 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You can access the AHPA Program through your agent/broker by having them contact Richard M. Griffin, or you can call Dick direct: GRIFCON Enterprises, Inc. AHPA Insurance Program Manager at 916-434-8874 for details. www.dickgriffin.com • [email protected] July 2011 • Page 18 H.R. 1983 and H.R. 1985. On May 11, Paul introduced legislation that would legalize cultivation and processing of industrial hemp. A short summary of these three newly introduced bills can be found at Rep. Stark’s website in the form of a press release. The two business-focused bills each address issues faced by companies that are engaged in medical marijuana businesses in states that have legalized this practice. One such issue is that current law establishes reporting requirements by banks for certain banking activities identified as “suspicious transactions” [31 U.S.C. §5318 (g)]. A suspicious transaction is defined in regulation as one that is “relevant to a possible violation of law or regulation” [31 CFR §103.18 (a)]. The implication of this has been that companies engaged in businesses that are legal under state law but not under federal law are not able to maintain bank accounts with federally chartered banks and have encountered significant difficulties in obtaining bank loans. The somewhat ironically numbered H.R. 1984 would address this by exempting from these “Big Brother” reporting requirements transactions by a “legitimate business … engaged in activities that are currently legal under State law.” H.R. 1985 would amend Section 280E of the Current IRS Code. This section of the IRS Code dictates that no deductions or credits are allowed on tax returns related to any business that “consists of trafficking in controlled substances … which is prohibited by Federal law or the law of any State in which such trade or business is conducted.” This bill would create a specific exemption for “sales of marihuana … intended for patients for medical purposes pursuant to the law of a State.” Thus, companies that sell medical marijuana where this is allowed under state law would be able to comply with the same rules as all other law-abiding federal taxpayers come April 15 of each year. The most broad-reaching of these bills is Rep. Frank’s H.R. 1983. Upon passage, his bill would have the immediate effect of removing from the federal law, that is, the Controlled Substances Act (CSA), any prohibitions or restrictions against use, prescribing, or providing medical marijuana in states where such practices are legal. This legislation would also initiate a process whereby the Drug Enforcement Administration (DEA) would be required, within one year, to issue a proposed rule in which that agency would recommend that marijuana be reclassified “as other than ‘Schedule I’ or ‘Schedule II’ substances.” It is illegal to possess non-prescribed drugs classified in any schedule, though some penalties are reduced for drugs in lesser schedules, so the passage of this law would not have the effect of legalizing marijuana nationally. But it is only Schedule I—where marijuana is now classified—that defines the drugs listed therein as having “no currently accepted medical use in treatment in the United States.” On June 20, Reps. Polis and Frank sent a letter to Attorney General Eric Holder, in which they expressed their view that “it is important” that the attorney general “restates the Ogden memo,” a com- American Herbal Pharmacopoeia® • One of the most authoritative sources for traditional and modern information on clinical herb use and safety. • All the analytical and technical information needed for botanical ingredient GMP compliance. • Pharmacopoeial Standards • Herbal Quality, Research and Safety Bulletin (QRS) • AHP-VerifiedTM Botanical Reference Material (BRM) • AHP-VerifiedTM Chemical Reference Standard (CRS) Printed Copy $44.95 ea.• PDF $39.95 ea. • AHPA Members receive 10% off Order: www.herbal-ahp.org or contact 831-461-6318 •Tax Deductible• July 2011 • Page 19 munication dated Oct. 19, 2009, from then U.S. Deputy Attorney General David Ogden, in which the Department Of Justice (DOJ) expressed its intention to refrain from making “prosecutional priorities” of the use and supplying of medical marijuana in states that have legalized such use and supply. The following day, the Ranking (Democratic) Member of the House Judiciary Committee, John Conyers, D-Mich., authored a letter to Holder to “ask about the status” of the Odgen letter and to request information “about the status of federal prosecutions in states that have medical marijuana laws.” In his letter, Conyers also stated that he understands that the attorney general intends to soon offer “clarifying guidance on this issue, and offers his hope that Holder “will continue to honor the spirit” of the Ogden memo. However, on June 29, in a memo authored by current Deputy Attorney General James M. Cole, the DOJ instructed the head of the DEA and officials in the U.S. Attorneys Office to treat medical marijuana dispensaries as top priorities for prosecutors and drug investigators. The new DOJ memo would appear to negate the spirit of the Ogden memo and created confusion and concern among medical marijuana growers and sellers in those states that have made it legal for sale. “Persons who are in the business of cultivating, selling or distributing marijuana, and those who knowingly facilitate such activities, are in violation of the Controlled Substances Act, regardless of state law,” the memo reads. “Consistent with resource constraints and the discretion you may exercise in your district, such persons are subject to federal enforcement action, including potential prosecution. State laws or local ordinances are not a defense to civil or criminal enforcement of federal law with respect to such conduct, including enforcement of the CSA.” Meanwhile, on June 23, Reps. Frank and Paul introduced a new bill that would go much further than the three introduced in May. The “Ending Federal Marijuana Prohibition Act of 2011” (H.R. 2306) would completely remove marijuana from the CSA, except that it would still be unlawful to ship marijuana into any state for a use that is illegal within that state. In other words, this bill would transfer from the federal government and to the states full authority to control the legal status of Cannabis spp. within each state. The legislation introduced by Frank and Paul is the first that seeks to decriminalize marijuana since the Marijuana Tax Act was enacted in 1937. Joining Frank and Paul as co-sponsors were Reps. Steve Cohen, D-Tenn., Conyers, Polis, and Barbara Lee, D-Calif. The American Herbal Product Association’s Cannabis Committee will be following these bills closely. If you have any interest in these bills, please contact Michael McGuffin. Sens. Hatch and Harkin Express Support to FDA for NDI Guidelines In a letter dated June 21, 2011, Sens. Orrin Hatch, R-Utah, and Tom Harkin, D-Iowa, expressed their support for the publication of the new dietary ingredients (NDI) guidance to Food and Drug Administration (FDA) Commissioner Margaret Hamburg, M.D. Their letter also clarified their expectation that the guidance will be consistent with the legislative compromise enshrined in the Dietary Supplement Health and Education Act of 1994 (DSHEA). The full letter can be accessed here. Hatch and Harkin pointed out that section 113(b) of the FDA Food Safety Modernization Act states that FDA shall publish guidance that clarifies when a dietary supplement ingredient is a new dietary ingredient; when a manufacturer or distributor of a dietary ingredient should provide FDA with information described in section 413(a)(2) of the Federal Food, Drug, and Cosmetic Act; the evidence needed to document the safety of new dietary ingredients; and the appropriate methods for establishing the identity of a new dietary ingredient. Their letter reiterated that the NDI guidance is to “effectuate the regulatory balance that Congress struck in writing DSHEA” and that it should “refrain from erecting barriers that will inhibit or needlessly delay consumer access to safe products that were in fact marketed in the U.S. prior to October 15, 1994.” “The intent of the law was to ... minimize regulatory burdens that might inhibit consumer access to lawfully manufactured and labeled dietary supplements,” Hatch and Harkin added. The senators also encouraged Hamburg to conduct outreach to educate manufacturers and consumers about the new NDI guidance and FDA’s regulatory expectations in this area. “We appreciate this proactive appeal by Senators Hatch and Harkin to Dr. Hamburg to ensure that the upcoming NDI guidance is in full alignment with the provisions of DSHEA,” said Michael McGuffin, American Herbal Products Association (AHPA) president. McGuffin also noted that prior to the release of the NDI guidance from FDA, AHPA completed revisions to two of its popular NDIrelated resources: the AHPA NDI Database, which provides access to and understanding of the notifications submitted to FDA for NDIs that are used in dietary supplements, and The Guidance for New Dietary Ingredient Notifications for Manufacturers and Distributors of New Dietary Ingredients, a 40-page, practical guidance document to help companies file successful NDI notifications, prepared by the AHPA Government Relations Committee. This publication is part of the AHPA NDI Notifications Submissions Package, which is available at the bookstore on the AHPA website (see related story, pg. 2). July 2011 • Page 20 Botanical Science Update by Steven Dentali, PhD MEETINGS ATTENDED NCCAM Stakeholder Roundtable and Advisory Board Meetings The National Center for Complementary and Alternative Medicine (NCCAM) held a Stakeholder Roundtable on Tuesday, April 26, on the National Institutes of Health (NIH) campus in Bethesda, Md. I attended as one of about 40 participants that included representatives from the American Health Association, the American Pharmacists Association, the American Association of Naturopathic Physicians, the American Nurses Association, AARP, the Arthritis Foundation, the American Medical Association, and many more. After Josephine Briggs, M.D., NCCAM’s director, provided insight into NCCAM’s legislative mandate, she covered the major goals of NCCAM’s strategic plan, remarking that more than 5,000 public comments had been received during the process of creating it. She also focused on the importance of integration of complementary and alternative medicine (CAM) practices and announced the launch of the agency’s new web portal resources for healthcare providers. The remainder of the meeting was an open dialogue with the attendee organizations. The clear message I heard from NCCAM at this meeting was its desire to continue to strengthen partnerships, including those with industry. NCCAM is often seen just as a funder of research, and this meeting highlighted the agency’s interest in industry and those with both a practitioner and patient focus. The range of discussion during this productive exchange included curriculum development for medical students, building the evidence for CAM modalities, and the importance of the patient-practitioner dialogue. I also attended the open session of the 42nd meeting of the National Advisory Council for Complementary and Alternative Medicine, held in Bethesda, Md., on June 3, 2011. Brian Berman, M.D., the founder and director of the University of Maryland Center for Integrative Medicine, was welcomed as a new member of the council. The topics covered at the meeting included outcomes and effectiveness research at NCCAM, cost minimization and analyses and the state of Washington’s approach to CAM funding, CAM at the Department of Veterans Affairs, and approval of a concept for a systematic review of CAM. While not natural product oriented, this meeting did show the progress made by NCCAM in tackling the challenge of evaluating how CAM is actually used. REQUEST FOR PROPOSAL The Office of Dietary Supplements at the National Institutes of Health has issued a request for proposals for “Analytical Methods Development, Optimization, and Validation: Dietary Supplement Constituents,” which is posted at FedBizOpps. Complete information can be found here and at other links on that page. The statement of objectives in Attachment 1 (page 37 of 47) of the application document that can be found here provides background information and program objectives. Applicants should be in a position to conduct, support, and/or provide oversight for method development and optimization through collaborative study of analytical methods. This opportunity is similar to work previously carried out by the Association of Analytical Communities (AOAC) collaborative study directors. You may apply as an individual laboratory or you may consider a collaborative application. The proposal response date is July 28, 2011. What’s In a Name? Member Price: $79.99 Herbs of Commerce, 2nd Edition Non-Members: $99.00 by Michael McGuffin, John Kartesz, Albert Leung and Arthur Tucker This revised edition, published in 2000, lists 2,048 separate species, including 25 fungi and 23 seaweeds, by their Standardized Common Names and Latin binomials, and includes Indian Ayurvedic names for more than 300 plants and Chinese (pinyin) names for 500 herbs. Also, 639 botanical synonyms are included; older botanical names no longer accepted can be cross-referenced. AHPA published the first edition in 1992 to reduce confusion by establishing “standardized” common names. It was recognized and codified when FDA adopted the original edition in 1997: the common names may be used instead of Latin binomials to identify herbal ingredients in dietary supplements. June May July 2011 2011 •• Page Page 21 21 Order online at ahpa.org or call 301-588-1171 LITERATURE CITATIONS FDA Collaborative Validation of Pesticide-Residue Analysis �Sack C, Smoker M, Chamkasem N, Thompson R, Satterfield G, Masse C, Mercer G, Neuhaus B, Cassias I, Chang E, Lin Y, Macmahon S, Wong J, Zhang K, Smith RE. Collaborative validation of the QuEChERS procedure for the determination of pesticides in food by LC-MS/MS. J Agric Food Chem. 2011 June 22;59(12):6383–6411. Seven FDA laboratories collaborated to validate the QuEChERS (Quick, Easy, Cheap, Effective, Rugged and Safe) extraction procedure combined with HPLC-MS/MS analysis to detect, identify, and confirm the identity of 173 pesticides in carrot, spinach, and orange matrices in less than 20 minutes. Most of the compounds (161 of 173) could be detected at less than 10 ng/g (10 ppb) concentration levels. The procedure was shown to be specific, accurate, reproducible, sensitive, and linear as an effective screening tool for the determination of pesticide residues in these materials. FDA Finds Pesticides Must be 5-10 ppb to Consistently Measure �Zhang K, Wong JW, Yang P, Tech K, Dibenedetto AL, Lee NS, Hayward DG, Makovi CM, Krynitsky AJ, Banerjee K, Jao L, Dasgupta S, Smoker MS, Simonds R, Schreiber A. Multiresidue pesticide analysis of agricultural commodities using acetonitrile salt-out extraction, dispersive solid-phase sample clean-up, and high-performance liquid chromatography-tandem mass spectrometry. J Agric Food Chem. 2011 Jun 14. doi: 10.1021/jf2010723 [Epub ahead of print] This larger study evaluated matrix effects for 209 pesticides in apple, avocado, beet, bell pepper, blueberry, broccoli, cabbage, carrot, corn, cucumber, eggplant, grape, green bean, onion, orange, peach, potato, spinach, strawberry, tomato, ground hazelnuts, honey, milled wheat flour, and raisins again using QuEChERS extraction and HPLC-MS/MS analysis. The researchers concluded that analytes must have concentrations of at least 5-10 ppb to obtain consistent results using their methodology. They demonstrated fitness for screening and surveillance applications of the methods with pesticide concentrations ranging from 2.5 to >1000 ppb in a variety of agricultural samples. Using Genetics and Chemistry to Determine Natural Product Origin �Wen H, Lee MY, Song Y, Moon S, Park S. Combined genomic-metabolomic approach for the differentiation of geographical origins of natural products: Deer antlers as an example. J Agric Food Chem. 2011 June 22;59(12):6339–6345. Although deer antlers were the example used in this study of determining the geographical origin of a natural product, the lesson may also apply to herbs. This is particularly true where more than one species may be involved. If different species are limited to different growing regions, then DNA analysis may provide genomic data sufficient to pinpoint where each item was grown. However, when the same species are grown in different countries and regions, as can happen with botanicals, then an additional analysis of the plant’s metabolites, a metabolomic study, can provide the key to their origin. Using a sufficient number of samples from Canadian, Korean, and New Zealand locations, these researchers were able to determine the origin of deer antler samples by first separating them into species by their DNA and then further by their chemistry based on NMR spectral data. The authors state their belief that this method is “generally applicable to many herbal medicinal products for which various species are grown internationally.” The Beginning of the End of ORAC Marketing? �Finley JW, Kong AN, Hintze KJ, Jeffery EH, Ji LL, Lei XG. Antioxidants in foods: State of the science important to the food industry. J Agric Food Chem. 2011 Jun 10. doi: 10.1021/jf2013875 [Epub ahead of print] This paper supports the one by Hollman et al., reported on last month, that was not able to conclude that measures of antioxidant activity correlate with direct health benefits and which calls into question the concept that health benefits are derived from antioxidant-rich materials through direct action of high oxygen radical absorbance capacity (ORAC) values acting to directly quench reactive oxygen species (ROS) in the body. Recent findings indicate that antioxidant function may also affect gene expression that produces antioxidant enzymes. Several other mechanisms by which antioxidant function may be regulated are also explored in this review, including recent evidence suggesting that low levels of ROS may be needed to stimulate an antioxidant response from the body, and it may be detrimental to remove too many of them. The authors point out that ORAC tests used to promote polyphenol-rich products measure only direct-acting ROS quenching and because they reach only low levels in plasma after ingestion “may play a very minor role in antioxidant balance.” It is clear that the understanding of the “health roles of antioxidants is changing and nutritional messages used to market antioxidant-containing foods often are not supported by contemporary evidence,” they add. The authors also point out that recent findings have “implications for the fortification of foods with antioxidants, as well as for the consumption of many dietary supplements” and the corollary “that supplemental doses of some antioxidants may block beneficial actions of other physiological processes, and at high doses some antioxidants may be toxic.” July 2011 • Page 22 Synergists in Goldenseal �Junio HA, Sy-Cordero AA, Ettefagh KA, Burns JT, Micko KT, Graf TN, Richter SJ, Cannon RE, Oberlies NH, Cech NB. Synergy-directed fractionation of botanical medicines: A case study with goldenseal (Hydrastis canadensis). J Nat Prod. 2011 Jun 10. doi: 10.1021/np200336g [Epub ahead of print] The antibacterial activity of the yellow alkaloid that makes goldenseal root golden (berberine), against Staphylococcus aureus is inhibited by a multidrug-resistance efflux pump of the bacteria that actively excretes berberine from its cells. By employing synergy-directed fractionation, these researchers were able to isolate and identify three flavonoids that inhibit the efflux pump of S. aureus, thereby increasing the antibacterial activity of goldenseal’s berberine. The researchers also made traditional-type tinctures and verified the presence of higher amounts of berberine in the root extract compared to leaf, with the reverse situation occurring in leaf extracts (less alkaloid, more flavonoid). This suggests that a combined leaf and root extract may have better antimicrobial activity than either one alone. “Coffee Table” Book on Chocolate �Cooper R. Book Review of Chocolate: History, Culture and Heritage. J Nat Prod. 2011 Jun 22. doi: 10.1021/ np200515k [Epub ahead of print] This book review makes the almost 1,000-page subject an attractive choice if you want a cultural and historical reference text about chocolate that contains 56 chapters written by 114 authors! Beyond Açaí: Four Under-Utilized Fruits of the Amazon Region �Gordon A, Jungfer E, da Silva BA, Maia JG, Marx F. Phenolic constituents and antioxidant capacity of four under-utilized fruits from the Amazon region. J Agric Food Chem. 2011 Jun 11. doi: 10.1021/jf201039r [Just accepted manuscript] This study characterized the phenolic constituents and measured the total oxidant-scavenging capacity of four underutilized fruits from the Amazon region of Brazil, namely araçá (Psidium guineense), jambolão (Syzygium cumini), muruci (Byrsonima crassifolia), and cutite (Pouteria macrophylla). Website Info for St. John’s Wort Rated as Poor �Thakor V, Leach MJ, Gillham D, Esterman A. The quality of information on websites selling St. John’s wort. Complement Ther Med. 2011 Jun;19(3):155-160. The authors of this Australian study recognized that the substantial body of quality information supporting the use of St. John’s wort (SJW) for the treatment of depression is on par with standard anti- depressants while causing fewer side effects. They also reiterated the well-known effects of SJW in increasing the metabolism of certain drugs including warfarin, oral contraceptives, and many others. Their review evaluated the quality of 54 websites evenly split between online pharmacies, online health food stores, and herbal medicine manufacturers offering SJW for sale. It was not clear if their Google search was preferential for Australian websites, but all the websites studied were found to be of poor quality, with the information on manufacturers’ websites considered the worst. The lowest scores were received in response to questions regarding 1.) is it clear what sources of information were used to compile the information? 2.) does the webpage provide details of additional sources of support and information? 3.) does the website describe what would happen if no treatment is used? 4.) does the website describe how the treatment choices affect overall quality of life? and 5.) is it clear from the website that there may be more than one possible treatment choice? The best-performing-website attributes were in response to the questions 1.) is it clear when the information used or detailed on the e-commerce website was produced? 2.) does the webpage describe the indications of SJW? 3.) are drug interactions mentioned? 4.) does the website provide support for shared decision-making? and 5.) is the information related to SJW most visible and easy to access? St. John’s Wort for Moderate Depression: Better and Longer Lasting �Gastpar M, Singer A, Zeller K. Comparative efficacy and safety of a once-daily dosage of hypericum extract STW3VI and citalopram in patients with moderate depression: a double-blind, randomised, multicentre, placebo-controlled study. Pharmacopsychiatry. 2006 Mar;39(2):66-75. �Singer A, Schmidt M, Hauke W, Stade K. Duration of response after treatment of mild to moderate depression with Hypericum extract STW 3-VI, citalopram and placebo: A reanalysis of data from a controlled clinical trial. Phytomedicine. 2011 Jun 15;18(8-9):739-742. The primary objective of this trial that tested a St. John’s wort extract (STW3-VI), active control drug, and placebo, was to see if STW3VI was safe, better than placebo, and not inferior to the active drug (citalopram) in treating moderate depression. This three-arm, double-blinded, randomized, multicenter clinical study involving 388 patients did just that, with STW3-VI and the active drug demonstrating equal efficacy, with both performing significantly better than placebo. Significantly more adverse advents were found with the active drug compared to placebo. The recent follow-up report of this study, a reanalysis of the data from 154 patients that responded to the active drug or STW3-VI in the original trial, showed that 30 patients relapsed, with most from the active drug arm and eight each from the placebo and STW3-VI arms. The duration of the response to each treatment arm was longest for STW3-VI and shortest for placebo. July 2011 • Page 23 Are new dietary ingredients part of your growth strategy? Then you need to know about New Dietary Ingredients (NDIs) and two newly updated resources from the American Herbal Products Association: The AHPA New Dietary Ingredients Database The AHPA NDI Notifications Submissions Package With more than 575 entries, the AHPA NDI Database provides indispensable access to and understanding of notifications submitted to the Food and Drug Administration (FDA) for new NDIs that are used in dietary supplements. It is the only up-to-date compilation of NDI notifications available. The AHPA NDI Notifications Submissions Package contains the tools you need to successfully navigate FDA’s NDI notification requirements: This subscriber-based database also provides a concise “outcome statement” for each NDI file that quickly summarizes how FDA has responded to every notification, and the problems—if any—that the agency identified for each. Subscribers will be notified by email when additions are made to the AHPA NDI Database. A 40-page Guidance for New Dietary Ingredient Notifications for Manufacturers and Distributors of New Dietary Ingredients (updated June 2011) explains the NDI regulations, details what information to include—and exclude—in a notification, and provides three hands-on worksheets The transcript and audio file of an AHPA-sponsored teleseminar conducted by industry legal, nutrition and regulatory experts A tour and demonstration of the AHPA NDI Database A Food and Drug Law Journal article by Michael McGuffin, AHPA President, and Anthony Young, AHPA General Counsel, titled, “Premarket Notifications of New Dietary Ingredients: A Ten-Year Review” For more information and to subscribe to The AHPA NDI Database, click here. Purchasers will automatically receive an update of the Guidance for New Dietary Ingredient Notifications for Manufacturers and Distributors of New Dietary Ingredients shortly after the release of FDA’s guidance document on NDIs. AHPA members receive a $370 discount per year For more information and to order the AHPA NDI Notifications Submissions Package, click here. AHPA members receive a $300 discount 301-588-1171 • 301-588-1174 fax [email protected] • www.ahpa.org 8630 Fenton Street, Suite 918, Silver Spring, MD 20910 July 2011 • Page 24 Calendar of Botanical Events � Putting Herbal Medicines into Practice, A seminar from the College of Medicine’s Science Council July 6 • The Royal Botanic Gardens Kew, Richmond, Surrey, UK. � I International Symposium on Medicinal, Aromatic and Nutraceutical Plants from Mountainous Areas July 6 - 9 • Saas-Fee, Switzerland � International Symposium for High-Performance Thin-Layer Chromatography July 6 - 8 • Basel, Switzerland � Botany 2011: Healing the Planet July 9 - 13 • St. Louis, Mo. � 27th International Symposium on the Chemistry of Natural Products July 10 - 15 • Brisbane, Australia � American Council for Medicinally Active Plants Conference July 17 - 20 • Alabama A&M University, Normal, Ala. � Annual Meeting of the American Society of Pharmacognosy July 30 - August 3 • San Diego, Calif. � American Association of Naturopathic Physicians Convention August 17 - 20 • Phoenix, Ariz. � Society for Medicinal Plant and Natural Product Research September 4 - 9 • Antalya, Turkey � International Symposium of Essential Oils September 11 - 14 • Antalya, Turkey � Natural Products Expo East September 21 - 24 • Baltimore, Md. � Phytochemicals in Nutrition and Health September 27 - 30 • Bari, Italy � 2011 AIA International Aromatherapy Conference & Wellness Expo September 29 - October 3 • Minneapolis, Minn. � AOAC Europe International Work- shop, Quality Control of Botanicals, TCM, Herbal Food Supplements and Herbal Medicinal Products October 10-12 • University Erlangen, Nuremberg, Germany � 3rd International Conference of Bioinformatics, Natural Products and Traditional Medicine October 14 - 16 • Xi’an, China � 5th International Conference on Polyphenols and Health October 17 - 20 • Barcelona, Spain July 2011 • Page 25 � 22nd Annual American Herbalists Guild National Symposium October 21-23 • St. Petersburg, Fla. � Medicinal and Aromatic Plants in Generating New Values in the 21st Century (Program flyer) November 9-12 • Sarajevo, Bosnia and Herzegovina � International Symposium on Medicinal and Aromatic Plants November 15 - 18 • Chiang Mai, Thailand � International Symposium on Medicinal and Aromatic Plants; History of Mayan Ethnopharmacology November 20 - 23 • Antigua, Guatemala � International Food Supplements Conference December 8-9 • Berlin, Germany � Phytochemical Society of North America, 50th Anniversary Meeting December 10 - 15 • The Island of Hawai`i, Hawaii
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