U.S. v. X-Otag Plus Tablets, X-O

Decision Date06 August 1979
Docket NumberNo. 77-1946,X-O,X-OTAG,77-1946
Citation602 F.2d 1387
PartiesUNITED STATES of America, Plaintiff-Appellee, v. An article of drug consisting of the following: 15866/50-Tablet Bottles, more or less, and 512/500-tablet bottles, more or less, labeled in part: (bottle) "Tutag Pharmaceuticals, Broomfield, Colorado * * *tag Plus Tablets Each tablet contains: Orphenadrine citrate 50 mg., Acetaminophen 325 mg. Caution: Federal law prohibits dispensing without prescription * * * " (Insert) "PLUS TABLETS * * * 76/2 Tutag Pharmaceuticals, Inc., Broomfield, Colorado 80020" and undetermined quantities of the aforesaid article labeled as aforesaid, Defendant-Appellant. UNITED STATES of America, Plaintiff-Appellee, v. TUTAG PHARMACEUTICALS, INC., a corporation, and Stanley J. Tutag, an Individual, Defendants-Appellants.
CourtU.S. Court of Appeals — Tenth Circuit

William R. Pendergast, Washington, D. C. (Wayne H. Matelski, McMurray & Pendergast, Washington, D. C.; Christopher Lane, Cassandra G. Sasso, Dowson, Nagel, Sherman & Howard, Denver, Colo., on the brief), for defendants-appellants.

Bruce F. Fein, Washington, D. C. (John H. Shenefield, Robert B. Nicholson, Dept. of Justice, Washington, D. C.; Jeffrey B. Springer, Donald O. Beers, Food and Drug Administration, Rockville, Md., on the brief), for plaintiff-appellee.

Before SETH, Chief Judge, LOGAN, Circuit Judge, and MILLER, * Judge.

MILLER, Judge.

This appeal is from a judgment and orders of the district court 1 (nonjury trial) permanently enjoining defendants-appellants from marketing the drug X-Otag Plus in interstate commerce and directing the destruction of a quantity of the drug seized by the Government. We affirm the injunction, but remand the order for destruction to the district court to stay destruction of the seized drug pending further proceedings.

X-Otag Plus is a prescription drug in tablet form having as its active ingredients 50 mg. of orphenadrine citrate and 325 mg. of acetaminophen; 2 it also contains a number of inactive ingredients. Its intended use is to relieve muscular pain. Orphenadrine citrate has been used since 1951 in the United States and in other countries as a muscle relaxant and for its analgesic properties. Acetaminophen, which can be purchased over-the-counter, has been used as an analgesic and as an aspirin substitute.

Background

The Government initiated a condemnation proceeding pursuant to 21 U.S.C. § 334 3 against a quantity of the involved drug that had been seized by the Government. The drug was manufactured by Tutag Pharmaceuticals, Inc. ("Tutag") and marketed under the name X-Otag Plus. The Government later sought an injunction against Tutag under 21 U.S.C. § 332(a) 4 to prevent any further shipment of X-Otag Plus in interstate commerce. In support of both actions, which were consolidated for trial, the Government argued, as it does in this appeal, that X-Otag Plus is a "new drug" within the meaning of 21 U.S.C. § 321(p)(1) 5 and that it cannot be introduced into interstate commerce unless, as required by 21 U.S.C. § 355, 6 the FDA has approved a new drug application ("NDA") or an abbreviated new drug application ("ANDA"). 7 In October of 1976, Tutag submitted an ANDA to FDA for X-Otag Plus; but in April of 1977 the Director of The district court found Inter alia : (1) The production of an administrative record supporting the FDA's contention that X-Otag Plus is a "new drug" is not required for the court to determine matters before it in condemnation and injunction proceedings; and (2) The Government had shown, by a preponderance of the evidence, that X-Otag Plus is a "new drug" within the meaning of 21 U.S.C. § 321(p)(1) for purposes of the condemnation and injunction proceedings. Technically, the latter was a finding that FDA had probable cause to believe that X-Otag Plus was a "new drug." 9 Ewing v. Mytinger & Casselberry, Inc., 339 U.S. 594, 70 S.Ct. 870, 94 L.Ed. 1088 (1950). See CIBA Corp. v. Weinberger, 412 U.S. 640, 93 S.Ct. 2495, 37 L.Ed.2d 230 (1973).

                the Bureau of Drugs decided that an NDA rather than an ANDA was required and gave notice of opportunity for hearing on that decision.  On June 27, 1977, Tutag requested a hearing, and this was held before Administrative Law Judge Daniel J. Davidson, who denied approval of Tutag's ANDA in a decision dated February 8, 1979 (Docket No. 77N-0145).  8  Both parties have filed exceptions with the FDA Commissioner.  Meanwhile, in March of 1977, Tutag filed an NDA for X-Otag Plus, but this has never been approved.  Prior to filing either an ANDA or an NDA, Tutag shipped X-Otag Plus in interstate commerce.  (Although both 21 U.S.C. § 331(a) and § 334(a)(1) prohibit misbranded drugs, the parties stipulated that, if X-Otag Plus is not a "new drug," it need not have an approved NDA or ANDA and is not misbranded.)
                
OPINION

Tutag argues that under Rutherford v. United States, 542 F.2d 1137 (10th Cir. 1976), the district court should have remanded the case to FDA for development of an administrative record in support of FDA's contention that X-Otag Plus is a new drug. In Rutherford, FDA had refused to allow the shipment or distribution of laetrile on the ground that it was a "new drug," even though there was no NDA on file with the FDA and there had been no formal determination of whether laetrile was a new drug. Plaintiffs, a class of terminally ill cancer patients, who were without the means, by themselves, to undertake an FDA proceeding, sought an injunction against the FDA's action. This court remanded the case to FDA for development of an administrative record. Especially to be noted is that FDA had not issued any regulation or rule on laetrile and that this court regarded the FDA action as in the nature of a declaratory order 10 requiring an administrative record.

Here, however, the FDA has only instituted condemnation proceedings against a certain quantity of the drug and injunction proceedings against a single drug manufacturer. Such action, including any assertions in connection therewith, is not in the nature of a declaratory order. The determination that X-Otag Plus is a "new drug" (for purposes of the condemnation and injunction proceedings) was made by the district court following a trial; whereas, in Rutherford, the FDA had already determined, prior to trial, that laetrile was a new drug and had refused to allow its distribution to patients in the United States. In this case, although one lot of the drug was seized by the United States Marshall, no destruction order or injunction against Tutag was issued until After a trial, giving Tutag ample opportunity to rebut the FDA's case. We conclude that, under the facts of this case, no administrative record was required. Accordingly we hold that the district court did not err in refusing to remand to the FDA for development of an administrative record as urged by Tutag.

Tutag also argues that the district court erred in finding that, for purposes of the condemnation and injunction proceedings, the Government had shown, by a preponderance of the evidence, that X-Otag Plus is a "new drug" within the meaning of 21 U.S.C. § 321(p)(1), Supra note 5. The district court thoroughly reviewed the conflicting evidence on this point in over four pages of the printed opinion, Supra at 110-14, and, as pointed out in note 2, Supra, found that "both of the component parts of X-Otag Plus have Not been generally recognized as safe and effective." We are satisfied that this finding is not clearly erroneous. See United States v. United States Gypsum, 333 U.S. 364, 394, 68 S.Ct. 525, 92 L.Ed. 746 (1948). 11

As the district court made clear, Tutag is not precluded from proving before FDA (and the circuit court of appeals on review) that X-Otag Plus is not a new drug. In the proceedings which, as related above, are still pending before FDA, Tutag may convince the FDA that the drug is not new or it may satisfy the requirements necessary for placing a new drug on the market. In either event Tutag would be able to market X-Otag Plus.

The district court ordered destruction of the lot of X-Otag Plus already seized by the United States Marshall, 12 saying (441 F.Supp. at 115):

By our reading of the statute, the language "any article condemned . . . Shall be disposed of by destruction," 21 U.S.C. § 334(d)(1) (emphasis added), does not encompass staying destruction while awaiting an FDA determination . . . .

However, the pertinent language of 21 U.S.C. § 334(d)(1) is as follows:

Any food, drug, device, or cosmetic condemned under this section shall, after entry of the decree, be disposed of by destruction or sale as the court...

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