Natural Resources Defense Council, Inc. et al v. United States Food and Drug Administration et al

Filing 95

MEMORANDUM OPINION AND ORDER # 101877. For the reasons in this Memorandum Opinion and Order, Plaintiffs' motion for summary judgment on their third claim for relief is granted and Defendants' motion for summary judgment is denied. The Court remands the matter to the Agency for further proceedings consistent with this Opinion. The Court emphasizes that it is not compelling the Agency to reach a certain conclusion. The Court simply finds that the Agency's proffered grounds for denying the Petitions were arbitrary and capricious. Re: 63 MOTION for Summary Judgment on Plaintiffs' First Supplemental Complaint filed by Margaret Hamburg, Kathleen Sebelius, Bernadette Dunham, United States Food and Drug Administration, United States Department of Health and Human Services, Center for Veterinary Medicine, 56 MOTION for Summary Judgment on Plaintiffs Third Claim for Relief filed by Union Of Concerned Scientists, Inc., Public Citizen, Inc., Natural Resources Defense Council, Inc., Center For Science In The Public Interest, Food Animal Concerns Trust. (Signed by Magistrate Judge Theodore H. Katz on 6/1/2012) (rjm) Modified on 6/6/2012 (ft).

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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK NATURAL RESOURCES DEFENSE COUNCIL, INC., et ., 11 Civ. 3562 (THK) Plaintiffs, MEMORANDUM OPINION AND ORDER -againstUNITED STATES FOOD AND DRUG ADMINISTRATION, et al., Defendants. ------------- X THEODORE H. KATZ, UNITED STATES MAGISTRATE JUDGE. On March 22, 2012, this Court granted summary judgment to Plaintiffs Natural Resources Defense Council, Inc. ("NRDC") for Science in the Public Interest ("CSPI"), I Center Food Animal Concerns Trust (\IFACT"), Public Citizen, and Union of Concerned Scientists, Inc. (\lUCS"), rel f. (collectively "Plaintiffs") on their f t claim for See Natural Res. Def. Council v. United States Food & Drug ("NRDC I"), No. 11 Civ. 3562 (THK) , 2012 WL 983544, at *20 (S.D.N.Y. Mar. 22, 2012). The Court determined that Defendants United States Food and Drug Administration ("FDA" or "Agency"), capacity as Commissioner of the Margaret Hamburg, in her offic FDA, the Center for Veterinary Medicine ("CVM"), Bernadette Dunham, her official capacity as Department of tor of the CVM, Health and Human Services 1 ("HHS") , United States and Kathleen Sebelius, in her official capacity as Secretary of HHS, unlawfully withheld agency action by failing to implement withdrawal proceedings pursuant to the Food, Drug, and Cosmetic Act (\\FDCA"), U.S.C. 21 360b{e) , § for certain uses of penicillin, oxytetracycline, and chlortetracycline in food-producing animals. id. Presently be the Court are the parties' cross motions for summary judgment on Plaintiffs' third claim alleges that the FDA acted in violation of Procedure Act (nAPA"), 5 U.S.C. § 360b(e}, when FDA withdraw § the Administrative 706(2), and the FDCA, 12 U.S.C. denied two Citizen Petitions requesting that the approval of certain uses antibiotics in food-producing animals. of certain The part to trial before this Court, pursuant to 28 U.S.C. the reasons that relief, which follow, Plaintiffs' motion classes of s have consented § is 636(c). For granted and Defendants' motion is denied. BACKGROUND 1 I. Statutory and Regulatory Background A. The Food, Drug, and Cosmetic Act The FDCA empowers the FDA to regulate drugs sold in interstate The Court assumes familiarity with the history of antibiotic use in food-producing animals, as it was discussed extens in the March 22, 2012 decision. Accordingly, only the facts necessary for the disposition of the current spute will be discussed. 2 ,14;, commerce, including veterinary drugs. conjunction with this authority, See 21 U.S.C. § 393(b). In the FDA is required to "promote the public health" and to ensure that "human and veterinary drugs are safe and effective." 21 U.S.C. § 393 (b) (1) (2). Specifically, pursuant to the FDCA, the FDA must approve the use or intended use of any "new animal drug" § 360b(a) (1) ("NADA") and the labeling thereof. See 21 U. S. C. Any person may submit a new animal drug application to the FDA for approval of the use or intended use of a new animal drug; the application must include sufficient evidence of the drug's ty and efficacy, including 1 " reports of investigations which have been made to show whether or not such drug is safe and effective for use[.]" In general, 21 U.S.C. 360b(b) (1) (A).3 § the FDA will approve a NADA unless the agency finds that the drug use has not been shown to be safe or effective. 12 U.S.C. § 360b(d) (1); 21 C.F.R. § 514.1(b) (8) (i). Once the FDA has approved the use of a new animal drug, applicant holder must make periodic reports to the Agency describing experience with the drug and any new research into the drug's safety and effectiveness. See 21 C.F.R. § 514.80(a) (2). 2 A new animal drug is defined, in part, as "any drug intended for use for animals other than man, luding any drug intended for use in animal feed but not including such animal feed See 21 U.S.C. § 321(v). .ff 3 Any person may file an abbreviated new animal drug application ("ANADA") for approval of a generic animal drug. 3 The FDA reviews these periodic reports to determine whether approval of the drug use should be suspended or withdrawn pursuant to 21 U.S.C. 360b(e) (1) § 360b(e). See 21 C.F.R. § 514.80(a) (3). requires the FDA to withdraw approval drug if it finds that, shown to be safe . . based on new evidence, If See 21 U.S.C. § Section a new animal the 360b(e) (1) "drug is not (B)." The FDA must provide notice of an opportunity for a hearing ("NOaH") to a drug applicant prior to issuing a withdrawal order. § See 21 U.S.C. 36 Ob (e) (1) . B. Regulation of Antibiotics in Food-Producing Animals In the 1950s, the FDA approved applications for the use of various antibiotics in food producing animals for a variety of non disease treatment efficiency, purposes, including and disease prevention. growth promotion, For these uses, feed antibiotics were approved to be administered on a herd- or flock wide basis at doses lower than those traditionally used to treat disease. the Agency first approved these uses of antibiotics, litt When was known about the development of antibiotic resistant bacteria or the role of agricultural use of antibiotics in the development of resistant bacteria. 4 Section 360b(e) (1) lists six findings by the Agency that prompt withdrawal. 21 U.S.C. § 360b(e) (1) (A)-(F). The most relevant findings for the present action are those described in sUbsection (B). 4 it ¥ f a However, ific evidence had emerged by the late 1960s sc linking the widespread use of antibiotics in food-producing animals antibiotic-resistant bacteria. at low doses with the development In 1970, the FDA convened a task force to study the risks associated with the use of antibiotics in animal feed. The task force National was composed Institutes Centers of for of Health, Disease scientists the U.S. Control, universit the FDA, Department as well as of concluding that: (1) the Agriculture, representatives In 1972, the task s and industry. findings, from the from e published its the use of antibiotics in animal feed, especially at doses lower than those necessary to prevent or treat disease, favors the development of antibiotic-resistant bacteria; (2) animals receiving antibiot s in their feed may serve as a reservoir of antibiotic pathogens, which can produce human infections; (3) the prevalence of bacteria carrying transferrable resistant genes for multiple antibiotics had increased in animals, and the increase was related to the use of antibiotics i antibiotic-resistant bacteria had been found on meat (4) and meat products; and (5) the prevalence of antibiotic resistant bacteria in humans had increased. Animal Feeds, task force antibiot See Antibiotic and Sulfonamide Drugs in 37 Fed. Reg. made several 2,444, 2/444 45 recommendations, (Feb. 1, 1972). including that The (1) s used in human medicine be prohibited from use in animal 5 feed unless they met safety criteria established by the FDA, and (2) several specific antibiotics be reserved for therapeutic use unless they met safety teria for non-therapeutic use. See id. at 2,445. In response to the findings of the task force, the FDA, 1973, issued a regulation providing that the Agency would propose to withdraw approval of all subtherapeutic uses of antibiotics in animal feed submitted unless data drug within sponsors the next and other two years interested parties "which resolve[d] conclusively the issues concerning [the drugs'] safety to man and animals . . under specific criteria" established by the FDA. Antibiotic and Sulfonamide Drugs in the Feed of Animals, Reg. 9,811, 9,813 (Apr. 20, 1973) 135.109; renumbered at 21 C.F.R. 38 Fed. (codified at former 21 C.F.R. § 558.15). One of § the most important of the human and animal health safety criteria that the FDA established for drug safety evaluations involved the transfer of antibiotic resistant bacteria from animals to humans. The FDA required that "[a]n antibacterial drug fed at subtherapeutic levels to animals must be shown not to promote increased resistance to antibacterials used in human medicine." Premixes Notice ("Penicill (Aug. 30, 1977). Penicillin-Containing Notice"), 42 Fed. Reg. 43,772, 43,774 The other health safety criteria involved showing that use of antibiotics would not increase salmonella in animals, 6 would not increase the pathogenicity of bacteria, increase residues in food ingested by man, and would not which may cause "increased numbers of pathogenic bacteria or an increase in the resistence of pathogens medicine. " to antibacterial used in human See Over the next two years, ("BVM"), agents the Bureau of Veterinary Medicine a subdivision of the FDA, reviewed the data submitted by drug sponsors to support the subtherapeutic use of antibiotics. April 20, cri teria 43,774. 1975, all data for antibiotic concerning drugs the safety and By efficacy had been received. The FDA took no immediate action after receiving the data other than, in 1977, issuing notices proposing to withdraw approval of all subtherapeutic Penicillin Notice, exceptions, all in (Chlortetracycline for Fed. of Reg. subtherapeutic chlortetracycl Opportunity 42 uses and Hearing 1 penicillin in at and, 43,772, uses of livestock, with limited oxytetracycline stock. see and Tetracycline Oxytetracycline}-Containing Premises; ("Tetracycline Fed. 56,264, 56,264 (Oct. 21, 1977). Notice"), 42 Reg. Although the notices were properly promulgated and over twenty drug sponsors requested hearings on the matter, the FDA never held hearings or took any further action on The BVM was renamed the Center for Veterinary Medicine ("CVM") in 1984. 7 the proposed withdrawals. 6 Since 1977, the evidence of the antibiotic-resistant antibiot bacteria and sks to human health posed by the link between low-dose use and the development of resistant-bacteria has grown. Nevertheless, with limited exceptions, the FDA has not withdrawn approval of the subtherapeutic use of antibiotics in food-producing animals. 7 documents Instead, the FDA has issued several non-binding guidance for industry to promote the judicious use of antibiotics. S 6 The FDA's lure to complete the withdrawal proceedings for penicillin, chlortetracycline, and oxytetracycline was the subject of Plaintiffs' first claim for relief. On March 22, 2012, this Court ordered the Agency to complete these withdrawal proceedings. NRDC I, 2012 WL 983544, at *20. 7 For example, in 2005, the Agency withdrew approval of the use of enrofloxacin, an antimicobrial drug within a class of drugs known as fluoroquinolones, in poultry. Enroloxacin for Poultry; Final Decision on Withdrawal of New Animal Drug Application Following Formal Public Evidentiary Hearing; Availabili , 70 Fed. Reg. 44,105, 44,105 (Aug. I, 2005). 8 Specifically, in 2003, the FDA released Guidance for Industry # 152, which established a risk assessment to evaluate the risks posed by the subtherapeutic use of antibiotics in food­ producing animals. Administrative Record ("Rec. n ) at 131.) The risk assessment was intended to be utilized by drug sponsors in the appl ation process, and thus had no effect on already approved NADAs/ANADAs. In 2010, the FDA released Draft Guidance Industry # 209 ("Draft Guidance # 209"), which established non-binding principles for the judicious use of antibiotics in food-producing animals. (See id. at 167.) Specifically, Guidance # 209 recommended that "[t]he use of medically important antimicrobial drugs in food-producing animals should be limited to those uses that are considered necessary for assuring animal health[,]" and "to those uses that include veterinary oversight 8 II. The Citizen Petitions The issue response to presently two respectively. Citizen Both before the Petitions, Petitions Court involves the FDA's filed in 1999 and 2005, that the FDA begin requested withdrawal proceedings for all non-therapeutic uses of medical important antibiotics A. food producing animals. The 1999 Citizen Petition On March 9, 1999, four of the named Plaintiffs, CSPI, FACT, Public Citizen, and UCS, as well as the Environmental Defense Fund, submitted a Citizen Petition ("1999 Petition") to the FDA requesting that the agency "rescind approvals for subtherapeutic uses in livestock of any antibiotic used in (or related to those used in) human medicine." 4 5.) The 1999 (See Administrative Record ("Rec.", at Petition defined "subtherapeutic use" as "administration of [antibiotics] at a dosage less than is necessary and/or for a period of time longer than is necessary to treat an infection", promotion, (id. at 8), including use of such drugs for "growth improved feed eff iency, and disease prevention.,,9 or consultation." (Id. at 182-83.) Draft Guidance # 209 was finalized on April 13, 2012. (See Ex. A to the Declaration of Amy A. Barcelo, dated Apr. 16, 2012 ("Third Barcelo Declo").) The 1999 Petition explained that "[t]he FDA defines subtherapeutic use as the use of antibiotics in livestock for more than 14 days." (Rec. at 8.) 9 (Id. at 5.) all Although the 1999 Petition sought broad withdrawal of subtherapeutic uses antibiotics that are also used in humans, it named several specific classes of antibiotics for which it sought withdrawal, including penicillin, tetracyclines, erythromycin, lincomycin, tylosin, and virginiamycin. (See id. at 5. ) The bulk of the 1999 Petition was devoted to a discussion of the scientific evidence indicating that the subtherapeutic use of antibiotics in food-producing animals poses a sk to human heal th. Citing numerous peer-reviewed studies,lO the 1999 Petition discussed the widespread subtherapeutic use of antibiotics in livestock; the evidence that such use leads to the selection of antibiotic resistance; the evidence that antibiotic-resistant bacteria can be transferred between animals and between animals and people; the evidence that antibiotic-resistant bacteria may transfer resistant genes to other bacteria; the evidence that the subtherapeutic use of antibiotics may select for multi-drug resistant bacteria that can cause infections that are more deadly and difficult to treat; the evidence that nontherapeutic antibiotic use jeopardizes the therapeutic options in veterinary and human medicine; the evidence that the subtherapeutic use of antibiotics reduces the The 1999 Petition cites over twenty articles from leading science and microbiology journals. 10 f,;:;;;~.· _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ effectiveness of new human-use antibiotics i other countries, antibiot that decreasing the and evidence, subtherapeutic use from of s in food-producing animals can reduce the prevalence of antibiotic resistant bac and does not adversely affect animal health. 1. FDA's Response to the 1999 Petition The FDA issued a tentative response to the 1999 Petition on Rec. at 50.) August 19, 1999. sed in [the] citizen petition currently considering the issues (See " However, the action requested The FDA stated that it "is " [b]ecause of the complex nature of [in the citizen pet careful and thorough sc ific, analysis wthin and additional coordination time a comments document, issue id. ) petition." issue to final on numerous which requires , and policy consultation, the final agency, FDA response to will require [the] citizen Specifically, the FDA stated that it would response received a ion], after [the] completing citizen consultations and scientific, legal and policy issues." an "analysis petition, the the resolution of the framework of the id. ) The FDA issued a second tentative response on February 28, 2001. (See at 51.) The FDA explained the process for withdrawing approval of a new animal drug, emphasizing that "the petitions can only be granted or denied on a drug by drug basis as 11 f;':ii-_ reviews are completed and resources permit. described the findings neces at 52.) 11 The FDA to trigger a withdrawal and regulatory requirements for holding a hearing prior to withdrawing approval of a NADA/ANADA. The FDA explained its "experience with contested, formal withdrawal proceedings is that the process can consume extensive periods of time and Agency resources." at 52.) The FDA discussed its other strategies for addressing antibiotic use food-producing animals, Industry # 78, including Guidance for "which addresses how FDA intends to consider the potential human health impact of the microbial effects associated with all uses of antimicrobial new animal drugs in food producing animals when approving such drugs," e and a "framework document II ishing a risk-based framework for evaluating the microbial of the use of antimicrobial drugs in food-producing animals. at 53.) The FDA again stated that it could not issue a final decision until it had completed an analysis of the "comments received on [the] citizen numerous consultations, and legal, and policy issues." 2. the the issued its resolution of final response !, i to the the on November 7, Document, sc ific, 1999 2011, Peti tion, during the The FDA recounted the history of its 12 1 Framework (Id. at 54.) requested action, pendency of this action. t the FDA's Final Response to the 1999 Petition FDA denying petition, handling of the 1999 Petition, including earlier statements that it would not issue a final decision until the "FDA makes a decision about whether to withdraw the drug approvals listed in the petition. from (See id. at 71.) 1/ the 1999 Petition The FDA whether that it was unclear the action requested was to immediately issue a withdrawal order or to initiate withdrawal proceedings, (See id. at 72.) actions. issue a and the Agency proceeded to discuss and deny both withdrawal order The FDA explained that it could not for the Petition " [b]ecause no [withdrawal] drugs included in the 1999 hearings have been held with respect to the animal drugs at issue in the Citizen Petition, and . the Commissioner has not made any final determination about whether grounds for withdrawal under been satisfied /I Moreover, the FDA re [21 U.S.C. § 360b(e}] at 73.} to initiate withdrawal proceedings. The FDA offered two justifications for this decision. FDA cited the time and at 73.} hearing. pursuing a antibiotics different have First, the involved in holding a withdrawal Second, the FDA explained that it was to promote the food-producing animals. judicious use of Specifical the FDA cited Draft Guidance # 209, entitled "The Judicious Use of Medically Important Antimicrobial Drugs in Food-Producing Animals, which recommends 1 ting the use of antibiotics in food-produc 13 /I (See animals to judicious uses. Draft Guidance # 209 states that the FDA does not consider growth promotion or feed eff to be judicious uses. recommends (See Draft iency # 209 also Guidance the use of medically-important antibiotics producing s that lude veterinary oversight or consultation." (See id. at 74.) The FDA explained [the that should "[b]ased be on limited to feedback [regarding Draft Guidance # 209], "uses food­ FDA] has received FDA believes that the animal pharmaceutical industry is generally responsive to the prospect of working cooperatively with the Agency to implement the principles recommended in [the Draft Guidance] ." (Id.) The FDA stated that it planned to phase-out over-the counter use of medical important antibiotics in animal feed and move to a veterinary feed directive ("VFD") status for such drugs. The FDA also stated that it planned to work cooperatively with industry to achieve this transition. "FDA believes that the strategy set out in draft guidance #209 is a pathway to achieving the same goals as those advocated in [the 1999 Petition] FDA refused to initiate " withdrawal (Id.) Accordingly, the proceedings for the drugs included in the 1999 Petit B. On The 2005 Citizen Petition April 7, 2005, named Plaintiff DeS, as well as the Environmental Defense Fund, the American Academy of Pediatrics, and 14 ;' i " the American Public Health Association, filed a Citizen Petition ("2005 withdraw Petition") with herdwide/flockwide uses the of FDA "to [certain approvals antibiotics] in 11 for chicken, swine, and beef cattle for purposes of growth promotion (including weight gain and feed efficiency) and disease prevention and control (except for non-routine use where a bacterial infection has been diagnosed wi thin a herd or flock) [.]" (Id. at 75.) The 2005 Petition did not seek "withdrawal of disease prevention or disease control uses where a drug is administered to individual animals, or to select groups administered in or pens response to of a animals, or where 2005 wi thdrawal of drug diagnosed outbreak of disease within a building, house, or feedlot." The a Petition emphasized that its approval of uses of certain is bacterial (Id. at 76.) requested action, certain medically- important antibiotics, was designed in accordance with the FDA's Guidance for Industry # 152 ("Guidance #152"). This Guidance, issued on October 23, 2003, established criteria for evaluating the safety of agricultural antibiotics with regards to antibiotic resistance when considering new animal drug applications. (See id. 11 The 2005 Petition applied to penicillins, tetracyclines, aminoglyosides, streptogramins, macrolides, lincomycin, and sulfonamides. (Rec. at 75.) 15 - - - - - - - - - - - - - - m ! !_____________________ "t;:j: ~,{A· at 76.) 12 Similar to the 1999 Petition, comprehensive sci the 2005 Petition presented a ific basis for its requested action. the 2005 Petition explained the background of antibiot and the agricultural use of antibiot 2005 Petition then discussed s. (See First, resistance at 77-80.) The development of Guidance # 152 and the legal standard for the FDA to withdraw approval of a new animal drug application. id. at 80 83.) The 2005 Petition then presented scientific evidence that the approved uses of antibiotics covered in the Petition are not consistent with the safety criteria Guidance # 152, entitled "Evaluating the Safety of Antimicrobial New Animal Drugs with Regard to Their Microbiological Effects on Bacteria of Human Health Concern[,]" provides a "risk assessment approach evaluating the microbial food safety of antimicrobial new animal drugs." (Rec. at 133.) The sk assessment provided in Guidance # 152 presented a means drug applicants to demonstrate that new animal drugs meet the human health safety requirement in the NADA approval process. (See Rec. at 133.) Specifically, the risk assessment involved characterizing the hazard and then providing: (1) a release assessment - the probability that resistant bacteria are present in the target animal as a consequence of drug use (ranked as high, medium, or low) i (2) an exposure assessment - the probability for humans to ingest bacteria in question from the relevant food commodity (ranked as high, medium, or low) i and (3) a consequence assessment - the probability that human exposure to resistant bacteria results in an adverse health consequence (ranked as important, highly important, or critically important) . (See id. at 137.) These assessments are used to provide an overall risk assessment, which is ranked as high, medium, or low. (See The risk assessment provided in Guidance # 152 was only a suggestion, not a rement, and only applicable to new animal drug applications. 12 16 ml--~ ln Guidance explained # 152. that, at pursuant to 83 89.) Guidance # The 152, 2005 Petition only low risk antibiotic drugs should be administered to food-producing animals on a flock-wide or herd-wide basis. teria set forth in sk based on their re at 85-89.) # Guidance demonstrated that the antibiot low- at 84 85.) Moreover, the 152, 2005 Using the Petition s covered by the Petition are not , exposure, and consequence. use of the antibiotics covered in the 2005 Petition in chicken, swine, or beef cattle results in a high or medium-risk. (See id. at 89.) The 2005 Petition concluded by repeating its request that FDA begin withdrawal proceedings for herd wide and flock wide uses of critically important and highly important antibiotics in chicken, swine, and beef cattle. id. at 89.) FDA's Initial Response to the 2005 Petition 1. The FDA provided a tentative response to the 2005 Petition on October 4, 2005. action requested Rec. at 124.) The response summarized the withdrawal of medically-important antibiotics based on the criteria presented in Guidance # 152 and explained that required to withdraw completion of approval of two processes. a new animal {See drug First, the CVM must determine whether to initiate formal withdrawal proceedings. id. ) Second, if the CVM decides to init 17 the (See formal withdrawal proceedings, the Agency must then undertake the formal withdrawal procedures required by statute, including providing notice and an opportuni ty of a hearing to the drug sponsor. (See The response stated: For legal, scientific and resource reasons, withdrawal actions for the petitioned drugs need to be considered on a drug by drug basis. Data and information will need to be reviewed and analyzed for each drug. Thus, the petitions can only be granted or denied on a drug by drug basis as reviews are completed and resources permit. (rd. ) The FDA then explained that to initiate formal withdrawal proceedings one of satisfied. the grounds (See listed in § 360b (e) (1) must be The FDA detailed the administrative process required to withdraw approval of issuing a notice for each drug, a new animal drug, including providing an opportunity for a formal evidentiary hearing, and the right to appeal the decision made by a hearing officer. (See at 125.) formal withdrawal proceedings may take consume extens agency resources. The FDA noted that to complete and may The FDA then explained its current approach to regulating antibiotics animal Guidance # 152. feed, as presented The FDA concluded by stating that "the petition can only be granted or denied when the Agency makes a final decision on whether to withdraw any of the drug 18 .................................'~ --------------------~_mi,.~ approvals listed in your petition." 2. FDA's Final Response to the 2005 Petition On November 7, 2011, during the pendency of this litigation, the FDA issued a final response to the 2005 Petition. 127. ) The FDA stated that "[a] 1 though we share concern about the use of medical (See at [petitioners'] important antimicrobial drugs food-producing animals for growth promotion and feed efficiency indications (i.e., production uses), petition." The FDA is denying your FDA explained that the CVM's decision whether or not to initiate formal withdrawal proceedings for a new animal drug is "primarily an internal process, although participation by drug sponsors and the public may be requested." at 128.) The FDA then explained that for "various reasons the Agency has decided not to institute formal withdrawal proceedings at this time and address instead the is issue of currently pursuing antimicrobial other resistance alternatives related to production use of antimicrobials in animal agriculture." The FDA's decision was experience with contested, based, in part, on "[t]he formal withdrawal proceedings The FDA continued: 19 WI the (rd. ) Agency's [which] can consume extensive periods of time and Agency resources." at 128-29.} to Recognizing that the process of reviewing safety information for antimicrobial drugs approved before 2003, and pursuing withdrawal proceedings in some cases, would take many years and would impose significant resource demands on the Agency, in June 2010, FDA proposed a different strategy to promote the judicious use of medically important antimicrobials in food-producing animals in [Draft Guidance # 209] (Id. at Guidance The 129.) # FDA then explained the and 209 the FDA's substance "belie [f] that of the Draft animal pharmaceutical industry is generally responsive to the prospect of working cooperatively with the Agency to implement the principles recommended in [Draft Guidance # 209] ." (Id.) The FDA concluded: FDA believes that the strategy set out in [Draft Guidance # 209] is a pathway to achieving the same goals as those advocated by [petitioners], i.e., judicious use of medically-important antimicrobials. Additionally, given the considerable amount of Agency resources that are required to pursue withdrawal proceedings, we believe the current proposed approach will accomplish these goals in a more timely and resource-efficient manner than would otherwise be the case. Moreover, this strategy does not foreclose initiating withdrawal proceedings in the future." (Id. at 130.) c. Subsequent Agency Action On April 13, for Industry # 2012, 209, the FDA released the finalized Guidance "The Judicious Use of Medically Important Antimicrobial Drugs in Food Producing Animals." 20 i iH (See Ex. A to the Declaration of Amy A. Barcelo, Barcelo Decl.") at 1.) 209, the final dated Apr. 16, 2012 ("Apr. 16 As with the Draft Guidance for Industry # dance provided "a framework for the voluntary adoption of practices to ensure the appropriate or judicious use of medically important antimicrobial drugs in food-producing animals." (See id. at 3.) The framework ludes "phasing in such measures as (1) limiting medically important antimicrobial drugs to uses in food-producing animals that are considered necessary for assuring animal healthi producing and limiting (2) animals that include consultation." (Id. ) " [alntimicrobial resistance, antimicrobial therapies such in humans to veterinary Guidance and drugs 209 # the is uses food- oversight acknowledged resulting a in or that lure mounting public of health problem of global significance[,]" and that "[t]his phenomenon is driven by many factors including the use of antimicrobial drugs in at 4.) . animals." The Guidance contained a thorough review of the most seminal reports and peer-reviewed scientific literature on the issue of antimicrobi resistance. (See at Guidance for 5-17.) On April Industry # 213, Combination 13, 2012, the FDA released Draft entitled "New Animal Drugs and New Animal Drug Products Administered in or on Medicated Feed or Drinking Water of Food-Producing Animals: Recommendations for Drug 21 Sponsors for Voluntarily Aligning [Guidance] # 209." Product Use Conditions with (See Ex. C to the Apr. 16 Barcelo Decl. at 2.) Draft Guidance # 213 contains information for the relevant drug sponsors "to facilitate voluntary changes to the conditions of use . consistent with FDA's recommendations included in [Guidance # 209] . ,,:3 (rd.) The FDA explained that it recognize [d] the significance of the proposed changes and the potential impacts such changes will have on the animal pharmaceutical industry, animal producers, the animal feed industry and the veterinary profession. For this reason, FDA is currently pursuing a strategy for the voluntary adoption of these changes an effort to minimize the impacts and provide for an orderly transition. (rd. at 7.) The Agency requested that affected drug sponsors that intended to make the voluntary changes inform the Agency within three months of the publication of the final version of Guidance # 213. (See The "FDA anticipates that sponsors of the affected products should be able to complete implementation of the Draft Guidance # 213 outlines several methods for drug sponsors to voluntarily comply with Guidance # 209. A drug sponsor of an affected drug may submit a supplemental new drug application that proposes to change the marketing status of the drug to veterinary feed directive or prescription and voluntarily withdraw the approval for all production uses. (See id. at 8.) Such a supplemental application would not require additional evidence of safety or efficacy, and in most cases the drug sponsor would only be required to submit revised labeling. 13 rt is unknown when, if ever, the final version of Draft Guidance # 213 will be published. 14 22 - - - - - - - - - " I I ' : ; , I 1 ! 1 1 1_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, changes discussed in this t guidance within 3 years from the date of pUblication of the f version of this guidance. (Id. ) /I III. The Present Action Plaintiffs instituted the present action, on May 25, 2011, prior to the FDA's issuance of a final response to either the 1999 Petition or the 2005 Petition. In the Compla Plaintiffs claimed that the FDA's failure to issue a final response to the Citizen Petitions constituted an agency action unreasonably delayed in violation of the APA and the FDA's implementing regulations. ~ (See Compl. 7, the 2011, but the claim regarding Petitions Compl. all Plaintiffs filed an Amended Compla 98.) /I) ~ remained 101.) claims P the on July FDA's failure to respond to same. Amended Compl. ("Am. intiffs filed a motion for summary judgment on on October 6, 2011. As discussed above, the FDA provided final responses to both the 1999 Petition and the 2005 Petition on November 7, 2011. Rec. at 71, 127. ) Consequently, on January 6, 2012, Plaintiffs withdrew the regarding the FDA's claim lure to respond to the Petitions as moot. 31, However, on 2012, this Court granted iffs leave to file a supplemental complaint, which Plaintiffs fil February I, 2012. claim for relief on The Supplemental Complaint added an additional (" rd claim for reI fll), alleging that the FDA's final responses denying the 1999 and 2005 Citizen Petit 23 ............................................. -------------------------------q~,~hm, ~ were "arbitrary, capricious, an abuse of discret not accordance with law 360b, and the APA, 5 U.S.C. ! or otherwise violation of the [FDCA], 21 U.S.C. 706(2)." § (Supplemental Compl. ~ § 38.) Presently before the Court are the parties' cross motions for summary judgment on Plaintiffs' third claim for relief. DISCUSSION I. Legal Standard A. Summary Judgment A motion for summary judgment may not be granted unless the Court determines that there is no genuine issue of material fact to be tried, warrant that the facts as to which there is no such issue judgment for Celotex Corp. v. 2552-53 (1986) i the moving party as a Catrett, 477 U.S. 317, matter law. See 322-23, 106 S. Ct. 2548, Patterson v. Cnty. of Oneida! 375 F.3d 206, 219 (2d Cir. 2004); Cir. 2003}. burden of demonstrating the absence of any genuine dispute as to a material fact rests upon the party seeking summary judgment, see ~~~==~~-=~~~~~~-=-=~, S. Ct. 1598, 1608 (1970), but once a 398 U.S. 144, 157, 90 ly supported motion for summary judgment been made, the burden shifts to the nonmoving party to make ficient a showing to establish the essent elements of that party's case on which it bears the burden of proof at trial. See Hayut v. State Univ. of N.Y., 352 F.3d 733, 743 24 ------------------....,i"'T!l,__________________ij}f;3;l (2d Cir. 2003} Where, (citing Celotex, 477 U.S. at 322, 106 S. Ct. at 2552). as judgment, a court considers cross-motions for summary the court applies the same legal principles and "must evaluate each party's motion on its own merits, taking care in each instance to draw all reasonable inferences against the party whose motion is under consideration." ~=~, Make the Road by Walking, Inc. v. 378 F.3d 133, 142 (2d Cir. 2004) Here, (citations omitted) the parties do not dispute the essential facts. only issue before the Court is The legal conclusion resulting from those facts. B. Subject Matter Jurisdiction Defendants argue that this Court jurisdiction over the FDA's denial of Petitions. Specifical lacks subject matter 1999 and 2005 Citizen , Defendants contend that the FDA's denial of the Petitions was an action "committed to agency discretion by law" and thus outside the scope of judicial review pursuant to APA. 5 U. S . C. 1. § 701 (a) (2) Legal Standard Under FDA regulations, the denial of a citizen petition is a final agency action subject to judicial review. 10.45(d} The Administrate Procedure Act See 21 C.F.R. ( "APA" ), therefore, governs judicial review of the denial of the Petitions. U.S.C. §§ 701-06. Although the APA embodies a "basic 25 § 5 sumption of judicial review," Reno v. Catholic Soc. Servs., Inc., 509 U.S. 43, 57, 113 S. Ct. 2485, 2495 (1993), by its terms, the APA does not apply if an "agency action committed to agency discretion by law." 5 U.S.C. § 701(a) (2). "very narrow" and This exception to judicial review is "applicable in those rare instances where statutes are drawn in such broad terms that in a given case there is no law to apply." Citizens to Preserve Overton Park, Inc. Volpe (" 91 S. Ct. 814, 820 21 (internal quotation marks and citations omitted); (1971) accord Drake v. ), 401 U.S. 402, 410, V. FAA, 291 F.3d 59, 70 (D.C. Cir. 2002). Accordingly, judicial review is precluded "if the statute is drawn so that a court would have no meaningful standard against which to judge the agency's exercise of discretion. 830, 105 S. ("If no Ct. 1649, such meaningful judic judic 1655 ff Heckler v. Chaney, 470 U.S. 821, Drake, (1985) ; ly manageable standards review is impossible, 291 F.3d at 70 are discernable, and agency action is lded from the scrutiny of the courts. 1/) (internal quotation In such cases, "the courts have no marks and citations omitted) . norms pursuant to which to evaluate the challenged act and thus no concrete limitations to impose on the agency's exerc of discretion. ff Drake, 291 F.3d at 70. "In determining whether a matter has been committed solely to agency discretion, [a court] must consider both the nature of the 26 administrative action at issue and the language and structure of the statute that supplies the applicable legal standards for reviewing that action." Drake, 291 F.3d at 70 (internal citation omitted) . actions Enforcement are presumptively committed to agency discretion by law and are therefore outside the bounds of judicial review. See Chaney, 470 U.S. at 832, 105 S. Ct. at 1656 (" [A]n agency's decision not to take enforcement action should be presumed immune 701 (a) (2) ."). from judicial review under [5 U.S.C.] § However, this presumption of unreviewability "may be rebutted where the substantive law has provided guidelines for the agency to follow in exercising its enforcement powers[,]" or where "the agency has consciously and expressly adopted a general policy that is so extreme as to amount to an abdication of its statutory at 833 & 833 n. responsibilities." 4, 105 S. Ct. at 1656 & 1656 n. 4 (internal quotation marks and citations omitted) i accord Jerome Stevens Pharm. ( Inc. v. FDA, 402 F.3d 1249, 1257 (D.C. Cir. 2005) . 2. a. Enforcement Action Although Defendants claim that the decision to institute formal withdrawal proceedings is an enforcement decision, the Court disagrees. First, the provisions of the FDCA at issue in the present case are the substantive regulatory provisions. 27 See 21 U.S.C. 360b. § provisions at In issue which were so enforcement involved the the There, provisions. FDCA, the Supreme Court rejected a challenge to the FDA's denial of a citizen pet ion requesting that the Agency take a number of enforcement actions, including seizing drugs, adding warning labels to the drugs, and prosecuting all individuals in the chain of distribution who knowingly distributed the drugs for the use Chaney, 470 U.S. at 824, 105 S. Ct. at 1651 52. in question. These actions are authorized pursuant to provisions contained within Subchapter III of the FDCA, which is ent led "Prohibited Acts and Penalties" and governs enforcement proceedings. 1 In contrast, here, the action requested by Plaintiffs - withdrawal of approval - would be taken pursuant to a provision contained in Subchapter V of the FDCA, which is entitled "Drugs and Devices" and governs the regulation of human and veterinary drugs. substantive provisions of Because the present case involves the the FDCA, which address the Agency's 15 Subchapter III contains one provision relating to the withdrawal of approval of abbreviated new drug applications. 21 U.S.C. § 335c(a) (1) (requiring the Secretary to "withdraw approval of an abbreviated drug application if the Secretary finds that the approval was obtained, expedited, or otherwise ilitated through bribery, payment of an illegal gratuity, or fraud or material false statement. ."). This provision is not at issue in the current dispute, as the Citizen Petitions requested the FDA to withdraw approval of the relevant NADAs/ANADAs, pursuant to 21 U.S.C. § 360b(e) (1) (B), on the grounds that the drugs were not shown to be safe. 28 affirmative obligations to ensure the safety of drugs approved by the Agency, Chaney is not controlling. Defendants maintain that the distinction between enforcement and substance is not dispositive. They cite several cases support the proposition that to clude judicial review of agency actions taken pursuant to substantive statutory provisions. See Jerome Stevens Pharm., 402 F.3d at 1258; Collins, 359 F.3d 156, 165-66 Heckler, 779 F.2d 683, 685 (2d cir. (D.C. 2004); Schering Corp. v. 1985). these cases clearly supports this proposition. However, none of In which involved a challenge to the Nuclear Regulatory Commission's denial of a request to require additional safety measures prior to renewing a nuclear power plant's license, there was no dispute that the requested action was an enforcement action. 359 F.3d at 166 n. 11.16 Riverkeeper, Although both Riverkeeper and the action presently before the Court involve substantive statutory provisions regarding licensing, the court's failure to analyze whether the action at issue qualified as enforcement renders it irrelevant. The plaintiff Riverkeeper first raised the argument that the requested action was not an enforcement action in its reply f. Riverkeeper, 359 F.3d at 166 n. 11. Consequently, the court declined to review the issue and treated the action as enforcement without analysis. See 29 The other cases cited by Defendants distinguishable from the present action. are similarly In Schering, the court declined to review a challenge to the FDA's decision to enter a settlement agreement with a drug manufacturer whereby the agreed not to "initiate any enforcement litigation against FDA [the manufacturer]" until the manufacturer had filed a citizen petition and received a decision on whether the manufacturer's product was a new animal drug. quotation marks See Schering Corp., 779 F.2d at 685 (internal and citation omitted). Schering, therefore, involved a challenge to the FDA's explicit statement that it would not enforce a possible violation of the FDCA for a set period of time, which clearly unreviewability. falls Last under the Chaney presumption of , i n Jerome Stevens, the court determined that the FDA's decision to extend the deadline for the submission of new drug applications for a particular drug was a dec to enforce and immune from judicial review. deadline, the FDA See Jerome Stevens, The court reasoned that, 402 F.3d at 1257-58. was announcing its ion not by extending the intention not to bring enforcement actions against manufacturers selling the drug without an approved application. Here, however, the id. relationship between a withdrawal proceeding and subsequent enforcement actions is not as clear. During the pendency of a withdrawal proceeding, a drug applicant 30 ~h i 'f Ii may still manufacture and sell the drug at issue without liability proceedings pursuant will to not the statute. Furthermore, necessarily result in the ing any withdrawal issuance of a withdrawal order, as a withdrawal order can only be issued after the drug applicant has an opportunity for an evidentiary hearing. See 21 U.S.C. § 360b(e) (1). Consequently, the Agency's decision whether to initiate withdrawal proceedings for a part the first instance has little if drug in any bearing on the Agency's enforcement decisions regarding that drug. The process of withdrawing approval of a new animal drug is more analogous enforcement to informal actions. 17 First, rulemaking although than the to FDA traditional may regulate approved drugs through regulations passed pursuant to notice and comment rulemaking, the Agency has chosen to utilize withdrawal proceedings as the primary means of formally regulating approved drugs. 18 Second, withdrawal eedings are undertaken as a result 17 Judicial review is ly available when a plaintiff brings challenging an agency's denial of a citizen petition request that the agency iate informal rulemaking. See Massachusetts v. EPA, 549 U.S. 497, 527, 127 S. Ct. 1438, 1459 (2007) ("Refusals to promulgate rules are. . susceptible to judic review, though such review is extremely limited and highly deferential.") (internal quotation marks and citations omitted) . 18 At oral argument, Defendants conceded that the Agency has not utilized rulemaking to regulate the use of approved drugs, other than through the publication of guidance documents for indust (See Transcript, dated May 10, 2012, at 22.) 31 of a finding by the FDA regarding the drug's safety or efficacy, and are not premised on violation of any law or regulation. 1 See 21 U.S.C. (describing the grounds for mandatory 360b(e) (1) § withdrawal of approval of a new animal drug application). In contrast, enforcement proceedings are traditionally undertaken upon a finding that an entity has violated an existing regulation or law. Third, withdrawal proceedings aspects making them more akin to have several legislat tional informal rulemaking. For example, withdrawal of approval has future effect. FDA has withdrawn approval of a NADA, being sold or marketed under Once the it prevents that drug from the FDCA, and it prevents manufacturers of generic drugs from receiving approval to market versions of such drugs. In Massachusetts v. Environmental Supreme Court listed several factors Agency, the distinguish enforcement 549 U.S. proceedings from rulemaking. 1438, 1459 (2007). Protection 497, 527, 127 S. Ct. The Court explained: In contrast to nonenforcement decis , agency refusals to tiate rulemaking are less frequent, more apt to Of course, withdrawal proceedings may be instituted for other reasons, including that the initial drug application contained untrue statements of material fact. 21 U.S.C. § 360b(e) (1) (El i § 360b(e) (2) (explaining the grounds for which the Secre withdraw approval of a new animal drug application) . 32 as opposed to factual analysis, and subject formalities, including a public explanation. They moreover arise out of denials of petitions for rulemaking which (at least in the circumstances here) the affected party had an undoubted procedural right to file in the f instance. rd. at 527, citations 127 S. Ct. omitted). at 1459 Although quotation marks the FDA's decision to and withdraw approval of a new animal drug involves a factual analysis, that is not its exclusive basis; and, in rulemaking proceeding. subject to (requiring formal an 1 other aspects it is akin to a Withdrawal proceedings are infrequent and proceedings. opportunity for issuance of a withdrawal order). 21 a public U.S.C. hearing 12.120. And here, as 360b{e) (1) to the Any withdrawal order must contain an explanation of the findings supporting the order. § § 21 C.F.R. in Protection Agency, the FDA's decision not to init withdrawal of approval of the relevant new animal drugs was a result of the FDA's denial of a petition that the petitioners had a right to bring. 21 C. F. R. § 10.30 (b) (2) (explaining the requirements for the submission of a citizen petition and stating that a petition may request that the Finally, the "issue, amend, or revoke an order . . . n). FDA's own discussion of its decision on the Petitions strongly paints this action as regulatory rather than enforcement. The FDA received more than 38,000 comments on the 33 1999 Petition, and "the comments and other relevant data and information needed to be evaluated by the Agency before action would be taken. (See 11 Rec. at 71.) In its second tentative response to the 1999 Petition, the Agency explained that it would "issue a final response [the 1999 Petition] upon completion of [the Agency's) analysis of the comments received on [the citizen petition)! the Framework Document, numerous consultations, and the resolution of the scientific, legal, and policy issues." 66. ) (Rec. at This description of the process of reviewing the Citizen Petitions rulemaking. closely mirrors Furthermore, the process of notice-and-comment the Agency rested its denial of the Petitions! in part, on the Agency's decision to pursue a different regulatory strategy. The Agency explained that it had "proposed a different strategy important antimicrobials (See Rec. at 73, to 129.) promote in the judicious food-producing use animals of medically " This statement suggests that the Agency considers withdrawal proceedings one regulatory strategy and the vOluntary program embodied in Guidance #209 another regulatory strategy. For all the above reasons, the Court finds that initiating the withdrawal of approval of a new animal drug is not an enforcement 34 action.20 b. Law to Apply Even if the Court were to find that the withdrawal of approval of a new animal drug is an enforcement action, the FDCA provides sufficient "guidelines for the agency to follow in exercising its enforcement powers" to rebut the presumption of unreviewability. Chaney, 470 U.S. at 833, 105 S. Ct. at 1656. The FDA is charged with regulating drugs sold in interstate In any event, if the Court were to find that withdrawal of approval is an enforcement action, the FDA's denial of the Petitions announced a general Agency policy of not pursuing withdrawal proceedings for the subtherapeutic use of antibiotics in food-producing animals. Unlike a specif decision not to enforce, an agency's general policy regarding enforcement is subject to judicial review. Crowley Caribbean Transport, Inc. v. Pena, 37 F.3d 671, 676 (D.C. Cir. 1994) ("[A]n agency's statement of a general enforcement pOlicy may be reviewable for legal sufficiency where the agency has expressed the policy . in some form of universal policy statement.") (internal citations omitted) (emphasis in original) i Roane v. Holder, 607 F. Supp.2d 216, 226-27 (D.D.C. 2009) (same). In Crowley, the court explained that general enforcement policies are subject to judicial review because they "are abstracted from the particular combinations of facts the agency would encounter individual enforcement proceedings" and "will generally present a clearer (and more easily reviewable) statement of its reasons for acting when formally articulating a broadly applicable enforcement policy. " Crowley, 37 F.3d at 677. Here, the Agency's denials did not consist of a drug-by-drug analysis and decision not to enforcei rather, the denial letters, the Agency announced a policy for the regulation of subtherapeut use of antibiotics in food-producing animals whereby the Agency would not initiate formal withdrawal proceedings and would instead rely on a voluntary program. Such a broad statement of policy is subject to judicial review. 35 commerce. 21 U.S.C. § 393(b). Pursuant to the FDCA, any new animal drug shall be deemed unsafe and "adulterated" unless it is subject to an approved or conditionally approved NADA/ANADA. 21 U.S.C. § 360b(a). See The FDA is required to approve a NADA/ANADA unless it finds that grounds for non-approval exist, which include a finding that the drug is not safe. § Once the FDA approves a NADA/ANADA, applicant have required to continuing 360b(c) (1) & (d) (1) (B). both the FDA and the drug obligations. Drug appl are "establish and maintain indexed and complete files containing full records of 1 information pertinent to safety or effectiveness of a new animal drug that has not been previously submitted as part of the NADA or ANADA./l 21 C.F.R. § 514.80(a) (1). Furthermore, drug applicants "must submi t reports of data, studies, and other information concerning experience with new animal drugs to the [FDA] for each approved NADA and ANADA . 514.80(a) (2). " § The regulations contemplate third parties producing data relevant to this analysis and require such third parties to "submit data, studies, and other information concerning experience with new animal drugs to the appropriate applicant . . turn, must report the nonapplicant' s information to the FDA." reports required in [21 data, studies [who], in and other The "FDA reviews the records and C.F.R. determination under [21 U.S.C. § § 514.80] to facilitate a 360b(e)] as to whether there may 36 be grounds for suspending or withdrawing approval of the NADA or ANADA. Id. II 514.80 (a) (3). § Secretary shall, Section 360b (e) (1) states that" [t] he ter due notice and opportunity for hearing to the applicant, issue an order withdrawing approval of [a new animal drug application] if the Secretary finds . that new evidence . shows that such drug is not shown to be safe U.S.C. " 21 360b(e) (1) (B) § The FDCA and accompanying regulations require the FDA, as part of its regulatory authority, to monitor and evaluate data regarding approved new animal drugs and institute withdrawal proceedings if the data shows that the drugs are no longer shown to be safe. Although § 360b(e) (1) grants the Secretary the discretion to make an initial finding whether a drug is shown to be safe or not, the substance and structure discretion in making C.F.R. § regarding 514.80 makes withdrawal, that of the initial clear the Agency § 393(b), which cabin decision. that evidence of the drug's safety. U.S.C. FDCA to Secretary's Specifically, in making is the initial review the 21 decisions scientific This finding is buttressed by 21 requires the FDA to "promptly and efficiently review [] clinical research" and ensure that "veterinary drugs are safe and effective[.J" The Court is satisfied that § regulations, the which guide 21 U.S.C. 393(b), § 393(bl (1) & (2) (B). 360b, and the accompanying Agency's 37 § approval and continued monitoring of new animal drugs, provide sufficient guidelines to allow the Court to review the action challenged in the present case. Accordingly, the Court finds that there are standards and law to apply and that the FDA's denials of the 1999 and 2005 Citizen Petitions are subject to judicial review. z: C. The Administrative Procedure Act The APA provides agency's findings, that a district court may set aside an conclusions of law, or action only if they are "arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law." action, [a] the agency. 5 U.S.C. § 706 (2) (A). "In reviewing agency [c] ourt may not 'substitute its judgment for that of '11 Natural Res. Def. Council v. EPA, 658 F.3d 200, 215 21 Several other courts have found that FDA decisions regarding the regulation of approved animal drugs are subject to judicial review. See A.L. Pharma, Inc. V. Shalala, 62 F.3d 1484, 1488-89 (D.C. Cir. 1995) (reviewing the FDA's refusal to withdraw approval of a new animal drug application after the plaintiff filed a citizen petition with the FDA alleging that the relevant drug application relied on improperly obtained information and should not have been approved according to the FDA's own regulations) i Barnes v. Shalala, 865 F. Supp. 550, 558 (W.D. Wisc. 1994) (holding that the FDA's decision not to require labeling of milk products containing recombinant bovine somatotropin (rbST) was subject to judicial review because the plaintiffs were not requesting "the FDA to investigate an unapproved use of [an approved drug] and instead were asking "only that, as part of the FDA's reconsideration of the safety and effectiveness of rbST, the agency consider whether the approved use of the drug requires labeling") . II 38 (2d Cir. 2011) 824). Nevertheless, a reviewing court' s "inquiry must be searching and careful. 549, (quoting Overton Park, 401 U.S. at 416, 91 S, Ct. at 555 Natural Res. Def. Council, /I (2d Cir. omitted) . An 2009) agency Inc. v. FAA, 564 F.3d (internal quotation marks and citations decision may be deemed arbitrary and capricious "if the agency has relied on factors which Congress has not intended it to consider, entirely important aspect of the problem, led to consider an offered an explanation for its decision that runs counter to the evidence before the agency, or is so implausible that it could not be ascribed to a difference in view or the product of agency expertise. /I Ass' n of U. S., Auto, Farm") , Ind. v. State Farm Mut. Motor Vehicle Mfrs. Ins. Co. ("State 463 U.S. 29, 43, 103 S. Ct. 2856, 2867 (1983); accord Yale­ New Haven HOSp. v. Leavitt, 470 F.3d 71, 79 (2d r. 2006). While this standard of review is deferential, courts "do not hear cases merely to rubber stamp agency actions. role would responsibili be 'tantamount to abdicating Pharma, judiciary's Inc. v. Shalala, 755 II Natural (D.C. Cir. 2000) 62 F.3d 1484, 1491 (D.C. Islander East Pipeline Co., LLC v. McCarthy, Cir. 1995)); 525 F. 3d 141, the under the Administrative Procedure Act.' 209 F.3d 747, (quoting A.L. To play that 151 (2d Cir. 2008) ("This is not to suggest that judicial review of agency action is merely perfunctory. 39 To the contrary, within the prescribed narrow sphere, must be searching and careful.") citations omitted). judicial inquiry (internal quotation marks and To be upheld upon judicial review, the agency must have articulated "a rational connection between the found and the choice made." Cir. 1996) D. Henley v. FDA, facts 77 F.3d 616, 620 (2d (quotation marks omitted) Application Here, the 1999 and 2005 Citizen Petitions requested that the FDA withdraw approval antibiotics in for certain uses food-producing animals. of medically important The FDA issued final responses to the 1999 and 2005 Citizen Petitions on November 7, 2011, denying "shar [ing] the actions [peti tioners' ] requested. concerns about Specifically, the use of while medically important antimicrobial drugs in food producing animals for growth promotion and feed efficiency indications [,]" (Tr. at 71, 127), the FDA explained that it had decided not to initiate formal withdrawal proceedings for the medically-important antibiotics implicated in the Petitions, and, instead, was pursuing a voluntary strategy to address antibiotic resistance related to the use of the antibiotics in food-producing animals. final responses, contested, (See Rec. at 73, 129-30.) In both the Agency explained that its "experience with formal withdrawal proceedings is that the process can consume extensive periods of time and Agency resources." 40 at 73, 128 29.) The Agency continued: "Recognizing that the process of reviewing safety information for antimicrobial drugs approved before 2003, and pursuing withdrawal proceedings in some cases, would take many and would impose significant resource demands on the Agency, strategy to promote antimicrobials 129. ) in June the 2010, judic FDA proposed a use of medically food-producing animals " different important id. at 73, The Agency went on to describe Draft Guidance # 209, which provides non-binding industry guidance for the judicious use of medically-important antibiotics in food-producing animals. Essentially, the Agency presented two grounds for denying the Petitions. First, the Agency cited the time and expense required to evaluate individual drug safety and to hold formal withdrawal proceedings if necessary. Second, the Agency emphasized that it had adopted non-binding voluntary measures to promote the judicious use of antibiotics in food-producing animals, which believed would achieve the same result as formal withdrawal proceedings. Neither of these grounds provides a reasoned justification for the Agency's refusal to initiate withdrawal proceedings. In responding to a citizen petition, an agency's "reasons for action or inaction must conform to the authorizing statute." Massachusetts v. EPA, 549 U.S. at 533, 127 S. Ct. at 1462. Here, the FDCA provides that the Agency's decision whether to initiate 41 formal withdrawal proceedings must be based on an evaluation of the scientific evidence 360b(e) (1) (b) . of a drug's safety. See 21 U.S.C. § If the evidence demonstrates that a drug is not shown to be safe, the Agency must rescind approval of that drug through formal withdrawal proceedings. See Williamson Tobacco Corp., 529 U.S. 120, 133, 120 S. Ct. 1291, 1301 (2000) ("Viewing the FDCA as a whole, it is evident that one of the Act's core objectives is to ensure that any product regulated by the FDA is \ safe' and \ effective' for its intended use. 1/) citations omitted) The statute contains no language indicating that the costs of a withdrawal proceeding 1 (internal f or to industry - either to the Agency are to be taken into account when making the decision whether to initiate withdrawal proceedings. in both approving whether withdrawal tial an drug Rather, application and determining appropriate, the inquiry focuses on whether the drug is safe and effective. 21 U.S.C. § 360b(b) (1) (A) (requiring a new animal drug application sponsor to submit "full reports of investigations which have been made to show whether or not such drug is safe and ef fecti ve for use"); (explaining for the Agency do "reports groundS not include to deny a adequate tests id. § NADA, 3 60b (d) (1) including by all methods reasonably applicable to show whether or not such drug is safe for use . /I or "the results of such tests show that such drug is 42 unsafe for use . . ") i . or do not show that such drug is safe for use 360b (e) (1) (B) § (requiring the Agency to withdraw approval of a NADA/ANADA if the Agency finds that a drug is "not shown to be safe"). In the instant case, Petitions on their merits. the Agency failed to address the The Agency did not evaluate the science presented in the Petitions or assess the safety of the relevant Although the Administrative Record for the 1999 and 2005 drugs. Citizen Petitions is more than three thousand pages in length and contains numerous scientific studies of the risks of antibiotic resistance from the use of antibiotics in food-producing animals, the Agency did not address or even mention the scientific evidence in its responses. Further, in its tentative responses to the Citizen Petitions, the Agency stated that" [f]or legal, scientific and resource reasons, withdrawal actions for the petitioned drugs need to be considered on a drug by drug basis. Data and information will need to be reviewed and analyzed for each drug. Thus the petitions can only be granted or denied on a drug by drug basis as reviews are completed and resources permit. 52, 124.) II Rec. at However, the Agency issued its final responses, denying the Petitions, without presenting any evidence - letters or in the Record - in the denial that these drug by drug analyses had been completed or ever undertaken. 43 There is no evidence in the Record that the Agency performed any risk or safety assessments of the petitioned drugs at all. the drugs' The Agency simply refused to evaluate safety on the grounds that if withdrawal proceedings were required they would "take many years" and "impose significant resource demands. 1122 (rd. at 73, 129.) Denying the Petitions on the grounds that it would be too time consuming and resource-intensive to evaluate each individual drug's safety, and withdraw approval if a drug was not shown to be safe, 22 not addressing the scientific evidence, the FDA failed to adequately explain why some classes of antibiotics are sUbject to withdrawal proceedings and not others. For example, in 1977, the Agency issued init findings that penicillin and tetracycline were not shown to be safe for subtherapeutic use in food-producing animals, and, pursuant to 21 U.S.C. § 360b(e) (1), published notices of an opportunity for hearings in the Federal Register. See Penicillin Notice, 42 Fed. Reg. at 43,774; Tetracycline Notice, 42 Fed. Reg. at 56,264. Although these notices were still pending when the Agency denied the Petitions, the Agency did not address - in either the denial letters or the Record why the evidence demonstrating that penicillin and tetracycline were not shown to be safe did not apply to the other classes of antibiotics implicated in the Petitions. Similarly, in denying the 2005 Petition, the Agency failed to adequately explain why the petitioned antibiotics, which would be classified as "high risk" or "medium risk" under Guidance # 152 and therefore would not receive Agency approval if the subject of a new NADA/ANADA, were not subject to withdrawal proceedings. The Agency fails to provide a reasoned explanation why these drugs should remain on the market, other than the time and expense involved in withdrawing approval. While courts will defer to an agency's scientific expertise, here, the Agency has presented no explanation for its decision to treat penicillin and tetracycline differently than the other classes of antibiotics implicated in the Petitions and no reason why antibiotics that would no longer receive initial approval can nevertheless remain on the market. 44 1S to arbitrary and capricious. consider the overall purpose health and, The Agency did not discuss or appear controlling statute's governing criteria and whether the drugs at issue pose a threat to human if so, the obligation to withdraw approval for such See Massachusetts v. EPA, health-threatening drugs. 535, 127 S. Ct. at 1463 549 U.S. at (holding that an agency "must ground its reasons for action or inaction in the statute"); State Farm, 463 U.S. at 43, 103 S. Ct. at 2867 ("Normally, an agency rule would be arbitrary and capricious if the agency has relied on factors which Congress has not intended it to consider withdrawing approval sufficient may be justification, .• The fact that • ff). costly or time-consuming under the FDCA, for the is not a Agency to abdicate its duty to ensure that the use of animal drugs is safe and effective. Congress has explicitly provided the mechanism to be employed when a drug is found not to be safe. FDA is refusing to follow the In effect, the statutory mandate of withdrawal proceedings on the ground that such proceedings are not effective because they take too 10ng. 23 Yet, the Petitions at issue have been pending for thirteen and seven years, respectively. The position that instituting withdrawal proceedings - what the statute mandates 23 One can only wonder what conceding the absence of an effective regulatory mechanism signals to the industry which the FDA is obligated to regulate. 45 is too time consuming is both ironic and arbitrary. Agency addressed the Petitions in a timely fashion, Had the withdrawal proceedings could have been commenced and completed by now. 24 Moreover, the Agency failed to address the Citizen Petitions' request that the Agency withdraw approval of the use of medically important antibiotics in food producing animals for the purpose of disease prevention. In the denial letters, the Agency stated that it shared the Petitioners' "concern about the use of medically important antimicrobial drugs in food-producing animals for growth promotion and feed efficiency indications (i.e., production uses). " (Rec. at 71, 127.) However, the Agency made no mention of 24 It is not clear why the withdrawal proceedings must be on a drug-by-drug basis, with individualized research and conclusions as to each drug. There is no evidence that the scientific studies undertaken by various groups and government bodies draw different conclusions for different antibiotics. Indeed, the FDA appears to accept that all of the classes of antibiotics at issue pose a similar threat, as its proposed voluntary approach makes no distinction. At most, it appears that the Agency would have to issue eleven different notices of an opportunity for a hearing for the eleven different classes of antibiotics implicated in the Petitions. For example, in 1977, the Agency issued one notice pertaining to penicillin NADAs/ANADAs, see Penicillin Notice, 42 Fed. Reg. at 43,774, and one notice pertaining to tetracycline NADAs/ANADAs, see Tetracycline Notice, 42 Fed. Reg. at 56,264, despite the fact that each notice applied to multiple drug products. Moreover, after receiving requests for hearings on the 1977 notices, the Agency indicated that it would hold a single public evidentiary hearing on both the proposed penicillin and tetracycline withdrawals. See Penicillin and Tetracycline in Animal Feeds Hearing, 43 Fed. Reg. 53,827, 53,827 (Nov. 17, 1978). 46 iN! tiR _ _ use of medically-important antibiotics in animals. disease prevention The Agency stated that it did not consider production uses a judicious use of medically-important antibiotics and planned to phase out such uses through the voluntary guidance program. (See at 72-73, 129.) The voluntary guidance program also requests that other uses of medically- important antibiotics animals, in including use of antibiotics for disease prevention, be available only through a veterinary directive. (See The Agency did not respond to the Petitioner's claims that the use of the indicated antibiotics for general disease prevention was not shown to be safe, and did not provide any explanation for its decision to the purpose. This failure to explain the Agency's decision-making is allow arbitrary and capricious. 25 continued use of ~~=-~~, these drugs for that 463 U.S. at 43, 103 S. The Agency did address this issue in Guidance # 209. Agency explained: Some may have concerns that the use of medically important antimicrobial drugs in food-producing animals for disease prevention purposes is not an appropriate or judicious use. However, FDA believes that some indications for prevention use are neces and judicious as long as such use includes professional veterinary involvement. When determining the appropriateness of a prevention use, veterinarians consider several important factors such as determining the medical rationale for such use and that such use is appropriately targeted at a specific etiologic agent and appropriately timed relative to the disease. 47 ---------­ ...................................................................................... ~ Ct. at 2866 (" [T] he agency must examine articulate a satis the re data and tory explanation for its action including a rational connection between the facts found and the choice made.") rnal quotation marks and citations omitted) Plaintiffs contend, with some justification, that the Agency's refusal to evaluate the science was motivated in part by a desire to avoid the statutory requirement of initiating formal withdrawal proceedings for drugs not shown to be safe. Nevertheless, the Agency has all but made a finding that the subtherapeutic use of antibiotics in food producing animals has not been shown to be safe. In the course of this litigation, the Agency has conceded that "the phenomenon of antimicrobial resistance exists, antimicrobial resistance poses a [that] threat to public health, [and that] the overuse of antimicrobial drugs in food-producing animals can contribute to the development of antimicrobial resistance." (See Memorandum of Law in Support of the Government's Motion for Summary Judgment on Plaintiff's First Supplemental Complaint at 2. ) The Agency has also that stated recommendations provided by . based on s review I believes it "has reviewed the various published reports and, the overall weight of evidence (Ex. A to the Apr. 16, 2012 Barcelo Decl. at 21.) This explanation still fails to address the science indicating that such use could pose a risk to human health. 48 available to date supports the conclusion that using medically important antimicrobial drugs interest at 179.) production purposes is not in protecting and promot the public health." These statements, while not the equiva that Rec. of a finding rs a withdrawal proceeding under the FDCA, indicate that the Agency recognizes that these drugs pose a serious risk) However, to human health. statutorily prescribed action sk (possibly a very instead of taking the making a finding that the drugs are not shown to be safe and initiating withdrawal proceedings - the Agency has pursued a course of action not foreseen by Congress. Of course, nothing prevents the Agency from seek voluntary coopera tion from the drug industry, in tandem with a notice of intent it to withdraw approval. Had done so years ago, and achieved success, there would be no need for withdrawal proceedings But in the instant case, the Agency was now. Citizen petitions, seven and thirteen years sented with two ago, respectively, alerting the Agency to the human health risks associated with the subtherapeut use of antibiotics in food-producing animals. In an eleventh hour response, the Agency pointed to a guidance program that encourages industry to use these drugs "judiciously," with no hard evidence that the drug sponsors have agreed or will agreed to The Agency has been aware of the science indicating a human health risk since the early 1970s. 26 49 proposed measures. By refusing to make findings as to the drugs' safety - or provide a statutorily based reason for refusing to make such findings - the Agency avoided the Congressionally mandated scheme for address drugs not shown to be The Agency may not substitute proposed voluntary measures, such as those embodied in Guidance # 209, for the measures mandated by the statute. Natural Res. Def. Council, Inc. v. EPA, 595 F. Supp. 1255, 1261 (S.D.N.Y. 1984) ("It is not an agency's prerogat to alter a statutory scheme even if its assertion is as good or better than the congressional (internal one.") quotation marks and citations omitted) . Although the Agency argues that the Court should defer to its decision to implement a voluntary program in lieu of evaluating the safety of the drugs and initiating necessary, the Court cannot wi thdrawal defer because commands a different course of action. the proceedings statute if clearly See Chevron v. Natural The FDA relies on SEC v. Citigroup Global Markets, Inc. ), 673 F.3d 158, 164 (2d Cir. 2012), to support its c that the Court must defer to an agency's decision to tiate or compromise proceedings. That case involved the SEC's decision to settle an enforcement proceeding filed federal court. The court explained that "numerous . affect a litigant's cision whether to compromise a case or litigate it to the end[,] includ[ing] the value of the icular proposed compromise, the perceived likelihood of obtaining a still better settlement, the prospects of coming out better, or worse, after a full t aI, and the resources that would need to be expended in the attempt." Id. 27 50 Res. Defense Counicl, Inc., 467 U.S. 837, 842-43, 104 S. Ct. 2778, 2781 (1984) ("If the intent of Congress is clear, that is the end of the matter; effect to the for the court, unambiguously as well as the agency, expressed intent of must give Congress.") Moreover, the Agency has failed to explain the basis for its claim that the voluntary program will more effectively achieve the same results as formal withdrawal proceedings. The Agency points to the time and resources involved in holding public hearings. However, if any credence is to be given to the Agency's position that the drug industry intends to comply with the voluntary program, then it is unclear why the industry would contest formal withdrawal notices or require time consuming hearings. Here, the statutory scheme requires the Agency to ensure the safety and effectiveness of all drugs sold in interstate commerce, and, if an approved drug is not shown to be safe or effective, the Agency must begin withdrawal The court further stated that the decision to settle a lawsuit was a "wholly discretionary matter[] of policy." Id. Here, as discussed extensively in Section lIB, the FDA's decision to initiate withdrawal proceedings is not wholly discretionary. Unlike in SEC v. Citigroup, where there was no statutory guidance governing the agency's decision to sett the lawsuit, the FDCA outlines the circumstances under which the FDA may approve an animal drug and the circumstances under which the FDA must withdraw that approval. Moreover, the Court fails to see how the Court's obligation to give substantial deference to an agency decision to settle a single lawsuit relates to the present dispute. The Agency's decision to forego withdrawal proceedings for all of the petitioned antibiotics cannot be compared to an agency's decision to settle a single lawsuit. 51 proceedings. 28 The Agency has forsaken these obligations in the Guidance # 209, name of a proposed voluntary program, and acted contrary to the statutory language. Accordingly I the Court finds the Agency's Petitions to be arbitrary and capricious. denial of the For over thirty years, the Agency has been confronted with evidence of the human health risks associated with the widespread antibiotics in food-producing animals, subtherapeutic and, use of despite a statutory mandate to ensure the safety of animal drugs, the Agency has done shockingly little to address these sks. Now, in responding to this litigation and two Petitions that have been pending for years, requesting that the Agency comply with its statutory mandate, the Agency has refused to make any findings and instead intends to adopt a voluntary program that is outside the statutory regulatory 28 The FDA describes the regulatory process in Guidance # 209: FDA considers the issue of antimicrobial resistance as part of its human food safety review related to new animal drugs used in food-producing animals. FDA considers an antimicrobial new animal drug to be "safe" if the agency concludes that there is "reasonable certainty of no harm to human health" from the proposed use of the drug in food-producing animals. This standard applies to safety evaluations completed prior to new animal drug approvals, as well as to those completed for drugs after approval. If this safety standard is not met before approval, the drug cannot be approved. If safety issues arise after approval, the [FDCA] provides grounds for withdrawal of approval of new animal drug applications for safety reasons. 52 scheme. The adoption of voluntary measures does not excuse the Agency from s merits. Agency The duty to review the Citizen Petitions on their must evaluate the safety risks of the petitioned drugs and either make a finding that the drugs are not shown to be safe or provide a reasoned explanation as to why the Agency is refusing to make such a finding. The FDA led to offer a reasoned explanation, grounded in the statute, for its refusal to initiate withdrawal proceedings, and, therefore, its action was arbitrary otherwise not in accordance with law. and capricious and Massachusetts v. EPA, 549 U.S. at 534, 127 S. Ct. at 1463. 29 Defendants maintain that Massachusetts v. EPA is inapposite because it involved an agency's complete refusal to regulate a pollutant. Defendants claim that the present action is distinguishable because FDA is actively regulating the relevant drugs - just not in the manner preferred by Plaintiffs. The Court is not persuaded by this argument. The Court's holding in Massachusetts v. EPA was based on the EPA's failure "to comply with [a] clear statutory command." 549 U.S. at 533, 127 S. Ct. at 1462. Similarly, the FDA has failed to comply with s statutory command to evaluate the safety of approved drugs and to initiate formal withdrawal proceedings if the drug is no longer shown to be safe. See 21 U.S.C. § 360b{e) (1). Rather than abide by its statutory guidelines when reviewing the Petitions, the Agency led to evaluate the science presented, failed to make a finding as to the safety of the drugs and drug uses implicated, and failed to provide a statutorily adequate explanation of why the Agency had declined to make a finding on the drugs' safety. The Agency's response is thus arbitrary, capricious, and not in accordance with law. See , 549 U.S. at 534, 127 S. Ct. at 1463 (UIn short, EPA has offered no reasoned explanation for its refusal to decide whether greenhouse gases cause or contribute to climate change. Its action was therefore 29 53 CONCLUSION For the foregoing reasons, Plaintiffs' motion for summary judgment on their third claim for relief is granted and Defendants' motion for summary judgment is denied. The Court remands the matter to the Agency for further proceedings consistent with this Opinion. The Court emphasizes that it is not compelling the Agency to reach a certain conclusion. The Court simply finds that the Agency's proffered grounds for denying the Petitions were arbitrary and capricious. So Ordered. THEOD6RE H. KATZ UNITED STATES MAGISTRATE JUDGE Dated; June 1, 2012 New York, New York arbitrary, capricious, . or otherwise not in accordance with H law. } (internal quotation marks and citations omitted). 54

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