Petition — Alcon Laboratories (Puerto Rico), Inc. v. United States

Supreme Court brief1981

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Office- Supreme Court, U.S.

oe RFILE®

50-1607 MAR 23 1981

be SANOER L. STEVAS,

|

IN THE

Supreme Court of the United Ptates

OCTOBER TERM, 1980

ALCON LABORATORIES (PUERTO RICO), INC., EDGAR H.

SCHOLLMAIER, and JOHN W. FEIK, Petitioners

Vv.

UNITED STATES OF AMERICA, Respondent

PETITION FOR A WRIT OF CERTIORARI TO

THE UNITED STATES COURT OF APPEALS

FOR THE FIRST CIRCUIT

THOMAS QO. HENTELEFF

GLENN E. DAVIs

KLEINFELD, KAPLAN & BECKER

1140 Nineteenth Street, N.W.

Washington, D.C. 20036

(202) 223-5120

Counsel For Petitioners

Of Counsel:

MANUEL A. GUZMAN

McCOoNNELL VALDES KELLEY

StFRE GriGGS & RuUIZ-SURIA

G.P.O. Box 4225

San Juan, Puerto Rico 00936

PETER R. MATHERS

KLEINFELD, KAPLAN & BECKER

1140 Nineteenth Street, N.W.

Washington, D.C. 20036

March 23, 1981

LA ALLL TTR SARNIA AN RNARTETRORRI ICY SAT

PRESS OF BYRON S. ADAMS PRINTING, INC., WASHINGTON, D.C.

QUESTIONS PRESENTED

1. Whether a District Court has authority in a ‘‘new

drug’’ enforcement action arising under the Federal

Food, Drug, and Cosmetic Act to remand the case

before it to the primary jurisdiction of the Food and

Drug Administration for a formal administrative deter-

mination of the ‘‘new drug’’ status of the drug at issue.

2. Whether in a ‘‘new drug’’ enforcement action

arising under the Federal Food, Drug, and Cosmetic Act

a District Court has authority to direct the Food and

Drug Administration to defer further enforcement action

pending a remand of the ‘‘new drug”’ issues to the Food

and Drug Administration.

3. Whether a remand order in an enforcement ac-

tion under the Federal Food, Drug, and Cosmetic Act

constitutes an order in abatement within the meaning of

28 U.S.C. §2105 so as to preclude review or reversal of

it by a Court of Appeals.

ill

TABLE OF CONTENTS

PAGE

Oreos BROW «oc. soo eens snes l

FURMICTION oon cv id k's Sw ce enact eee eee 2

STATUTORY PROVISIONS INVOLVED............0.0e0eeee 2

STraTamant Or Tit CAS oo... 5. 0s oo ssenne eee 2

REASONS FoR GRANTING THE PETITION ................ 1]

1. The Decision Below Conflicts With The Deci-

sions Of This Court Which State That A Court

Can Remand The ‘‘New Drug’’ Issues In An

Enforcement Proceeding To The Primary

Jurisdiction Of The Food And Drug Admin-

IStFAtiON.... .. .ossinekeeeTte a awe ee 1]

2. The Decision Below Conflicts With The Deci-

sions Of This Court And Of Another Court Of

Appeals Which Indicate That A Court Can En-

join Further Enforcement Action By The Food

And Drug Administration Pending A Remand

To That Agency For Determination Of The

“New Etug’” ISMGS .. i. cvacsss eee eee eee 17

3. The Decision Below Violates 28 U.S.C. §2105

And Presents Important Questions Of First Im-

pression Concerning Federal Appellate Jurisdic-

tion Over Orders In Abatement .............. 23

CONCLUSION. o.s.0 cece s ees nace ba dep ook de nanan 27

APPENDICES:

A. Opinion Of The Court Of Appeals, February

ye >.) PPA la

B. Judgment Of The Court Of Appeals, February

ZA, 1961... cece cewne dies eine ae 24a

C. Order Of The District Court, February 27, 1980 25a

D. Opinion And Order Of The District Court,

April 9, 1900 ....60ssscsennane eee 27a

E. Order Of The District Court, April 29, 1980... 34a

F. Pertinent Provisions Of The Federal Food,

Drug, And Cosmetic Act ........ccsccccceces 37a

PREVIOUS PAGE WAS BLANK |

0 oe

iV

TABLE OF AUTHORITIES

CASES:

Aetna State Bank vy. Altheimer, 430 F.2d 750 (7th

Ce Per EG oes 245s DENK aaah Mauun ey aaies

American Federation of Musicians v. Wittstein, 379

BR Geo, 2, apa a pararene oareeie rary ee 24

Bentex Pharmaceuticals, Inc. v. Richardson, 463

fk ey Le ey a ec 20

Bowles v. Wilke, 175 F.2d 35 (7th Cir. 1949)....... 25

CIBA Corp. v. Weinberger, 412 U.S. 640 (1973) 7, 11-15

Cohen v. Beneficial Industrial Loan Corp., 337 U.S.

EE MOE acdsee oe kk hee en eer Ss 10, 24

Ewing v. Mytinger & Casselberry, Inc., 339 U.S. 594

NGG nn na aed Pauw eased as 10, 18-20, 22-23

Firestone Tire & Rubber Co. v. Risjord, 101 S.Ct.

2 Rr Sere erry errr err 24

ICC v. B & T Transportation Co., 613 F.2d 1182

Se I acc vee ee eee oe eee 11

IMS Ltd. v. Califano, 453 F. Supp. 157 (C.D. Cal.

gc: SRR RRO eer gee urn p are purine aes 13-14

National Remedy Co. v. Hyde, 50 F.2d 1066 (D.C.

er UE Sle ac Ras eee AO Rea ks 20

Rutherford v. United States, 542 F.2d 1137 (10th

458 Aap ESOP Oier eater OL oer nan) Lean? 14-15, 21

Securities & Exch. Com’n vy. United Ben. L. Ins.

eM ce Ae Oo) 17

United States v. Articles of Drug... WANS, No.

Pan ae CAP a Es Fe SUED xv cnn hdcnv anda

Upjohn Co. v. Finch, 303 F. Supp. 241 (W.D.

I SA Sok ane pc eeSic vane Cele ce uvew es 21

Victrylite Candle Co. v. Brannan, 201 F.2d 206

bc BE ss cand eae ONes toe eek eegb ews es 20

Weinberger v. Bentex Pharmaceuticals, Inc., 412

op 2. re Bee eee as 11, 13-15, 17, 20-21

Table of Authorities Continued

STATUTES AND REGULATIONS:

Federal Food, Drug, and Cosmetic Act

Se HD ms ax ee Baha Se Sas Shes ees 3

DS SE ok Cc ia eas uence sevates ve 3

PR ec knw ok sd tons Ko aos. asa oe 2, 19

DSIRE So Gen ck na eecevcentacer aces 19

ye RE Rr ar rer eee 19

oan at nih ahs kk & Riccee

na sara wee ORO kd See eee

eR EE aS as easy Fi StS a hee oe Th k de oo es 21

ty a po Parana ae one ra 2

eS I Cao ae wi isp oan BP EA lew eral ee 9, 24

Ne a6 ohh tb Oban hoes al eae 10, 17

eS OE Sob W ui vicina 4-c0c45 8 eee 9-10, 17, 23-27

FDA Compliance Policy Guide 7132c.08 .......... 3

ee I ie ceca sin eek Wed S vate ade ane ee he 16

ee EE i's 6 oi os 404.540 K SEEDS SO RARSD

es I ig 6000s 950805008 n eo aes 3

Be Rte SONS Wade ewbebdsivadsaracuriowens 16

MISCELLANEOUS:

1 Am. Jur. 2d Abatement, Survival, and Revival §1

Peet ir OG urea as a dak 2% 25

1 C.J.S. Abatement and Revival §1 (1936)......... 25

1 C.J.S. Abatement and Revival §7 (1936) ......... 25

ee i re oe a re 16

15 Wright, Miller & Cooper, FEDERAL PRACTICE

AND PROCEDURE §3903 (1976) .............. 24, 26

IN THE

Supreme Court of the United States

OcToBER TERM, 1980

No.

ALCON LABORATORIES (PUERTO RICO), INC.,' EDGAR H.

SCHOLLMAIER, and JOHN W. FEIK, Petitioners

V.

UNITED STATES OF AMERICA, Respondent

PETITION FOR A WRIT OF CERTIORARI TO

THE UNITED STATES COURT OF APPEALS

FOR THE FIRST CIRCUIT

Alcon Laboratories (Puerto Rico), Inc., Edgar H.

Schollmaier, and John W. Feik petition for a writ of

certiorari to review the opinion and judgment of the

United States Court of Appeals for the First Circuit.

OPINIONS BELOW

The opinion (App. A, infra, la-23a) and judgment

(App. B, infra, 24a) of the United States Court of Ap-

peals for the First Circuit are unreported. The February

27, 1980 remand Order of the United States District

Court for the District of Puerto Rico (App. C, infra,

25a-26a) is unreported. The April 9, 1980 Opinion and

Order of the District Court (App. D, infra, 27a-33a) is

' Pursuant to Rule 28.1 of the Rules of this Court, the parent

companies, non-wholly owned subsidiaries, and affiliates of Alcon

Laboratories (Puerto Rico), Inc. are Alcon Laboratories, Inc. and

Nestle S.A.

2

unreported. The April 29, 1980 Order of the District

Court (App. E, infra, 34a-36a) clarifying the District

Court’s two previous orders is unreported.

JURISDICTION

The opinion of the Court of Appeals vacating the

Orders of the District Court was rendered February 24,

1981. The jurisdiction of this Court is invoked under 28

U.S.C. §1254(1).

STATUTORY PROVISIONS INVOLVED

The pertinent provisions of the Federal Food, Drug,

and Cosmetic Act (hereinafter ‘‘FFDCA”’’) are set forth

in Appendix F, infra, 37a-42a.

STATEMENT OF THE CASE

This case concerns the regulatory status of the

prescription drug WANS, an antiemetic (antivomiting)

drug marketed by the petitioner, Alcon Laboratories

(Puerto Rico), Inc.? Two of the three underlying con-

solidated actions are drug seizure actions under the

FFDCA. These actions were filed in the District Court

by the Federal Food and Drug Administration (‘‘FDA’’)

on September 21, 1978 and January 28, 1980, respective-

ly, with the FDA invoking 21 U.S.C. §334 (the

‘‘seizure’’ provisions of the FFDCA, App. F, infra,

37a-38a) for jurisdiction. The third action, filed with the

District Court on November 28, 1978, is an action in

which the FDA seeks to enjoin Alcon from introducing

WANS into interstate commerce without first obtaining

? The other petitioners, Edgar H. Schollmaier and John W. Feik,

are employees of Alcon Laboratories (Puerto Rico), Inc. The

petitioners will be referred to collectively as ‘‘Alcon.’’

—

a

3

an approved new drug application (‘‘NDA’’) for WANS.

Jurisdiction in this action was invoked under 21 U.S.C.

§332 (the injunction provisions of the FFDCA, App. F,

infra, 38a-39a). All of these actions are based upon

FDA’s allegation that WANS is an unapproved ‘‘new

drug’’’ and as such cannot be marketed in interstate

commerce without violating the ‘‘new drug’’ provisions

(21 U.S.C. §355, App. F, infra, 40a) of the FFDCA. In

each of these actions, Alcon has denied that WANS is a

‘‘new drug’’ and has affirmatively asserted that WANS

is entitled to ‘‘grandfather’’ protection (App. F, infra,

39a-4la), and that the enforcement actions against

WANS based upon its alleged ‘‘new drug”’ status violate

the FDA’s Compliance Policy Guide 7132c.08 (‘“CPG’’).

The CPG is an advisory opinion/guideline which is made

binding upon the FDA by its own regulations. See 21

CFR §§10.85 and 10.90.

Each of the WANS preparations (WANS No. 1,

WANS No. 2, and WANS Children) is in a suppository

dosage form and each contains as its active ingredients

pyrilamine maleate and pentobarbital sodium. These in-

gredients are widely used by the medical profession in

treating various disease conditions. The WANS prepara-

tions were first marketed in 1955 and since then have

been continuously available to the medical profession as

prescription drugs for use in the symptomatic treatment

of uncontrolled vomiting.

Prior to WANS’ introduction in 1955, it was deter-

mined that it was not a ‘‘new drug’’ as that term was

then defined under the 1938 Act (i.e., it was generally

recognized as safe). Based upon this determination,

Alcon’s predecessor in interest in WANS did not file an

’ A “‘new drug”’ is defined in 21 U.S.C. §321(p) (App. F., infra,

39a-4la).

NDA, but rather marketed WANS as an ‘‘old drug.’’

Several other companies reached a similar conclusion

and marketed antiemetic preparations similar to WANS

as ‘‘old drugs.”” WANS was marketed by Alcon from

1955 to 1978 with no questions being raised by FDA

concerning the need for pre-market approval by the

agency.

On March 17, 1978, 23 years after the product was

first introduced into interstate commerce, FDA sent a

Regulatory Letter to Alcon alleging for the first time

that WANS is a ‘‘new drug’’ and requesting that Alcon

discontinue marketing its product until it had obtained

an approval from FDA. The Regulatory Letter also

raised and attempted to deal with a formidable obstacle

to regulatory action, the CPG. The Regulatory Letter

stated:

Please note that as listed in the CPG, your pro-

duct(s) would fall under Part B ‘‘DESI and other

Prescription Drugs where a final determination has

not been made.’’ Ordinarily, drugs subject to this

part of the CPG are not scheduled to be covered

under a class action until a later time. However, as

further explained in the above-mentioned document,

it is Agency policy to initiate regulatory action

against a violative product outside the established

priorities when such product becomes violative

under another provision of the Act, or if we receive

significant new information which questions the

safety and efficacy of the drug. (Please see Policy

Guideline Exceptions #2, Page 5). Consequently

because of new information concerning the safety

and efficacy of these drugs, we are initiating

regulatory action at this time.

(emphasis added.) The sole ground for proceeding at this

time against the class of drugs encompassing WANS was

stated to be ‘‘new information concerning the safety and

5

efficacy of these drugs. . .”’ i.e.,,the ‘‘significant new in-

formation’’ exception to the regulatory priorities

established in the CPG.

In FDA’s Regulatory Letter, the ‘‘significant new

information’? was said to consist of alleged reports of

‘“severe and sometimes fatal reactions’’ with drugs con-

taining pyrilamine maleate and pentobarbital, and the

purported ‘‘conclusion’? of the FDA’s Neurological

Drugs Advisory Committee that there is no evidence of

the safety or efficacy of drugs containing pyrilamine

maleate with or without a barbiturate in the treatment of

nausea and vomiting.

Following ‘he issuance of the Regulatory Letter,

Alcon took several actions. It unsuccessfully attempted

to ascertain the basis for this belated attempt by the

agency to subject WANS to ‘‘new drug”’ status, in-

cluding the basis for its allegation of the existence of

‘‘significant new information.’’ It provided the agency

with data and information supporting the ‘‘old drug’’

status of WANS. It arranged for a meeting with FDA,

during which it pointed out certain inaccuracies and

distortions in the factual allegations contained in the

Regulatory Letter, including the fact that neither the

transcripts of the Advisory Committee meetings nor the

underlying drug experience reports supported the allega-

tion of ‘‘fatal reactions.’’ It is significant that at the

meeting FDA was unable to provide any explanation as

to the basis for the ‘‘fatal reactions’’ allegation except

for a flippant statement by an FDA official that the

reference was ‘‘boilerplate.’’ Following the meeting and

in light of certain general concerns expressed during the

Advisory Committee meetings as to the use of antiemetic

therapy in certain children, Alcon notified the agency

that it was revising its labeling for WANS to include ad-

ditional precautionary information.

6

The FDA agreed to have its medical officer review

these data and information, as well as the revised label-

ing, prior to irrevocably committing the agency to in-

Stituting regulatory action. However, without providing

Alcon an opportunity to challenge administratively the

agency’s findings or conclusions, the agency summarily

rejected the information submitted by Alcon and

reiterated in a letter dated August 4, 1978 that in the

absence of ‘‘voluntary market withdrawal’’ it was

prepared to institute enforcement action.

Despite its inability to document or substantiate the

existence of any ‘“‘significant new information’’ and

therefore in contravention of its own CPG, FDA in-

stituted a massive, ex parte seizure of WANS on

September 21, 1978, alleging that WANS is a ‘‘new

drug.’’ On the basis of its position that WANS is not an

unsafe drug or a ‘‘new drug’’ and that enforcement ac-

tion was improper under the CPG, Alcon continued to

manufacture and market the drug subsequent to the

seizure. This resulted in FDA’s bringing a second action

against WANS on November 28, 1978 in which it sought

to enjoin further shipments of WANS in interstate com-

merce. FDA sought a temporary restraining order, but

by Order dated November 29, 1978, the TRO was denied

by the District Court. The two pending cases were also

consolidated by this Order.

Alcon thereafter conducted extensive discovery of

the FDA and its witnesses,‘ thereby establishing the

absence of ‘‘significant new information’’ within the

meaning of the CPG. Indeed, discovery established that

* These witnesses were the same individuals whose statements

FDA initially relied upon as the basis for its allegation of untoward

effects.

-

the information cited in the Regulatory Letter was inac-

curate and distorted as it related to the Neurological

Drugs Advisory Committee’s recommendations and was

misleading insofar as it indicated any causal relationship

between the administration of pyrilamine/barbiturate

combination drugs and the purported untoward effects.°

In light of these discoveries, Alcon requested on

March 21, 1979 that the District Court remand the pend-

ing actions to the primary jurisdiction of FDA for a

determination of the ‘‘new drug’’ status of WANS. The

Motion to Remand was premised in part upon the

absence of any ‘“‘significant new information’’ which

would require a judicial decision of the ‘‘new drug’’

issues without the benefit of a formal administrative

record or which would justify initiating enforcement ac-

tion against WANS in contravention of the CPG. The

Motion to Remand requested the District Court, in the

exercise of its sound discretion and in recognition of the

25 year safe marketing history of WANS and the com-

plex scientific issues involved, to ‘‘stay its hand’’ and re-

mand the actions to the primary jurisdiction of FDA.

See CIBA Corp. v. Weinberger, 412 U.S. 640, 644

(1973).

While the Motion to Remand was pending, the

FDA, with no additional information (let alone the re-

quisite ‘‘significant new information’’), instituted a sec-

ond massive, ex parte seizure action against WANS on

January 28, 1980. On February 27, 1980, the District

* Discovery established that each of these purported untoward

effects could scientifically and reasonably be explained by

independent factors such as excessive doses, dehydration, natural

progression of the disease state, and concurrent medication. The

District Cour so held in its Order of April 29, 1980 (App. E, infra,

34a-36a).

8

Court, after reviewing the extensive documents before it

(including the depositions of FDA’s expert witnesses and

the Advisory Committee transcripts), issued in the exer-

cise of its sound discretion an Order which

(1) consolidated the January 28, 1980 seizure action

with the prior consolidated seizure and injunction

actions;

(2) granted Alcon’s motion of March 21, 1979 and

remanded the actions to the FDA with instructions

to hold, in conformity with the CPG, a hearing pur-

suant to 5 U.S.C. §554 on the issue of whether

WANS is a ‘“‘new drug’’;

(3) instructed FDA to defer regulatory action a-

gainst the WANS preparations, or against the

named defendants, based upon a ‘‘new drug”’

charge until FDA holds the administrative hearing

referred to in paragraph (2) and makes an ad-

ministrative determination of the ‘‘new drug’’ status

of WANS;

(4) held the two seizures to be without effect; and,

significantly

(5) specifically retained jurisdiction over whether

new, .erifiable, and genuinely significant informa-

tion comes to light which would justify enforcement

action against WANS out of the sequence provided

in the CPG.

App. C, infra, 25a-26a. On April 9, 1980 the District

Court issued its formal Opinion and Order (App. D, in-

fra, 27a-33a) and on April 29, 1980 it denied the FDA’s

request for a stay pending appeal (App. E, infra,

34a-36a). In the last Order, the District Court reiterated

that it was retaining jurisdiction over the entire matter

by ordering that one box each of WANS No. 1, WANS

No. 2, and WANS Children from each of the seizures be

retained under seal pending a final determination of the

“‘new drug”’ status of WANS.

Y

The FDA filed separate appeals from the Orders of

February 27 and April 9, 1980. Alcon sought summary

dismissal of the appeais, asserting that the remand

Orders were non-final and therefore not appealable

under 28 U.S.C. §1291, and in the alternative that the

Orders merely abated the actions and therefore were

non-appealable under 28 U.S.C. §2105.

On June 23, 1980, the Court of Appeals issued an

order deferring action on Alcon’s motions for suminary

dismissal unt!! consideration of the merits. On the same

date, the Court of Appeals granted the FDA a stay

pending appeal with respect to the District Court’s order

‘“‘enjoining’’ future seizures and ordering the return of

quantities of the drug already seized.

On October 6, 1980, four days before oral argument

in the Court of Appeals and over three months after the

District Court’s order deferring regulatory action had

been stayed, the FDA instituted a third, massive ex parte

seizure of WANS. Alcon moved immediately to dismiss

this third seizure action on the ground that it violated

the ‘‘multiple seizure’ provisions of the FFDCA. As an

alternate ground for dismissal, Alcon argued that under

the circumstances of the ongoing litigation, the failure to

obtain judicial scrutiny prior to the seizure was an un-

constitutional denial of due process of law. Citing the

Court of Appeals’ opinions as making judiciai scrutiny

meaningless, the District Court denied the motion to

dismiss in an Order entered March 18, 1981. United

States v. Articles of Drug...WANS, No. 80-2112

(D.P.R. Mar. 18, 1961).° Although this Order is not

* According to Judge Perez-Gimenez, judicia! scrutiny would

result in a meaningless exercise for the Court. The Court would

not have jurisdiction to prohibit the institution of seizure under

the Act even if the Court in a pre-seizure ‘‘review’’ were to

find that the action might involve an abuse of discretion or was

not supported by the statute. A court properly should decline

to reach such an illogical result.

10

presently before this Court, the Order emphasizes the

importance of this Court’s review of the issues presented

by this petition.

On the merits of FDA’s appeal, the Court of Ap-

peals rejected all of Alcon’s arguments and vacated the

District Court’s Orders. Its opinion of February 24, 1981

held, inter alia:

(1) that the District Court’s direction to FDA to

defer regulatory action constituted an injunction ap-

pealable under 28 U.S.C. §1292(a)(1) and that en-

joining regulatory action under the FFDCA violates

this Court’s ruling in Ewing v. Mytinger &

Casselberry, Inc., 339 U.S. 594 (1950) (App. A, in-

fra, Ta-9a);

(2) that the District Court’s dissolution of the two

seizures was appealable as a ‘‘collateral order’’

(Cohen v. Beneficial Industrial Loan Corp., 337

U.S. 541 (1949)) and that the District Court lacked

authority to dissolve the seizures prior to considera-

tion of the merits of the seizure proceedings (App.

A, infra, 10a-12a);

(3) that the Order remanding to the primary

jurisdiction of the FDA was an_appealable

‘collateral order’’ and that the District Court ex-

ceeded its authority by issuing such an order in this

enforcement proceeding under the FFDCA (App. A,

infra, 12a-23a);

(4) that it would decline to apply 21 U.S.C. §2105

(which precludes federal appellate review of orders

in abatement) to preclude its jurisdiction because,

the Court reasoned, Secticn 2105 is little used and

‘“‘has never been interpreted as a significant limita-

tion on federal appellate jurisdiction. . .’’ (App. A,

infra, 15a n.2).

REASONS FOR GRANTING THE PETITION

1. The Decision Below Conflicts With The Decisions Of

This Court Which State That A Court Can Remand The

‘*‘New Drug’’ Issues In An Enforcement Proceeding To

The Primary Jurisdiction Of The Food And Drug Ad-

ministration

The Court of Appeals ruled that in the context of a

‘‘new drug’’ enforcement proceeding the District Court’s

Orders remanding the issue of WANS’ ‘‘new drug’’

status to FDA’s primary jurisdiction were in error. App.

A, infra, 12a-23a. Citing its own decision in JCC v. B &

T Transportation Co.,’ 613 F.2d 1182, 1187 (lst Cir.

1980), the Court of Appeals held that such a remand

‘*makes little sense’’ in an enforcement proceeding where

the enforcing agency’s views are already known. This

holding ignores the fact that FDA’s views were constant-

ly shifting,’ as well as the findings of the District Court

that FDA’s enforcement activities were predicated upon

‘contradictory’? and ‘“‘insufficient’’ information (App.

E, infra, 35a n.1).

Apparently in deference to this Court’s decisions in

CIBA and Weinberger v. Bentex Pharmaceuticals, Inc.,

’The B & T Transportation case involved issues concerning the

Interstate Commerce Commission, not the FDA. In B & T, the

Court of Appeals (in dictum) indicated that a remand in an ICC

enforcement proceeding would be futile, explaining that a remand

would be inappropriate because the issues to be remanded did not

fall within the primary jurisdiction of the ICC. 613 F.2d at 1187

n.8. That is clearly distinguishable from the situation here where, as

this Court has held, the ‘‘new drug’’ issues are within the FDA’s

primary jurisdiction.

* Thus, for example, FDA abandoned its reliance upon the CPG

and the ‘‘significant new information’’ exception to the CPG when

discovery made it clear that under the CPG the pending

enforcement actions against WANS could not be justified.

}2

—

412 U.S. 645 (1973), the Court of Appeals attempted to

draw a distinction between remands affecting only one

drug and one company, which it considered inap-

propriate, and remands with potentially broader effect

involving drugs manufactured by many different com-

panies. App. A, infra, 22a. Not only does this distinc-

tion lack legal justification but, as applied to the facts of

this case, does not support the Court’s ruling. WANS is

but one representative of a class of combination antihis-

tamine/barbiturate antiemetics whose status as ‘‘new

drugs’’ is questioned by this proceeding. Indeed, the

Regulatory Letter described the action against WANS as

a ‘‘class action’’ involving all antihistamine/barbiturate

antiemetics and was but one of a number sent in 1978 to

the manufacturers of such drugs. These facts are cor-

roborated by an FDA affidavit (which was before the

Court of Appeals) in which an FDA compliance officer

cites as reasons for expediting the trial in the District

Court the agency’s fears that three firms were about to

resume marketing of WANS-type preparations. In any

event, the distinction between remands involving one

drug and a class of drugs is a spurious one which has no

precedent other than the one here under review.

More importantly, the Court’s ruling misinterprets

and clearly conflicts with the principles announced by

this Court in several ‘‘new drug’’ cases. In CIBA Corp.

v. Weinberger, 412 U.S. 640, 644 (1973), this Court

stated:

Cases may arise where there has been no formal ad-

ministrative determination of the ‘‘new drug’’ issue,

it being first tendered to a district court. Even then,

however, the district court might well stay its hand,

awaiting an appropriate administrative determina-

tion of the threshold question.

13

On the precise issue of whether a remand is proper in an

enforcement proceeding, this Court spoke with equal

clarity in a companion case to CIBA:

Even where no such administrative determination

has been made and the issue arises in a district court

in enforcement proceedings, it would be com-

monplace for the court to await an appropriate ad-

ministrative declaration before it acted.

Weinberger v. Bentex Pharmaceuticals, Inc., 412 U.S.

645, 652 (1973) (emphasis added).

The rejection by the Court of Appeals of this

Court’s endorsement of remanding ‘‘new drug’’ issues to

FDA’s primary jurisdiction also conflicts with the opin-

ions of several other courts. In JMS Ltd. v. Califano,

453 F. Supp. 157 (C.D. Cal. 1977), the drug manufac-

turer had received a Regulatory Letter (analogous to the

one here) alleging that its drug was a ‘‘new drug’’ and

threatening enforcement action. The manufacturer sued

for a declaratory judgment to the contrary.’ The Court

reviewed Supreme Court case law on FDA’s primary

jurisdiction and the appropriate circumstances in which

to invoke such jurisdiction, and dismissed the action on

*In IMS, the FDA had announced in its Regulatory Letter that

in the absence of ‘‘voluntary’’ market withdrawal of the drug at

issue it was prepared to utilize its enforcement powers, including

seizure and injunction actions. Based upon this threat of immediate

enforcement action, IMS sought declaratory relief in federal district

court. To distinguish JMS on the ground that it involved a

declaratory action rather than an enforcement action would be to

draw a spurious distinction in favor of the drug company which

seeks declaratory relief rather than the company which tries,

although unsuccessfully, to convince the agency of the

inappropriateness of the enforcement action.

14

the ground that the ‘‘new drug’’ issue should first be

resolved in an administrative setting. The Court stated:

The suggestion that the agency determination must

in some way reflect formal, in the sense of properl

presented and considered, judgment accords wit

the rationale underlying the entire series of opinions.

Id. at 159. The Court then ruled:

It seems clear that the type of informal letter issued

by the FDA, apparently without having first con-

ducted any tests, does not constitute the kind of for-

mal or final agency action the Supreme Court had

in mind.

Id. at 160.

The Bentex and CIJBA rulings were also the basis

for the decision in Rutherford v. United States, 542 F.2d

1137 (10th Cir. 1976). In Rutherford, the Court of Ap-

peals upheld the District Court’s preliminary injunction

prohibiting FDA from interfering with the interstate

shipment of Laetrile and remanded to the District Court

with instructions to remand to the agency for an ad-

ministrative determination of the ‘‘new drug’’ issues. In

that suit, FDA had contended it had already determined

that Laetrile was a ‘‘new drug.’’ The Tenth Circuit

reviewed the agency’s purported ‘‘new drug’’ determina-

tion and stated:

The FDA has done this without citing any facts

whatsoever, merely a conclusion... .

* * *

We are unable ... to see how the FDA can

escape the obligation of producing an administrative

record to support its determination of the first and

more fundamental issue that Laetrile is a new drug,

for it is not a new drug merely because they say it

oS

15

is. Moreover, such a conclusory ruling precludes ef-

fective review under 5 U.S.C. Section 706(2)....

Id. at 1143 (emphasis in original). In the absence of a

reviewable administrative record on the ‘‘new drug’’

issue, the proper course of action was clear to the Court:

[T]he appropriate procedure for the district court is

to remand the case back to the FDA for proceedings

adequate to develop a record supportive of the

agency’s determination; the proceedings should give

Laetrile proponents an opportunity to express their

views. This is a result which is also supported by the

Supreme Court decision in Weinberger v. Bentex

Pharmaceuticals. .. .

Id. at 1143-1144.

The Court of Appeal’s conclusion that there is no

precedent to support the remand authority is thus plainly

incorrect. Indeed, in so arguing it has turned the deci-

sions on their heads. In fact, no court has ever held that

a district court lacks such authority and many, including

this Court, have affirmed that authority, including the

authority to remand in an enforcement proceeding.

Nor does the Court of Appeals’ observation that

remands are rarely ordered provide any basis for revers-

ing the District Court’s orders. Given the clear directives

of this Court, it was surely within the District Court’s

discretion to order a remand under the facts of this par-

ticular case.

Perhaps in recognition that its ‘‘no one ever does

this’? rationale would not stand up to scrutiny in light of

Bentex and CIBA, the Court of Appeals sought to

bolster its conclusion with two additional arguments.

First, it stated that a remand ‘‘imposes an administrative

burden for which the [FFDCA] makes no provision.’’

App. A, infra, 23a. In so stating, it overlooked the

16

FDA’s own regulations'® and established administrative

precedents'' which clearly contemplate referral by courts

and determination by FDA of the ‘‘new drug’’ issues.

Second, while paying lip service to this Court’s

views on the advantages of seeking FDA’s expert judg-

ment on ‘‘new drug”’ issues, the Court below found that

such remands are burdensome and_ time-consuming.

App. A, infra, 21a-23a. This Court’s own words, cited

by the District Court in its remand order (App. D, infra,

30a-31la), dispose of those arguments:

We conclude that the District Court’s referral of

the ‘‘new drug’’ and ‘‘grandfather’’ issues to FDA

was appropriate, as these are the kinds of issues

peculiarly suited to initial determination by the

FDA. As the District Court said: ‘‘Evaluation of

conflicting reports as to the reputation of drugs

among experts in the field is not a matter well left

to a court without chemical or _ medical

background.’’ The determination whether a drug is

generally recognized as safe and effective within the

meaning of § 201(p)(1) necessarily implicates com-

plex chemical and pharmacological considerations.

Threshold questions within the peculiar expertise of

an administrative agency are appropriately routed to

the agency, while the court stays its hand.

'° 21 CFR §10.60 (procedures to handle a referral by a court).

See also 21 CFR §314.200(e) in which ‘‘new drug’’ and

‘“‘grandfather’’ issues are specifically delineated as issues to be

addressed in a new drug approval or withdrawal proceeding.

'' See, e.g., 41 Fed. Reg. 14405 (1976), ‘‘Drug Products

Containing Papaverine or Ethaverine, and Similar or Related

Drugs: Request for Data on Safety, Effectiveness, and Legal

Status.’ In that case, the agency called for any data available to

support the “‘old drug’’ or ‘‘grandfather’’ status of these drugs. If

the data submitted failed to show that the product is safe and

effective, the April 5 Notice contemplated the publication of an

additional notice providing an opportunity for a hearing.

17

Bentex, supra, 412 U.S. at 653-654 (emphasis added).

Because the Court of Appeals has _ seriously

misconstrued the implications of prior decisons of this

Court, it is respectfully suggested that the Court will

wish to grant this petition to clarify the meaning of its

prior decisions. See, e.g., Securities & Exch. Com’n v.

United Ben. L. Ins. Co., 387 U.S. 202, 207 (1967). In-

deed, Alcon submits that the Court of Appeals’ unique

and aberrant views on the issue of remand in an FFDCA

enforcement proceeding call for swift and sure correction

by this Court before the decision can be used as prece-

dent to stifle an important, increasingly-used tool for the

control by District Courts of the manner and time in

which cases on their dockets should be handled.'’

2. The Decision Below Conflicts With The Decisions Of

This Court And Of Another Court Of Appeals Which

Indicate That A Court Can Enjoin Further Enforcement

Action By The Food And Drug Administration Pending

A Remand To That Agency For Determination Of The

‘‘New Drug’’ Issues

In the Court below, Alcon argued that the District

Court’s order that FDA defer regulatory action pending

the remand was non-final and merely an exercise of that

Court’s discretion to control the case before it. To

establish appellate jurisdiction, the FDA argued (and the

Court of Appeals agreed) that the order to defer

regulatory action was an injunction and so was ap-

pealable under 28 U.S.C. §1292(a)(1). App. A, infra,

'2 As will be noted in the discussion of Question 3, infra, Alcon

seeks review and reversal under 28 U.S.C. §2105 of the appellate

court’s exercise of jurisdiction over all aspects of the District

Court’s Orders. A finding by this Court that the Court of Appeals

lacked appellate jurisdiction over the Orders would, of course,

avoid the necessity of reviewing the merits of the remand issue.

18

7a-8a. The Court then found the ‘‘injunction’’ improper

under Ewing v. Mytinger & Casselberry, Inc., 339 U.S.

594 (1950), reading that decision as precluding a district

court from enjoining multiple seizure actions under the

FFDCA. Moreover, going beyond Ewing (yet citing it as

authority), the Court of Appeals held that Ewing

‘*precludes judicial interference with the FDA’s decision

to institute enforcement actions, whatever the precise

context.’ App. A, infra, 8a (emphasis added). Alcon

respectfully submits that the Court below has given an

overbroad reading to an older, non-controlling case.

Moreover, its decision conflicts with newer decisions of

this Court and another Court of Appeals which have

squarely sanctioned injunctions against regulatory action

pending a remand of the ‘‘new drug’’ issues to FDA’s

primary jurisdiction.

It is submitted that £ ving is not controlling in the

circumstances of this case. Ewing did not, contrary to

the Court of Appeals’ interpretation of it, create an ab-

solute prohibition against enjoining the FDA from in-

stituting multiple seizures under any and all cir-

cumstances. Rather, Ewing held that where the operative

statute provides a specific standard for initiating multiple

seizures and where the agency has made the requisite

findings pursuant to that standard,'’ a court does not

have jurisdiction to halt ‘‘a// multiple seizures.’’ This is

to be compared with the instant case where (1) addi-

tional seizures based upon the alleged ‘‘new drug’’ status

of WANS would not be controlled by a statutory stan-

dard or by a requirement for a specific administrative

'* The failure of the agency to make these findings would have

been sufficient basis under Ewing for a court to enjoin multiple

seizures.

1Y

finding,'* (2) the District Court’s Orders do not purport

to halt a// multiple seizures but rather, at most, only pur-

port to enjoin multiple seizures based upon a ‘‘new

drug’’ charge,'’ and (3) the seizure of WANS, whether

single or multiple, was contrary to the agency’s binding

advisory opinion/guideline (the CPG) which, under its

specific terms, precluded enforcement action against

WANS based upon a ‘‘new drug’’ charge pending the

completion of enforcement actions against those drugs

identified in the CPG as being subject to a higher en-

forcement priority.'® These factors, both individually and

collectively, clearly distinguish this case from Ewing."’

'* That portion of 21 U.S.C. §334(a) which was at issue in Ewing

governs only multiple seizures based upon a misbranding charge

and not multiple seizures based upon a ‘‘new drug’”’ charge. In the

case of a ‘‘new drug’’ charge, unlike a misbranding charge, 21

U.S.C. §334 does not establish a standard defining when multiple

seizures are appropriate, nor does it require a probable cause

finding by the Secretary of conformity with the standard prior to

the initiation of multiple seizures. See App. F, infra, 37a.

'S Thus, if at any time the FDA has probable cause to believe

that the WANS preparations are ‘‘unsafe’’ or ‘‘dangerous to

health,’’ the District Court’s ‘‘injunction’’ against regulatory action

based upon the alleged ‘‘new drug’’ status of WANS would not

prevent the agency from relying upon the misbranding and/or

adulteration provisions of the FFDCA as the basis for instituting

multiple seizures. See 21 U.S.C. §§334(a)(1)(B) [App. F, infra,

37a-38a], 351(a)(1)(B) [App. F, infra, 4la], and 352(j) [App. F,

infra, 42a].

‘© The Court of Appeals found the CPG inapplicable to WANS

(App. A, infra, 17a-20a), a proposition Alcon vigorously disputes.

Because of the importance of the CPG ruling, it should be

considered as part of a review on the merits if the petition is

granted.

' Nor is the language in Ewing that ‘‘consolidation ... is the

relief afforded the distributors of the articles’? of any comfort to

Alcon, as the Court of Appeals believed (App. A, infra, 9a). First,

there is a significant question whether consolidation is available

20

It is submitted that, contrary to the Court of Ap-

peals’ rulings, neither Congress in enacting the FFDCA

nor the Supreme Court in Ewing intended to prevent a

court from enjoining multiple seizures instituted without

factual or legal justification. For example, in Victrylite

Candle Co. v. Brannan, 201 F.2d 206 (D.C. Cir. 1952),

the Court of Appeals cited Ewing for the proposition

that multiple seizures ‘‘are not in and of themselves a

deprivation of due process’’ but nevertheless specifically

noted that ‘‘multiple seizures may be so arbitrarily and

destructively engaged in as to amount to a denial of due

process, in which event equity may intervene by its in-

junctive process.’’ Jd. at 207. See also National Remedy

Co. v. Hyde, 50 F.2d 1066 (D.C. Cir. 1931).

Moreover, while Ewing was not controlling below, it

is submitted that this Court’s Bentex ruling was, for it

squarely upheld an injunction against regulatory action

pending a remand of the ‘‘new drug’’ issues. In that

case, the District Court remanded the ‘‘new drug’’ issue

to the primary jurisdiction of the FDA for determina-

tion, simultaneously enjoining ‘‘any action against the

[drug company] and their products until [they] had been

accorded a hearing before the Secretary on the issue of

the qualifications of these drugs for protection under the

‘grandfather clause’.’’ See Bentex Pharmaceuticals, Inc.

v. Richardson, 463 F.2d 363, 369 (4th Cir. 1975). The

Court of Appeals reversed, ruling that the District Court

lacked authority to remand the ‘‘new drug’’ (‘‘grand-

father’’) issue. Jd. at 371-372. However, the Supreme

Court ultimately ruled (as indicated in the discussion of

under the FFDCA in ‘‘new drug’’ (as opposed to misbranding and

adulteration) proceedings. 21 U.S.C. §334(b), App. F, infra, 38a.

Second, there already has been a consolidation of the first two

WANS seizures and this afforded Alcon no relief whatsoever as the

agency thereafter instituted a third seizure.

21

se

Question 1, supra) that the remand power does exist. It

therefore reversed the Court of Appeals’ decision,

thereby reinstating the District Court’s injunction against

regulatory action pending the remand to FDA.

Weinberger v. Bentex Pharmaceuticals, supra, 412 U.S.

at 654 (per Douglas, J., the author of the Ewing

decision).

Similarly, in Rutherford v. United States, supra, the

Tenth Circuit was called upon to review the District

Court’s remand of the ‘‘new drug’’ issues to FDA and

its injunction against FDA’s interference with the ship-

ment of the drug in issue pending the FDA’s develop-

ment of an administrative record during the remand.

The Court of Appeals affirmed both the remand and in-

junction aspects of the lower court’s order. 542 F.2d at

1144. It specifically cited the injunction provisions of the

Administrative Procedure Act, 5 U.S.C. §705,'* as

authority for continuing the injunction in effect pending

the remand.'’

The Bentex and Rutherford decision undoubtedly

were predicated upon the realization that, in the absence

of an injunction, FDA’s unbridled discretion to initiate

multiple seizures based upon a ‘‘new drug’”’ charge could

be used to moot the remand and deny the claimant his

day in court. Indeed, Alcon’s (and the District Court’s)

fears that, unless restrained, the FDA would continue

conducting crippling, ex parte seizures of WANS without

awaiting a judicial or administrative resolution of the

8 66

{[T]o the extent necessary to prevent irreparable injury, the

reviewing court . . . may issue all necessary and appropriate process

to postpone the effective date of an agency action or to presei e

-

Status or rights pending conclusion of the review proceedings.”’

'* See also Upjohn Co. vy. Finch, 303 F. Supp. 241 (W.D. Mich.

1969).

22

‘“‘new drug’’ issues seemed to have been borne out by the

FDA’s third seizure of WANS four days prior to oral

argument in the Court of Appeals. It is reflective of

FDA’s motives underlying this third seizure that,

although the Court of Appeals stayed that portion of the

Order ‘‘enjoining’’ further new drug seizures on June 23,

1980, FDA did not institute the third seizure action until

October 6, 1980. It is submitted that FDA’s motive

underlying this latest seizure was a tactical decision to in-

fluence the outcome of the proceeding in the Court of

Appeals and not one predicated upon any concern about

the safety of WANS. It must be remembered that the

District Court found after reviewing the transcripts of

the depositions of the FDA witnesses, as well as other

discovery documents, that the FDA’s earlier allegations

of potential safety problems (allegations which were

predicated upon earlier statements of the agency’s

witnesses) were ‘‘contradictory’’ and ‘‘insufficient’’ to

initiate regulatory action under the CPG, a finding

which was not challenged by the FDA or the Court of

Appeals.

The decision of the Court of Appeals here refusing

to uphold the ‘“‘injunction’’ pending the remand thus

clearly conflicts with the decisions of this Court and of

the Tenth Circuit. Additionally, these latter decisions

reflect the importance of this Court’s considering the re-

mand and injunction issues in tandem for, if the remand

order is to be meaningful, a district court must have the

discretion to prevent FDA from conducting, as it has

here, a destructive series of multiple seizures, thereby

unilaterally obtaining a de facto injunction against ship-

ment of the drug and depriving the drug company of its

day in court.

It is submitted, therefore, that Ewing must be read

in light of the subsequent cases which, unlike Ewing,

23

dealt specifically with the remand and injunction issues.

Indeed, unless Ewing is read more narrowly than the

Court below reads it, this will mean that the FDA will

have absolute discretion to put a company out of

business by conducting multiple seizures even where, as

here, a district court has found after reviewing the

record that the agency’s alleged basis for initiating

regulatory action was not supported by the facts. In this

respect, it is significant that, unlike the factual settings

presented in the cases relied upon by the FDA and the

Court of Appeals, Alcon did not seek to avoid the initia-

tion of regulatory action by bringing an independent ac-

tion to enjoin seizures. Rather, it was only after FDA

had initiated enforcement action and discovery had

shown that these actions were ill-founded that it sought,

and the District Court granted, the ‘‘remand/injunction’’

Orders.

Because of the importance of this question in terms

of due process for drug manufacturers, and in order to

define more precisely what restraints do exist on the ex-

ercise of the FDA’s discretion under the FFDCA, it is

respectfully requested that the Court grant the petition.

3. The Decision Below Violates 28 U.S.C. §2105 and

Presents Important Questions Of First Impression Con-

cerning Federal Appellate Jurisdiction Over Orders In

Abatement

Aicon argued that the Court of Appeals lacked

jurisdiction to review any aspect of the District Court’s

Orders since they merely abated the actions within the

meaning of 28 U.S.C. §2105.*° That statute provides:

There shall be no reversal in the Supreme Court or

a court of appeals for error in ruling upon matters

in abatement which do not involve jurisdiction.

** Alcon also argued that the Court of Appeals lacked juridiction

in that the orders were not final decisions within the meaning of 28

24

This statute is a significant (if seldom cited) limitation on

federal appellate jurisdiction and should be read in con-

junction with the ‘‘final order’’ rule (28 U.S.C. §1291)

as expressing a judgment by Congress that the appellate

dockets should not be inundated by appeals of patently

non-final orders. In a brief and curious footnote,

however, the Court of Appeals dismissed Alcon’s Sec-

tion 2105 argument without really addressing it, stating

that it would not sustain Alcon’s objections to jurisdic-

tion because 2105 ‘‘has never been interpreted as a

significant limitation on federal appellate jurisdiction

... (citing a treatise which states that ‘‘the most im-

portant feature of § 2105 is certainly its disuse’’?'). In

thus trampling upon a significant, if little used, statute

governing federal appellate jurisdiction, the Court of

Appeals erred and presented this Court with an oppor-

tunity to pass on an important question of first impres-

sion. See, e.g., American Federation of Musicians v.

Wittstein, 379 U.S. 171, 175 (1964).

U.S.C. §1291 nor appealable ‘‘collateral orders’’ within the

meaning of Cohen v. Beneficial Industrial Loan Corp., 337 U.S.

541 (1949). An analysis of the principles set forth in Cohen, as

interpreted by more recent decisions of this Court (especially

Firestone Tire & Rubber Co. v. Risjord, 101 S.Ct. 669 (1981)),

establishes that the Orders were not collateral orders and that the

Court of Appeals’ finding to this effect conflicts with a long line of

decisions of this Court concerning the definition and applicability

of the ‘‘collateral order’’ doctrine. Accordingly, in the event this

Court grants the petition it should also consider whether the Court

of Appeals committed reversible error in holding that under the

collateral order exception to 28 U.S.C. §1291 it had jurisdiction to

review the District Court’s Orders.

7" 15 Wright, Miller, & Cooper, FEDERAL PRACTICE AND

PROCEDURE §3903, at 414 (1976).

25

—

The remand Orders clearly effected an abatement of

the actions before the District Court.?? ‘‘Abatement,’’ as

several decisions have noted in reviewing Section 2105, is

the overthrow of an action which defeats the action for

the present, but does not debar the plaintiff from com-

mencing it in a better way. Aetna State Bank v.

Altheimer, 430 F.2d 750, 753-754 (7th Cir. 1970); Bowles

v. Wilke, 175 F.2d 35, 37 (7th Cir. 1949). Abatement in

equity (such as obtains here since FDA sought an injunc-

tion) is an interruption or suspension of a suit which is

brought about by the defendant setting up facts in abate-

ment. 1 C.J.S. Abatement and Revival §1, at 27 (1936).

Equitable abatement is analogous to a plea in suspension

in which the defendant shows some ground for not pro-

ceeding with the suit at the present time and prays that

the proceeding be stayed until the ground is removed. 1

C.J.S. Abatement and Revival §7, at 36. See 1 AM. JuR.

2d Abatement, Survival, and Revival §1, at 42 (1962).

Alcon’s Motion to Remand meets all of these criteria.

Reviewing Section 2105, the Court of Appeals

found that the District Court’s Orders involved jurisdic-

tion, citing Aetna, supra at 653, and therefore came

within an exception to Section 2105. While there is some

confusing dictum in Aetna suggesting that Section 2105

may be inapplicable when another federal statute

specifically grants jurisdiction, that language is not con-

trolling here. The FFDCA provides no specific appellate

jurisdiction over a ‘‘new drug’’ remand order and so is

distinguishable from the Aetna facts. Moreover, Aetna

involved abstention by a federal court in a matter involv-

ing mixed federal/state issues, in which the federal court

2? The Court of Appeals did not even address this basic issue,

instead ‘‘Passing by the question whether this action is in

abatement. ...’’ App. A, infra, 15a n.2.

26

dismissed the federal action entirely. Here, the District

Court specifically retained jurisdiction over the whole

matter pending the remand to FDA’s primary jurisdic-

tion. As Professors Wright, Miller, and Cooper state in

analyzing Section 2105, a remand to an agency’s primary

jurisdiction is a typical example of a ‘‘matter[ ] in abate-

ment which dofes] not involve jurisdiction.’’ 15 Wright,

Miller, & Cooper, FEDERAL PRACTICE AND PROCEDURE

§3903, at 414.

The Court of Appeals also argued somewhat lamely

that ‘‘our disposition of the case is not, technically, a

‘reversal’. ..’” as that term is used in Section 2105.

However, it is difficult, if not impossible, to identify any

proposition of law or fact proffered by Alcon or relied

upon by the District Court which the Court of Appeals

did not reverse.

In short, the Court of Appeals’ ruling on Section

2105 constituted manifest error. In refusing to apply the

language of that statute to a situation so obviously

within the reach of the statute, the Ceurt so far departed

from the accepted and usual course of judicial pro-

ceedings as to call for the immediate exercise of this

Court’s power of supervision. That a statute is rarely in-

voked in no way detracts from the fact of its existence

or from the duty of a court to enforce it. That a statute

is even less frequently relied upon to limit federal ap-

pellate jurisdiction should in no way deter courts with

crowded dockets from using it in appropriate cir-

cumstances, thereby effectuating the Congressional pur-

pose of limiting federal appellate jurisdiction to truly

final decisions of the District Courts.”?

** Because of the manifest error of the Court of Appeals in

refusing to decline jurisidiction under 28 U.S.C. §2105, this Court

may wish to consider summary reversal of the Court of Appeals’

opinion and reinstatement of the District Court’s Orders.

27

CONCLUSION

For these reasons, a writ of certiorari should issue

to review the opinion and judgment of the United States

Court of Appeals for the First Circuit. The Court may

wish to consider summary reversal on the basis of 28

U.S.C. §21085.

Respectfully submitted,

THOMAS O. HENTELEFF

GLENN E. DAVIS

Counsel for Petitioners

Of Counsel:

MANUEL A. GUZMAN

PETER R. MATHERS

March 23, 1981

APPENDIX

la

APPENDIX A

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIRST CIRCUIT

Nos. 80-1188, 1357

(Decided February 24, 1981)

UNITED STATES OF AMERICA,

Vv.

ALCON LABORATORIES, ETC., ef al.,

Before CoFFIN, Chief Judge,

PELL* and CAMPBELL, Circuit Judges.

OPINION

CAMPBELL, Circuit Judge. The United States appeals from

orders of the District Court for the District of Puerto Rico in

two seizure actions and a suit for injunctive relief instituted

by the Food and Drug Administration (FDA) against Alcon

Laboratories, Inc. (Alcon) and one of its products pursuant to

the Federal Food, Drug, and Cosmetic Act, 21 U.S.C.

§§301-92 (1976).

Alcon manufactures and markets in suppository dosage a

prescription antiemetic drug called ‘‘WANS.”’ The drug con-

tains pyrilamine maleate (an antihistamine) and pentobarbital

sodium (a barbituate [sic]) and comes in three dosage

strengths, WANS No. 1, WANS No. 2 and WANS Children.

WANS has been used under medical supervision for approx-

*Of the Seventh Circuit, sitting by designation.

2a

imately 25 years, and did not become an object of FDA con-

cern until 1978. To understand what then transpired, it is first

useful to review parts of the Federal Food, Drug, and

Cosmetic Act.

Section 505 of the Act forbids the introduction into in-

terstate commerce of any ‘‘new drug’’ unless the FDA has ap-

proved a New Drug Application (NDA) for the product. 21

U.S.C. § 355. Section 201(p) defines a ‘‘new drug’’ as

**“(1) Any drug (except a new animal drug or an animal

feed bearing or containing a new animal drug) the com-

position of which is such that such drug is not generally

recognized, among experts qualified by scientific training

and experience to evaluate the safety and effectiveness of

drugs, as safe and effective for use under the conditions

prescribed, recommended, or suggested in the labeling

thereof, ... or

(2) Any drug (except a new animal drug or an animal

feed bearing or containing a new animal drug) the com-

position of which is such that such drug, as a result of in-

vestigations to determine its safety and effectiveness for

use under such conditions, has become so recognized, but

which has not, otherwise than in such investigations, been

used to a material extent or for a material time under

such conditions.’’

21 U.S.C. §321(p). Obtaining approval of an NDA requires’

the submission of extensive scientific data and can be slow

and expensive, see Note, New Drug Approval: Lannett, The

Drug Lag and the NDA System, 1! Rut.-Cam. L.J. 231-34;

248-53 (1980), but Congress imposed these burdens in fur-

therance of a compelling purpose: ‘‘to protect the public

against danger to human life arising from use of unsafe and

ineffective drugs by assuring that before any drug is marketed

it will have been carefully reviewed by FDA experts.’’ Premo

Pharmaceutical Laboratories, Inc. vy. United States, 629 F.2d

795, 802 (2d Cir. 1980).

3a

A product may be marketable without prior FDA ap-:

proval for any of three reasons. First, a drug is not a ‘‘new

drug’’ if ‘‘generally recognized, among experts qualified by

scientific training and experience to evaluate the safety and ef-

fectiveness of drugs, as safe and effective for use under the

conditions prescribed, recommended, or suggested in the

labeling thereof’’; if this ‘‘expert consensus is founded upon

‘substantial evidence’ ’’; and if the drug has ‘‘been used to a

material extent or for a material time under such conditions.”’

21 U.S.C. § 321(p); Weinberger v. Hynson, Westcott & Dun-

ning, Inc., 412 U.S. 609, 631-32 (1973); Premo Phar-

maceutical, supra, 629 F.2d at 801-02. Second, under a

‘“‘srandfather’’ clause inserted in the 1938 Act, drugs which

prior to June 25, 1938 (the effective date of the Act) were

‘subject to the Food and Drugs Act of June 30, i906’ and

have since undergone no change in composition, labelling or

recommendations for use are exempt from Section 505’s

premarketing approval requirements. 21 U.S.C. § 321(p)(1).

And third, another grandfather clause in the Act, added in

1962, relieves from premarketing approval any drug which

prior to October 10, 1962 (the effective date of the 1962

amendments) ‘‘was commercially used or sold in the United

States,’’ was generally recognized as safe by qualified experts,

was not covered by an effective new drug application and has

undergone no change in composition or labeling. Comment to

zi U.S.C. § 321.

Where the FDA believes that a drug is a ‘‘new drug’’ and

is being marketed without approval of an NDA, it is em-

powered to institute seizure and injunction actions in federal

district court to remedy the alleged violation of the Act. 21

U.S.C. §§ 332, 334. The agency may also seek criminal sanc-

tions. 21 U.S.C. § 333.

On March 17, 1978, the FDA sent Alcon a regulatory let-

ter informing it of a report received from the agency’s

Neurological Drugs Advisory Committee ‘‘that children aged

6 months to seven years who were treated for nausea and

vomiting with drugs containing pyrilamine maleate and pen-

4a

tobarbital, experienced severe and sometimes fatal reactions.”’

The Committee had concluded, the letter went on, ‘‘that there

is no evidence of safety and efficacy for drugs containing

pyrilamine maleate with or without a barbituate [sic] in the

treatment of nausea and vomiting.’’ Based on the Commit-

tee’s report, ‘‘and because [the FDA was] unaware of

substantial scientific evidence which demonstrates that a com-

bination of these ingredients is generally recognized as safe

and effective for the treatment of nausea and vomiting,’’ the

FDA advised Alcon that it considered Alcon’s marketing of

WANS to be in violation of the ‘‘new drug’’ provision of the

Federal Food, Drug, and Cosmetic Act, 21 U.S.C. § 355. The

letter stated that under FDA regulatory policy as formulated

in Compliance Policy Guide 7132c.08, see infra, WANS had

become subject to immediate regulatory action outside the

agency’s ordinary enforcement priorities ‘‘because of new in-

formation concerning the safety and efficacy of these drugs.”’

Alcon was told to reply within ten days, and was warned that

failure to discontinue marketing WANS would expose the

company to seizure and injunction actions.

Alcon responded on April 3, 1978. It claimed that WANS

was not a ‘‘new drug,’ objected to the FDA’s departure from

the ordinary sequence of its enforcement priorities on the

basis of an ‘‘unsubstantiated, conclusionary indictment of the

safety’’ of the active ingeedients in WANS, and requested that

it be allowed to ‘‘identify and review the data and informa-

tion upon which the Agency relies, and to make a formal sub-

mission to the Agency... .’’ The company also offered to

revise the labeling of WANS consistent with the findings of its

review. Subsequent to this letter, Alcon, on its own initiative,

sent the FDA proposed new labeling for WANS and informa-

tion supporting the safety and efficacy of the drug. Various

company officials met with agency officials on July 10 and

18, 1978 to discuss WANS.

The FDA reviewed the materials provided by Alcon and

in a letter of August 4, 1978 reaffirmed its position upon the

‘‘new drug’’ status of WANS: ‘the data submitted .. . con-

Sa

tains no adequate scientific data to support the safety and ef-

ficacy of the Wans products.’’ Though the proposed relabel-

ing was felt to be ‘‘an improvement,”’ it could not sibstitute

for ‘‘scientific evidence to establish that a fixed combination

of pyrilamine maleate and pentobarbital sodium is either safe

or effective for the treatment of nausea and vomiting.’’ The

letter made no reference to Compliance Policy Guide 7132c.08

or to the enforcement priority scheme delineated therein.

Alcon continued to manufacture WANS and on

September 21, 1978 the FDA instituted a seizure action in

federal district court alleging that the drug was a ‘‘new drug’’

being marketed in violation of Section 505 of the Act, 21

U.S.C. § 355. By court order, a large quantity of WANS sup-

positories (approximately 453,900) was seized. In its respon-

sive pleadings in the seizure action, Alcon admitted that no

approval of a new drug application was in effect for WANS

or was being sought. The company nevertheless denied that

WANS was being marketed in violation of section 505. Alcon

argued that WANS is not subject to the ‘‘new drug’’ re-

quirements of the Act because ‘“‘it is generally recognized as

safe for use under the conditions prescribed, recommended or

suggested in its labeling, and it is exempted from the ‘ef-

ficacy’ requirements of the Federal Food, Drug and Cosmetic

Act’’ by the 1962 grandfather clause discussed supra. In addi-

tion, Alcon contended that the FDA was acting in violation of

its pertinent Compliance Policy Guide.

Despite seizure of the suppositories, Alcon continued to

manufacture and distribute WANS, thus prompting the FDA,

on November 28, 1978, to institute a further action, this time

seeking a temporary restraining order, a preliminary injunc-

tion and a permanent injunction against continued marketing

of WANS without FDA approval. On the next day,

November 29, the district court denied the FDA’s request for

a temporary restraining order, and consolidated the injunctive

suit with the earlier seizure action. On December 19, 1978, the

district court gave the parties 90 days to complete discovery in

the consolidated proceeding and set a trial date of May 7,

1979.

6a

On March 21, 1979, however, Alcon moved the district

court to remand to the FDA,

‘‘with instructions to defer regulatory action against the

WANS preparations involved in this matter or against

defendants based upon the alleged ‘new drug’ status of

WANS until FDA makes an administrative determination

of the new drug status of WANS in conformity with the

enforcement priorities enunciated in FDA’s Compliance

Policy Guide 7132c.08 and the requirements of the Ad-

ministrative Procedure Act, or unless verifiable and gen-

uinely significant and new information surfaces which

questions the safety or efficacy of a WANS preparation

so as to justify taking regulatory action against such

preparation out of the sequence provided by the Agency’s

Compliance Policy Guide 7132c.08.”’

No further action was taken in the case until January 28,

1980. On that date the FDA instituted a second seizure

against WANS. Large quantities of the drug were again con-

fiscated. A month later, on February 27, 1980, the district

court consolidated the latest seizure action with the pending

actions, and ordered the entire case to be,

‘‘remanded to the Food and Drug Administration (FDA)

with instructions to defer regulatory action against the

WANS preparations involved in this matter or against

defendants based upon the alleged ‘new drug’ status of

WANS until FDA holds a hearing pursuant to 5 U.S.C.

§ 554 and thereafter makes an administrative determina-

tion of the new drug status of WANS in conformity with

the enforcement priorities enunciated in FDA’s Com-

pliance Policy Guide 7132c.08.

‘*Accordingly, it is FURTHER ORDERED

‘That prior seizures ordered by the Court are left

without effect.

‘‘However, jurisdiction will be retained whether new,

verifiable and genuinely significant information comes to

light which questions the safety or efficacy of a WANS

7a

preparation so as to justify enforcement action against

such preparation out of the sequence provided by the

Agency’s Compliance Policy Guide 7132c.08.”’

On April 8, 1980, the district court issued an Opinion and

Order explaining and reiterating this order. We treat the two

orders, which are the same but for their date of issuance, as a

single order.

The United States filed separate appeais from the orders

of February 27 and April 8, and these have been consolidated.

The United States also moved for, and we have granted, a

stay pending appeal with respect to the district court’s order

enjoining future seizures, and ordering the return of quantities

of the drug already seized.

The United States presently attacks three aspects of the

district court’s order: (1) its instruction that the FDA ‘‘defer

regulatory action against the WANS preparation ... or

against defendants’ pending further administrative pro-

ceedings; (2) its decision to leave prior seizures of WANS

“‘without effect’’; and (3) its remand of the case to the agen-

cy. We consider these issues in turn; and in connection with

each we also address this court’s appellate jurisdiction. '

The Order To ‘‘Defer’’ Regulatory Action

Our jurisdiction to review the district court’s in-

terlocutory order that the FDA defer further regulatory action

against WANS and Alcon depends on whether the order is ap-

pealable as one granting an injunction, see 28 U.S.C.

§1292(a)(1), or is simply, as Alcon contends, an exercise of

the court’s discretion in controlling a case before it. Looking

to the order’s ‘‘substantial effect,’’ see United States v. Cities

Service Co., 410 F.2d 662, 663 n.1 (Ist Cir. 1969); Hotel &

Restaurant Employees and Barienders International Union v.

Del Valle, 328 F.2d 885, 886 (Ist Cir.), cert. denied, 379 U.S.

' Alcon has moved for summary dismissal of the government’s

appeals, asserting lack of appellate jurisdiction. We advised that we

would consider the motion when deciding the merits.

Ba

879 (1964), we think it was an injunction, hence appealable

under section 1292(a)(1). The order has the effect of forbid-

ding the FDA from exercising in any forum its statutory

power both to proceed against WANS and its producer and to

seize the article pending condemnation. Absence of the word

‘enjoin’ does nothing to mitigate the blanket severity of the

decree. Whether regulatory action against a possibly unsafe or

ineffective drug must be ‘‘deferred’’ or is ‘‘enjoined’’ is a

matter of semantics. In either case, the agency is denied the

ability to take summary steps to protect those to whom the

drug will be distributed in the interim.

This injunction exceeded the district court’s authority. To

prevent this sort of eroding of the agency’s protective powers,

the Supreme Court in Ewing v. Mytinger & Casselberry, Inc.,

339 U.S. 594 (1950), held that district courts lack jurisdiction

to enjoin multiple seizure actions instituted by the FDA under

the Act. The rule of Ewing has been consistently and strictly

observed, see Southeastern Minerals, Inc. v. Harris, 622 F.2d

758 (Sth Cir. 1980); Pharmadyne Laboratories, Inc. v. Ken-

nedy, 596 F.2d 568 (3d Cir. 1979); Parke, Davis & Co. v.

Califano, 564 F.2d 1200 (6th Cir. 1977), cert. denied, 435

U.S. 942 (1978); Natick Paperboard Corp. v. Weinberger, 498

F.2d 125 (Ist Cir. 1974), cert. denied, 429 U.S. 819 (1976),

and controls the present case. We see no distinction between

this case and Ewing merely because the latter involved multi-

ple seizures for alleged misbranding, which may be instituted

only when there is probable cause to believe that the article is

dangerous or that the misbranding may be fraudulent or

misleading. Risks to consumers may be present in new drug

cases, and the same section of the Act is involved. See 21

U.S.C. § 334(a)(1). The Supreme Court’s decision in Ewing

precludes judicial interference with the FDA’s decision to in-

stitute enforcement actions, whatever the precise context.

Compare Southeastern Minerals, supra, 622 F.2d at 763-64

with Parke, Davis & Co., supra, 564 F.2d at 1205 and Natick

Paperboard, supra, 498 F.2d at 126-27. Alcon’s argument that

such a rule exposes a manufacturer to potentially devastating

9a

hardship and loss was disposed of in Ewing. See 339 U.S. at

604-05 (Jackson, J., dissenting). The considerations from

which the Ewing holding emerged dictate that it be applied

and that the district court’s order, insofar as it bars initiation

of further FDA enforcement actions, be vacated:

‘‘The purpose of the multiple seizure provision is plain.

It is to arrest the distribution of an article that is

dangerous, or whose labeling is fraudulent or misleading,

pending a determination of the issue of adulteration or

misbranding. The public therefore has a stake in the

jurisdictional issue before us. If the District Court can

step in, stay the institution of seizures, and bring the ad-

ministrative regulation to a halt until it hears the case,

the public will be denied the speedy protection which

Congress provided by multiple seizures.

* * *

‘‘The means which Congress provided to protect con-

sumers against the injurious consequences of protracted

proceedings would then be seriously impaired. Congress

weighed the potential injury to the public from misbrand-

ed articles against the injury to the purveyor of the article

from a temporary interference with its distribution and

decided in favor of the speedy, preventive device of

multiple seizures. We would impair or destroy the effec-

tiveness of that device if we sanctioned the interference

which a grant of jurisdiction to the District Court would

entail. Multiple seizures are the means of protection af-

forded the public. Consolidation of all the libel suits so

that one trial may be had is the relief afforded the

distributors of the articles.’’

339 U.S. at 601-02 (footnotes omitted). See also Premo Phar-

maceutical, supra, 629 F.2d at 801; Natick Paperboard,

supra, 498 F.2d at 127.

10a

The Dissolution Of Prior Seizures

We agree with the United States that so much of the

district court’s order as purports to leave the FDA’s former

seizures ‘‘without effect’’ is appealable as a collateral order.

See Cohen v. Beneficial Industrial Loan Corp., 337 U.S. 541

(1949), discussed infra in connection with the remand order.

The present situation is like that in Swift & Co. Packers v.

Compania Colombiana Del Caribe, 339 U.S. 684 (1950),

where the Cohen rule was held to apply. The Supreme Court

there stated,

‘Appellate review of the order dissolving the attachment

at a later date would be an empty rite after the vessel had

been released and the restoration of the attachment only

theoretically possible. Under these circumstances the pro-

vision for appeals only from final decisions in 28 U.S.C.

§ 1291 should not be construed so as to deny effective

review of a claim fairly severable from the context of a

larger litigious process.’’

330,U.S. at 689 (citations omitted). The same can be said as

to the futility of later appellate review of this order requiring,

it would seem, immediate release of the seized suppositories.

We therefore turn to the merits of the present appeal.

It is the government’s contention that the district court

‘*ha[d] no authority simply to give back the seized property

without determining ... whether or not the Act [was]

violated.’? The Act provides that before trial the court shall

‘tallow any party to a condemnation proceeding . . . to obtain

a representative sample of the article seized’’ and that after

condemnation the court has discretion to order the goods sold

or destroyed, 21 U.S.C. § 334(c),(d), but otherwise is silent

upon the release of seized goods prior to a decision upon the

FDA’s claims. Rule E(5)(c) of the Supplemental Rules for

Certain Admiralty and Maritime Claims, which were intended

to inform seizure procedure under the Act, see 21 U.S.C.

§ 334(b), states that seized property held by the marshal

‘‘may be released forthwith upon his acceptance and ap-

proval of a stipulation, bond, or other security, signed by

lla

the party on whose behalf the property is detained or his

attorney and expressly authorizing such release, if all

costs and charges of the court and its officers shall have

first been paid. Otherwise no property in the custody of

the marshal or other officer of the court shall be released

without an order of the court; but such order may be

entered as of course by the clerk, upon the giving of ap-

proved security as provided by law and these rules, or

upon the dismissal or discontinuance of the action; but

the marshal shall not deliver any property so released un-

til the costs and charges of the officers of the court shall

first have been paid.’

Alcon contends that this portion of Rule E(5) implies some

general grant of authority to a court to order the release of

seized. property. However, the purpose and focus of Rule E(5)

is merely to describe the circumstances under which seized

property may be released prior to a court’s determination of

the merits: thus it provides for release of property if a plain-

tiff consents, or when ‘‘approved security as provided by law

and these rules’’ is tendered. Neither circumstance exists here

(and, indeed, in a new drug case, where the purpose of the

seizure is to remove a possibly risky drug from public use, it

is hard to see how the mere putting up of security would be a

proper basis for release). In any event, we see little in Rule

E(5) by way of a general grant of authority permitting courts

to countermand administratively instituted seizures without

first adjudicating the merits of the agency’s claim. If the

seizure is plainly frivolous, the court can act rapidly and

achieve justice in that manner, but its action should ordinarily

follow, not precede, an adjudication. We have found only

two cases that bear on the question. One holds, and the other

Suggests, that articles seized in an FDA enforcement action

may not be released by the court prior to a judicial determina-

tion of whether they violate the Act. See Jn re United States,

140 F.2d 19 (Sth Cir. 1943); United States v. 893 One-Gallon

Cans ... Brown’s Inhalant, 45 F.Supp. 467 (D. Del. 1942).

12a

We conclude that the district court erred in dissolving the

administrative seizures of WANS without first addressing the

merits of the seizure proceedings initiated by the FDA, in-

cluding, as part thereof, the agency’s contention that WANS

is a ‘‘new drug.’’ We therefore vacate this portion of the

district court’s order. The district court believed that allowing

‘the continued retention of the material seized would be an

abuse of judicial discretion’’ in light of its findings that

WANS ‘“‘has been used for years’’ and that ‘‘the information

which prompted the F.D.A. to initiate these actions was not

only contradictory, but also insufficient to allow a causal rela-

tion.’’ These preliminary and necessarily tentative and in-

complete findings cannot serve as a substitute for a deter-

mination on the merits. It has been said that in pursuing a

seizure action, the FDA must first allege sufficient facts to

state a claim and must then prove its claim by a

preponderance of the evidence. See United States v. 47 Bottles

... “Jenasol RJ Formula ‘60’ ’’, 320 F.2d 564, 569-71 (3d

Cir.), cert. denied, 375 U.S. 953 (1963); United States v. 4

Cases ... Slim-Mint Chewing Gum, 300 F.2d 144, 148-50

(7th Cir. 1962). A decision by a district court as to whether

the FDA has met those burdens would be the proper means

for adjudicating the validity of the FDA’s enforcement ef-

forts; a seizure should only be dissolved thereafter, in event of

the government’s failure to do so.

The Remand To The FDA

Remand of a case for further proceedings is ordinarily

not appealable in that it is not a ‘‘final decision’’ from which

appeals may be taken under 28 U.S.C. § 1291. See Pauls v.

Secretary, 457 F.2d 294 (Ist Cir. 1972). The government,

however, argues that the district court’s order in this case is

appealable under section 1291 as a collateral order within the

meaning of Cohen v. Beneficial Industrial Loan Corp., supra,

337 U.S. 541.

In Cohen, the Supreme Court held that a district court’s

refusal to order the plaintiff in a stockholders’ derivative suit

I3a

to post security for costs as required by a state statute was im-

mediately appealable because it fell in ‘‘that small class’’ of

decisions ‘‘which finally determine claims of right separable

from, and collateral to, rights asserted in the action, too im-

portant to be denied review and too independent of the cause

itself to require that appellate consideration be deferred until

the whole case is adjudicated.’’ 337 U.S. at 546. We have in-

terpreted the Court’s formulation in Cohen to require that ap-

pealability be predicated on four characteristics:

“The order must involve: (1) an issue essentially

unrelated to the merits of the main dispute, capable of

review without disrupting the main trial; (2) a complete

resolution of the issue, not one that is ‘unfinished’ or ‘in-

conclusive’; (3) a right incapable of vindication on appeal

from final judgment; ard (4) an important and unsettled

question of controlling law, not merely a question of the

proper exercise of the trial court’s discretion.’’

United States v. Sorren, 605 F.2d 1211, 1213 (1st Cir. 1979),

quoted in In re Continental Investment Corp., No. 80-1362,

slip op. at 6 (Ist Cir. Oct. 31, 1980). The requisites may be

summarized as separability, finality, urgency, and importance.

In re Continental Investment Corp., supra, slip op. at 6. Cf.

Grinnell Corp. v. Hackett, 519 F.2d 595, 596 (Ist Cir.), cert.

denied sub nom. Chamber of Commerce vy. United

Steelworkers, 423 U.S. 1033 (1975) (arguing that ‘‘urgency”’

necessarily subsumes ‘‘finality’’). See generally Firestone Tire

& Rubber Co. v. Risjord, 49 U.S.L.W. 4089, 4090-92 (Jan.

13, 1981). We find each characteristic to be present here and

so hold that the order is appealable.

First, the remand order raises issues that are entirely

separable from the ultimate question to be decided by this

litigation, the ‘“‘new drug’’ status of WANS. In remanding,

the court ordered the FDA to hold ‘‘a hearing pursuant to 5

U.S.C. § 554 and thereafter make[ ] an administrative deter-

mination of the new drug status [of] WANS in conformity

with the enforcement priorities enunciated in FDA’s Com-

pliance Policy Guide 7132c.08.’’ The decree thus implicates

l4a

the power of the agency to summarily initiate enforcement

proceedings under the Act and its own regulations. It also

puts at issue the manner in which FDA enforcement actions

ought to proceed. These issues are independent of the merits

of the underlying claim against WANS. See Lopez v.

Secretary, 512 F.2d 1155 (1st Cir. 1975) (allowing appeal from

remand requiring Secretary of HHEW to show claimant had a

‘‘realistic opportunity’’ of being hired for available positions);

Gueory v. Hampton, 510 F.2d 1222, 1224-25 (D.C. Cir. 1975)

(allowing appeal from remand that required Civil Service

Commission to show how conduct for which employee was

dismissed had diminished the efficiency of the service); Gold

v. Weinberger, 473 F.2d 1376, 1378 (Sth Cir. 1973) (allowing

appeal from remand holding that Secretary of HEW could

not prove availability of reasonable job opportunities by

testimony of vocational expert who had not interviewed

claimant); Cohen v. Perales, 412 F.2d 44 (Sth Cir. 1969),

rev'd on other grounds sub nom. Richardson v. Perales, 402

U.S. 389 (1971) (allowing appeal from remand establishing

agency standards for the admission of hearsay evidence and

holding that hearsay evidence is not substantial evidence to

support agency decision).

Second, the district court’s order is final as to these

issues. There are no further steps that the government can

take to avoid imposition of the procedural requirements it

seeks to challenge here. See Abney v. United States, 431 U.S.

651, 659 (1977). The district court has unambiguously

declared in an order, a subsequent opinion and a denial of a

stay motion that it will take no further actions pending FDA

compliance with its decree. Its order therefore cannot

realistically be characterized as not final because subject to

revision. Compare Coopers & Lybrand vy. Livesay, 437 U.S.

463, 469 (1978); Eluska v. Andrus, 587 F.2d 996, 1001 (9th

Cir. 1978). The district court’s retention of jurisdiction over

the case does not affect the finality of its order. Compare

United Transportation Union y. Illinois Central R.R., 433

F.2d 566, 568 (7th Cir. 1970), cert. denied, 402 U.S. 915

1Sa

(1971), with Transportation-Communication — Division,

Brotherhood of Railway, Airline & Steamship Clerks y. St.

Louis-San Francisco Ry., 419 F.2d 933, 936 (8th Cir. 1969),

cert. denied, 400 U.S. 818 (1970).

Third, review of the remand order is urgent, for if we

lack jurisdiction now over the questions presented, it seems

improbable that they will ever be subject to review. Compare

Gueory, supra, 510 F.2d at 1225 and Gold, supra, 473 F.2d at

1378 and Perales, supra, 412 F.2d at 48 with Coopers &

Lybrand, supra, 437 U.S. at 469 and Loya v. INS, 583 F.2d

1110 (9th Cir. 1978) and Barfield v. Weinberger, 485 F.2d 696

(Sth Cir. 1973).

Fourth and finally, the characteristic of importance is

also present here.

“Importance in this context refers to the scope of

precedential value — to whether a case presents ‘an im-

portant and unsettled question of controlling law’, United

States v. Sorren, supra, 605 F.2d at 1213, a decision as to

which ‘will settle the matter not simply for the case at

hand but for many others’, Grinnell Corp. v. Hackett,

supra, 519 F.2d at 597.’’

Continental Investment Corp., supra, slip op. at 9. The

government’s appeal does not merely challenge an exercise of

the district court’s discretion, see In re Grand Jury Pro-

ceedings, 580 F.2d 13, 17 (Ist Cir. 1978); instead, it raises

broader questions of how FDA enforcement actions are to

proceed. Resolution of these questions is important both to

the future FDA regulatory efforts and to the public, whose

safety may depend upon those efforts. We therefore proceed

to the merits of the government’s contentions.

’ As to the appeal in general, Alcon argues that we are deprived

of jurisdiction by 28 U.S.C. § 2105, which provides

‘‘There shall be no reversal in the Supreme Court or a court of

appeals for error in ruling upon matters in abatement which do

not involve jurisdiction.”’

Passing by the question whether this action is in abatement, we

note that the district court’s remand order can be understood as

l6a

The district court premised its decision to remand to the

FDA on interrelated procedural and substantive grounds. The

court was troubled by the agency’s failure to conduct ‘‘a for-

mal administrative determination of the ‘new drug’ status of

WANS”’ before instituting suit against Alcon. In the absence

of such a determination, the court felt that an FDA internal

regulation — Compliance Policy Guide 7132c.08 — precluded

enforcement action against WANS unless the agency possess-

ed ‘‘significant new information which questions the safety of

the drug.’’ However, the court characterized itself as ill-suited

to decide the ‘‘new drug’’ status of WANS or to determine

whether ‘“‘significant new information’’ existed that questioned

WANS’ safety. Citing lack of jurisdiction, the doctrine of

primary agency jurisdiction and prudential considerations, the

court decided that these questions were better left to ‘‘the

Agency entrusted by Congress with the necessary expertise to

make a responsible determination.’’ Accordingly, it ordered

the action ‘“‘remanded to the Food and Drug Administration

to hold a formal administrative hearing pursuant to 5 U.S.C.

§ 554 on the issue as to whether WANS is a ‘new drug’ in

conformity with the enforcement priorities enunciated in

F.D.A.’s Compliance Policy Guide 7132c.08.’’

involving jurisdiction, see Aetna State Bank v. Altheimer, 430 F.2d

750, 753 (7th Cir. 1970), and our disposition of the case is not,

technically, a ‘‘reversal,’’ see 15 Wright, Miller & Cooper, Federal

Practice & Procedure: Civil § 3903, at 414-15 (1976). In any event,

despite its plain language section 2105 has never been interpreted as

a significant limitation on federal appellate jurisdiction:

“‘The most important feature of § 2105 is certainly its

disuse.

* * *

**[Ajppellate review ... is notoriously frequent with respect to

such problems as abstention of federal decision in deference to

State proceedings, deferral of judicial decision pending resort to

the ‘primary jurisdiction’ of administrative agencies, or a

requirement that private grievance proceedings be exhausted

before seeking judicial interference in labor-management

relations.”’

15 Wright, Miller & Cooper, supra, § 3903, at 414.

17a

The court’s concern over summary institution of enforce-

ment proceedings is shared by some in the drug industry, see

Swire, FDA’s Multiple Seizure Powers: A Time for Equity, 34

Food, Drug, Cosmetic L.J. 244 (1979), but the imposition of

a pre-enforcement hearing requirement (coupled with

preliminary relief, as, to be meaningful, it would have to be)

is at odds with the language and intent of the Act. To be

sure, in certain circumstances a formal administrative pro-

ceeding is a precondition to agency action. For example, when

the FDA issues, pursuant to 5 U.S.C. § 554(e), a declaratory

order governing all drugs covered by a particular new drug

application, or when it withdraws approval of a new drug ap-

plication pursuant to 21 U.S.C. § 355(e), it must first hold a

hearing in compliance with section 554 of the Administrative

Procedure Act, 5 U.S.C. § 554. See Hynson, supra, 412 U.S.

at 620, 625. Each action is a ‘‘case of adjudication required

by statute to be determined on the record after opportunity

for an agency hearing’’ for purposes of the APA, 5 U.S.C.

§ 554(a). See 5 U.S.C. § 554(e) (declaratory order); 21

U.S.C. § 355(e) (withdrawal of NDA). By contrast, there is

no statutory hearing requirement for FDA decisions to initiate

seizure Or injunction actions. See 21 U.S.C. §§ 332, 334. In-

deed, the probable cause determination necessary to institute

multiple seizure actions against allegedly misbranded products

is to be made ‘‘without hearing.’’ 21 U.S.C. § 334(a)(1). As

the Supreme Court has made abundantly clear, a manufac-

turer subjected to an FDA enforcement action has no right to

raise objections in an administrative forum prior to the

agency’s institution of the action. See Ewing, supra, 339 U.S.

594. Cf. Abbott Laboratories v. Gardner, 387 U.S. 136,

146-48 (1967) (reaffirming Ewing and distinguishing it from

declaratory action brought by drug manufacturers challenging

FDA regulations prior to their enforcement). This is because

the imposition of any formal, pre-enforcement hearing re-

quirement might seriously impair the effectiveness of the Act’s

enforcement provisions. See id.

The district court’s concern that the FDA might be pro-

ceeding in violation of its own internal regulatory guidelines

l8a

was also in error. Compliance Policy Guide 7132c.08

establishes FDA enforcement priorities for specific types of

drugs, see infra, and declares that the FDA will depart from

those priorities only under specified circumstances, one being

receipt of ‘‘significant new information which questions the

safety or effectiveness of the drug.’’ A brief review of the

history’ and text of Compliance Policy Guide 7132c.08,

however, demonstrates that the guideline does not apply to

WANS.

Under the 1938 Federal Food, Drug, and Cosmetic Act, a

drug had only to be proven safe to be approved by the FDA

for interstate marketing. Approval of a new drug application

was automatic within a fixed period after submission unless

the FDA in the interim affirmatively disapproved it. The 1962

amendments to the Act substantially modified these

premarketing clearance procedures. A ‘‘new drug’’ was

redefined to be one not generally recognized among experts as

effective as well as safe, and the automatic approval of new

drug applications was eliminated. A ‘‘new drug’’ therefore

could not be lawfully marketed unless it satisfied both the

safety and effectiveness requirements of the Act and had been

affirmatively approved by the FDA. These changes presented

the FDA with an enormous problem: By virtue of the 1962

amendments thousands of drugs with NDA’s already approv-

ed for safety, but not effectiveness (‘‘pioneer’’ drugs), and

many more thousands of drugs considered generically iden-

tical to already approved drugs (‘‘me-too’’ drugs), became

‘‘new drugs’’ subject to the agency clearance procedure of

*Our discussion draws on several sources: United States v.

Lannett Co., 585 F.2d 575 (3d Cir. 1978); Hoffmann-LaRoche, Inc.

v. Weinberger, 425 F. Supp. 890 (D.D.C. 1975); Fleshner, Lannett,

Premarketing Clearance and ‘‘Me-Too’’ Drugs; Where Do We Go

From Here?, 35 Food, Drug, Cosmetic L.J. 44 (1980); Note,

Regulating Laetrile: Constitutional and Statutory Implications, 5 U.

Dayton L. Rev. 155 (1980); Note, New Drug Approval: Lannett,

The Drug Lag, and the NDA System, 11 Rut.-Cam. L.J. 231

(1980).

1¥a

section 505 of the Act, 21 U.S.C. § 355. To speed its newly

created job of determining the effectiveness of these drugs,

the FDA arranged to have the National Academy of Sciences-

National Research Council conduct a Drug Efficiency [sic]

Study of nearly 4,000 drugs. The results of this study were in-

corporated into Drug Efficiency [sic] Study Implementation

(DESI) notices that indicated whether or not the FDA con-

sidered particular drugs to be effective. All distributors of

drugs covered by a DESI notice and not holding an approved

new drug application were variously required to submit either

a full or abbreviated new drug application. However, upon

submission and prior to approval of the required application,

manufacturers of me-too drugs were permitted to market their

products if a full new drug application had already been ap-

proved for the related pioneer drug. This approach to the ad-

ministrative problems created by the 1962 amendments was

struck down in Hoffmann-LaRoche, Inc. v. Weinberger, 425

F. Supp. 890 (D.D.C. 1975), which held that no new drug —

pioneer or me-too — could be introduced into interstate com-

merce without its new drug application having first been ap-

proved by the FDA.

Compliance Policy Guide 7132c.08 is the FDA’s attempt

to incorporate into the DESI program the holding of

Hoffmann-LaRoche. Recognizing that independent evaluation

of the effectiveness of all DESI drugs will unavoidably delay

achievement of industry-wide compliance with the Act, the

Guide sets out ‘‘a strategy to deal on a priority basis with

those drugs which most affect public health and safety[,] to

provide equitable treatment among competing firms, and to

have a maximum impact on violative products.’’ It establishes

FDA enforcement priorities according to two general groups

of drugs: ‘‘DESI prescription drugs where a final determina-

tion on effectiveness has been made’’ and ‘‘DESI and other

prescription drugs where a final determination on effec-

tiveness has not been niade.’’ Each group is further divided

into several smaller categories.

20a

WANS is not covered by Compliance Policy Guide

7132c.08 because it is not part of the DESI program. As

Alcon expressly acknowledges, WANS is neither a pioneer

drug (it is not covered by a pre-1962 NDA) nor a me-too drug

(it is not generically identical to a pioneer drug). To read the

phrase ‘‘other prescription drugs where a final determination

on effectiveness has not been made,’’ supra, as including

WANS would impermissibly extend the Compliance Policy

Guide far beyond its historic context and purpose. The proper

scope of the second group of drugs defined by the Com-

pliance Policy Guide is illustrated by its three subcategories,

none of which applies to WANS. It is true, as Alcon points

out, that the FDA’s initial regulatory letter described WANS

as falling under this category, but later correspondence omit-

ted this reference. In any event, Alcon does not claim that

what the government concedes to have been an unfortunate

mistake might now estop it from correctly treating WANS as

a drug not covered by the Guide. The district court was thus

in error to require that the FDA comply with Compliance

Policy Guide 7132c.08 and withhold regulatory action against

WANS in the absence of ‘“‘significant new information which

questions the safety or effectiveness of the drug.’’

Finally, we turn to the district court’s belief that it lack-

ed, or should not have exercised, jurisdiction over the ‘‘new

drug’’ and ‘‘grandfather clause’’ questions in this case. The

court’s declaration that ‘‘[iJt is not within the jurisdiction of

this Court to determine whether the drug in issue is or is not a

new drug”’ is plainly incorrect. Jurisdiction over the new drug

issue is shared by the FDA, see Weinberger v. Bentex Phar-

maceuticals, Inc., 412 U.S. 645, 653 (1973); Hynson, supra,

412 U.S. at 624, and the federal district courts, see C/BA

Corp. v. Weinberger, 412 U.S. 640, 644 (1973); Premo Phar-

maceutical, supra, 629 F.2d at 801; United States v. X-OTAG

Plus Tablets’’, 602 F.2d 1387 (10th Cir. 1979); United States

v. Mosinee Research Corp., 583 F.2d 930, 931-32 (7th Cir.

1978).

2la

Further, the district court’s invocation of the doctrine of

‘‘primary jurisdiction’’ to justify its refusal to exercise its own

jurisdiction is not persuasive. As we have elsewhere stated,

deference to an agency’s primary jurisdiction makes little

sense in the context of an enforcement proceeding initiated by

the agency. JCC v. B & T Transportation Co., 613 F.2d 1182,

1187 (Ist Cir. 1980). This is especially true where, as here, a

party remains subject to the agency’s regulatory efforts

despite the remand. We have held above that a district court

lacks the power to require the FDA to defer seizures pendente

lite or to order release of seized drugs prior to a determina-

tion of the merits of the agency’s claims. The effect of a re-

gmand to the agency thus would hardly be beneficial to the

product’s manufacturer. Without the relief afforded by the

other aspects of the district court’s order, Alcon would be

deprived of a judicial remedy in return for an administrative

procedure of uncertain duration before an unsympathetic

agency. We would be surprised if either Alcon or the district

court would be content with a remand under such cir-

cumstances. With this consideration in mind, and in view of

the fact that the FDA’s current position on the ‘‘new drug’’

status of WANS is already clear; that the FDA carries the

burden of proving its position at trial; and that the agency has

no duty to hold a pre-enforcement hearing or to justify its ac-

tion under its Compliance Policy Guide, see supra, we do not

see what would be gained in this case by a remand. At least it

can be said that two fundamental purposes of deference to

agency jurisdiction — ‘‘coordinating administrative and

judicial machinery’’ and assuring uniformity of regulation,

Mashpee Tribe v. New Seabury Corp., 592 F.2d 575, 580 (ist

Cir.), cert. denied, 444 U.S. 866 (1979) — would not be serv-

ed by the district court’s order. See generally Litton Systems,

Inc. v. Southwestern Bell Telephone Co., 539 F.2d 418 (Sth

Cir. 1976); Mississippi Power & Light Co. v. United Gas Pipe

Line Co., 532 F.2d 412 (Sth Cir. 1976), cert. denied, 429 U.S.

1094 (1977); ICC v. All-American, Inc., 505 F.2d 1360,

1362-64 (7th Cir. 1974).

22a

This is not to say that a remand in the context of en-

forcement proceedings might never be appropriate. In Bentex

Pharmaceuticals, supra, 412 U.S. 645, the Supreme Court

upheld the power of a district court to refer to the FDA ‘‘new

drug’’ and ‘‘grandfather clause’’ issues initially presented to

the court in a declaratory judgment action instituted by drug

manufacturers. The Court went on to note that a court could

stay its hand ‘‘[e]ven where no . . . administrative determina-

tion has been made and the issue arises in a district court in

enforcement proceedings. .. .’’ 412 U.S. at 652. This obser-

vation, however, should be understood in relation to the

situation in Bentex, where some 21 drug manufacturers had

requested declaratory relief. There the court was in essence

being asked to issue, without benefit of prior administrative

proceedings, a decision upon whether a substantial portion of

an industry was complying with the Act. Here the district

court is being asked only to decide whether a single drug

manufactured by a single company is being marketed illegally.

The agency’s view of the question is clear and will have to be

substantiated for the agency to prevail in court. We therefore

conclude that under Bentex this is not an appropriate case for

a remand.

As the district court recognized, a third purpose of the

doctrine of primary jurisdiction — taking advantage ‘‘of

agencies’ special expertise,’’ Mashpee Tribe, supra, 592 F.2d

at 580 — weighs in favor of a remand, but not, we think,

decisively. The Supreme Court has described the ‘‘new drug’’

and ‘‘grandfather clause’ issues as ‘‘the kinds of issues

peculiarly suited to initial determination by the FDA.”’ Bentex

Pharmaceuticals, supra, 412 U.S. at 653. Nevertheless, con-

trary to the Court’s suggestion it has not been ‘‘com-

monplace’’ for courts to await an appropriate administrative

declaration in enforcement proceedings, Bentex, supra, 412

U.S. at 652; lower courts continue to hear and decide the

‘new drug”’ status of drugs challenged by the FDA in seizure

and injunction actions. See, e.g., Premo Pharmaceuticals,

supra, 629 F.2d at 804-05 (issue decided by the court of ap-

23a

peals); ‘‘X-OTAG Plus Tablets’’, supra, 602 F.2d 1387;

Mosinee Research, supra, 583 F.2d 930; United States v. Ar-

ticles of Drug ... Horomin |sic], No. 80-587 (D.N.J. Aug.

29, 1980). The government asserts, and we have found

nothing to the contrary, that of the hundreds of enforcement

actions brought by the FDA under section 505 since 1938,

none save the present has been remanded to the agency.

Returning issues in an enforcement action to the FDA im-

poses an administrative burden for which the Act makes no

provision, and insofar as the procedure delays adjudication of

the regulatory status of a drug, may work to the disadvantag2

not only of the agency and public, but also of the manufac-

turer. In such circumstances the power to remand must be us-

ed sparingly. Had the trial set for May 1979 been held,

WANS’ status would long since have been laid to rest. In

deciding the case, the FDA’s expertise wou.d have been

available to the court, in that to sustain its burden the agency

would have had to present expert evidence establishing its

claims regarding WANS. We therefore conclude that the

district court erred in remanding the case to the FDA.

The orders of the district court are vacated and the case

is remanded for further proceedings consistent with this

opinion.

24a

APPENDIX B

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIRST CIRCUIT

Nos. 80-1188, 1357

(Entered February 24, 1981)

UNITED STATES OF AMERICA,

; v.

ALCON LABORATORIES, ETC., ef al.

JUDGMENT

This cause came on to be heard on appeal from the

Unitei States District Court for the District of Puerto Rico,

and was argued by counsel.

Upon consideration whereof, It is now here ordered, ad-

judged and decreed as follows: The orders of the district court

are vacated and the case is remanded for further proceedings

consistent with the opinion filed this day.

Costs to appellant.

By the Court:

/s/ DANA H. GALLUP

Clerk

25a

APPENDIX C

IN THE UNITED STATES DISTRICT COURT

FOR THE

DISTRICT OF PUERTO RICO

Nos. 78-2378, 78-1830, 80-243

(Filed February 27, 1980)

UNITED STATES OF AMERICA,

Vv.

ALCON LABORATORIES (PUERTO RICO), INC., ET AL.

Before Juan M. Perez Gimenez, Judge.

ORDER

Consolidated actions Civil 78-2378 and Civil 78-1830

came to be heard on motion of defendants for an order

remanding this action to the Food and Drug Administration

with instructions to defer regulatory enforcement action until

or unless certain conditions are fulfilled.

In view that the seizure action which the Government

filed on January 28, 1980, Civil 80-243, and accomplished on

February 15, 1980, presents essentially the same issues as

those in consolidated actions Civil 78-2378 and Civil 78-1830

the Court ORDERS

That Civil 80-243 be consolidated with prior consolidated

actions No. 78-2378 and 78-1830.

After a careful examination of the arguments presented

by the parties the Court FURTHER ORDERS

26a

That this action be and it is hereby remanded to the Food

and Drug Administration (FDA) with instructions to defer

regulatory action against the WANS preparations involved in

this matter or against defendants based upon the alleged ‘‘new

drug’’ status of WANS until FDA holds a hearing pursuant to

5 USC § 554 and thereafter makes an administrative deter-

mination of the new drug status as WANS in conformity with

the enforcement priorities enunciated in FDA’s Compliance

Policy Guide 7132c. 08.

Accordingly, it is FURTHER ORDERED

That prior seizures ordered by the Court are left without

effect.

However, jurisdiction will be retained whether new,

verifiable and genuinely significant information comes to light

which questions the safety or efficacy of a WANS preparation

sO as to justify enforcement action against such preparation

out of the sequence provided by the Agency’s Compliance

Policy Guide 7132c. 08.

Shortly hereafter, this Court will render an Opinion with

a detailed analysis of the legal grounds for the instant

REMAND.

IT IS SO ORDERED.

In San Juan, Puerto Rico, this 27th day of February,

1980.

/S/ JUAN M. PEREZ GIMENEZ

Juan M. Perez Gimenez

U.S. District Court Judge

27a

APPENDIX D

IN THE UNITED STATES DISTRICT COURT

FOR THE

DISTRICT OF PUERTO RICO

Nos. 78-2378, 78-1830, 80-243

(Filed April 9, 1980)

UNITED STATES OF AMERICA,

Vv.

ALCON LABORATORIES (PUERTO RICO), INC., ET AL.

Before Juan M. Perez Gimenez, Judge

OPINION AND ORDER

Through an order issued by this Court on February 27,

1980, this matter was remanded to the Food and Drug Ad-

ministration for further proceedings ‘‘with instructions to

defer regulatory action against the WANS preparations in-

volved in the matter against defendants, based upon the alleg-

ed ‘new drug’ status of WANS until F.D.A. holds a hearing

pursuant to 5 U.S.C. 554, and thereafter makes an ad-

ministrative determination of the new drug status as WANS in

conformity with the enforcement priorities enunciated in

F.D.A.’s Compliance Policy Guide 7132c.08’’.

The present matter consists of three consolidated actions

presenting similar issues.' Involved herein are a series of peti-

' Two of the three actions, Civil No. 78-1830 and 80-0243, are

seizure actions. The other, Civil No. 78-2378, is an injunctive

action, whereby the Food and Drug Administration sought to

28a

tions for seizure and condemnation by the United States of

America under the Federal Food, Drug, and Cosmetic Act, 21

U.S.C. 301, et seq., for seizure and condemnation of WANS,

and any other article of drug consisting of pyrilamine maleate

and pentobarbital sodium, manufactured by Alcon

Laboratories (Puerto Rico), Inc., Humacao, Puerto Rico,

alleging that the aforesaid articles are held illegally within the

jurisdiction of the Court since they are new drugs which may

not be introduced or delivered for introduction into interstate

commerce.

The Government has alleged that the specific articles of

drug are ‘‘new drugs’’ within the meaning of Section 201(p)

of the Federal Food, Drug and Cosmetic Act (the Act), 21

U.S.C. 321(p), and that the articles are misbranded under Sec-

tion 502(f)(1) of the Act, 21 U.S.C. 352(f)(1), in view that

their labeling fails to bear adequate directions for use.

The term ‘‘new drug’’ is defined in 21 U.S.C. 321(p) as

follows:

“(1) Any drug... the composition of which is such that

such drug is not generally recognized among experts

qualified by scientific training and experience to evaluate

the safety and effectiveness of drugs as safe and effective

for use under the conditions prescribed, recommended, or

suggested in the labeling thereof... .

‘*(2) Any drug .. . the composition of which is such that

such drug, as a result of investigations to determine its

safety and effectiveness for use under such conditions has

become so recognized, but which has not, otherwise, than

in such investigations been used to a material extent or

for a material time under such conditions.”’

On the other side, Alcon denies that the seized articles

are ‘‘new drugs’’, and advances three additional arguments in

Support of its position, to wit: (1) that the drugs are entitled

enjoin the defendants from introducing WANS into interstate

commerce without an approved new drug application, a petition for

temporary retraining [sic] order was denied on November 29, 1978.

29a

to the protection under the 1962 ‘‘grandfather’’ clause; (2)

that regulatory action is premature because there is no signifi-

cant new information which questions the safety or effec-

tiveness of the drugs within the meaning of the F.D.A.’s

Compliance Policy Guide 7132c.08 (21 C.F.R. 10.85(e));? (3)

that the initiation of enforcement actions against WANS bas-

ed upon the marketing of WANS without an approved

N.D.A. (New Drug Application) not only violates F.D.A.’s

own rules, policies and regulations (21 C.F.R. 10.85(e)), but

that it is also not in accordance with the law, 5 U.S.C.

706(2)(A).?

In the instant case the Government instituted these ac-

tions based on information obtained by the Food and Drug

Administration which relates to reports of adverse reactions in

221 C.F.R. 10.85(e), (f), provide: ‘‘(e) An advisory opinion

represents the formal position of the Food and _ Drug

Administration on the matter involved, and except as provided in

paragraph (f) of this section obligates the agency to follow it until it

is amended or revoked. The Commissioner shall not recommend

legal action against any person or product with respect to any

action taken in conformity with an advisory opinion which has not

been amended or revoked.

‘“(f) In unusual situations involving an immediate and

significant danger to health, the Commissioner may _ take

appropriate civil enforcement action contrary to an advisory

opinion issued pursuant to this section prior to amending or

revoking such advisory opinion as provided in paragraph (g) of this

section. Appropriate amendment or revocation of the advisory

opinion involved shall be expedited.”’

‘5 U.S.C. 706(2)(A) provides: ‘‘To the extent necessary to

decision and when presented, the reviewing court shall decide all

relevant questions of law, interpret constitutional and statutory

provisions and determine the meaning or applicability of the terms

of an agency action. The reviewing court shall:

(2) hold unlawful and set aside agency action, findings, and

conclusions found to be

(A) arbitrary, capricious, an abuse of discretion, or otherwise not

in accordance with law.’’

30a

children who were treated for nausea and vomiting with drugs

containing pyrilamine maleate and pertobarbital [sic] sodium.

Alcon contends that the information is not new informa-

tion within the meaning of the Compliance Policy Guide. It is

averred that the seven adverse reactions in question occurred

between 1970 and 1974 (as per deposition of Dr. James F.

Schwartz on February 13, 1979), that the attending physi-

cians, contrary to what they say, did not consider these reac-

tions significant enough at the time in view of the failure to

report them to the Food and Drug Administration (as per Dr.

Pruitts’ deposition, p. 40), and that the regulatory letter was

issued more than 14 months later from the period of time

mentioned before.

The validity of the ‘‘new information’? has been further

challenged by Alcon. It has been alleged that each adverse

reaction was associated with an ‘‘overdose’’ and that each pa-

tient was dehydrated; that dehydration itself produces similar

symptoms.‘ Additionally, there is the fact that in most of the

cases cited the patient was receiving or had recently received

other drug therapy.

Furthermore, there are discrepancies between Dr. Pruitt’s

Drug Experience Reports as submitted to F.D.A. and Dr.

Schwartz’ notes from the hospital charts of the seven patients

as to the amount, dosage, strength, and brand name of the

antihistamine barbiturate drug administered, and as to the

prior or concurrent drug therapy.

Certainly, in these actions complex technical determina-

tions are involved concerning the ‘‘new drug’’ issue. The

definition of ‘‘new drug’’ as used in Section 201(p), involves a

determination of technical and scientific questions by experts.

Ciba Corp. v. Weinberger, 412 U.S. 640 643 (1973).

‘Dr. Pruitt, who collected the information on the adverse

reactions cited by F.D.A., indicated that lack of drug therapy in

cases Of pernicious vomiting can cause dehydration which in turn

can result in the same adverse reactions said to be associated with

the antihistamine barbiturate products.

3la

Moreover, the determination of whether a drug is generally

recognized as safe and effective within the meaning of Section

201(p)(1) necessarily implicates complex chemical and phar-

macological considerations. Weinberger v. Bentex Phar-

maceuticals, 412 U.S. 645 (1973). When as in the present ac-

tion there are conflicts arising from the medical data, an

order to remand would be the most adequate determination.

In the case of Weinberger v. Bentex Pharmaceuticals,

supra, the United States Supreme Court ruled that the evalua-

tion of conflicting reports as to the reputation of drugs

among experts in the field is not a matter well left to a court

without chemical or medical background, and further

established that threshold questions within the peculiar exper-

tise of an administrative agency are appropriately routed to

the agency, while the courts stays its hand. Weinberger.

Bentex, supra, at 653-654.

The present actions have been instituted without a formal

administrative determination of the ‘‘new drug’’ status of

WANS, the issue first being tendered to the district court.

The Act does not create a dual system of control, one ad-

ministrative and one judicial, for it is the agency’s primary

jurisdiction to determine the status of drugs under the Act.

Thus, issues presented herein may be more effectively

evaluated at the administrative than at the judicial level, and a

remand would promote both administrative and judicial

economy. The question whether the drug is to be recognized

as ‘‘safe and effective’? or was ‘‘grandfathered in’’ are the

kinds of issues peculiarly suited to initial determination by the

Food and Drug Administration. Weinberger v. Bentex, supra,

at 653.

Given the present state of the evidence on record, a re-

mand would be the most proper action to be _ taken.

Weinberger v. Bentex, supra, at 654.

It is not within the jurisdiction of this Court to determine

_whether the drug in issue is or is not a new drug. Such deci-

sion corresponds, and is to be made by the Food and Drug

32a

Administration, the Agency entrusted by Congress with the

necessary expertise to make a responsible determination. A re-

mand to the F.D.A. would be the most appropriate action to

be taken in view of the characteristics of the case as reflected

through information generated by the discovery had so far in

the cases and which appears on the record.

There is evidence in the record which establishes that the

WANS proportions have been used under medical supervision

for approximately twenty five years. In conjunction with this

fact we have to consider that the alleged ‘‘new information”’

poses a series of conflicts when examined with other evicence

on record. Both factors are determinant for any conclusion by

the Court as to whether regulatory action against WANS

violates C.P.G.°

Since no final determination has been made with respect

to WANS, in order to proceed or initiate regulatory action

against the product, there must be significant new information

which questions the safety of the drug. At this stage, and in

the light of the ‘‘new information’’ the Court cannot make a

well-informed decision and is unable to determine the direct

relationship establishing that WANS is an unsafe product. As

a corollary to this, the Court, given the conflicts which appear

from the evidence, is in no position to ascertain whether the

F.D.A.’s enforcement actions against WANS are consistent

with its Compliance Policy Guide.°

This Court finds that issues pending in these actions

revolve and are dependent on the ‘‘new drug’’ status of the

WANS, this in turn being a matter to be resolved at the agen-

cy level. C.B.A. Corp. v. Weinberger, supra.

* The Food and Drug Administration’s Compliance Policy Guide

7132c.08 constitutes an advisory opinion/guideline enunciating

F.D.A.’s ‘‘new drug’’ enforcement properties. 21 C.F.R. 10.85,

10.90.

* It has been established that enforcement actions premised upon

the Government’s contravention of the Compliance Policy Guide

cannot stand. N.L.R.B. v. Welcome American Fertilizer Co., 443

F.2d 19 (9 Cir. 1971).

33a

Wherefore, in view of the foregoing, the Court hereby

ORDERS that consolidated cases Civil Nos 78-2378, 78-1830

and 80-0243, be remanded to the Food and _ Drug

Administration to hold a formal administrative hearing

pursuant to 5 U.S.C. 554 on the issue as to whether WANS is

a ‘‘new drug’’ in conformity with the enforcement priorities

enunciated in F.D.A.’s Compliance Policy Guide 7132c.08.

The Court will retain jurisdiction over these actions for

purposes of (1) determining whether any verifiable and gen-

uinely significant new information comes to light which

questions the safety and efficacy of a WANS preparation so

as to justify enforcement action against such preparations out

of the sequence provided by the Agency’s Compliance Policy

Guide 7132c.08, and; (2) resolving any issues remaining

following the issuance of a final administrative order after a

formal administrative hearing on the ‘‘new drug’’ status of

WANS in conformity with the enforcement priorities

established in Compliance Policy Guid [sic] 7132c.08.

IT IS SO ORDERED.

San Juan, Puerto Rico, April 8, 1980.

/s/ JUAN M. PEREZ-GIMENEZ

Juan M. Perez-Gimenez

U. S. District Judge

34a

APPENDIX E

IN THE UNITED STATES DISTRICT COURT

FOR THE

DISTRICT OF PUERTO RICO

Nos. 78-2378, 78-1830, 80-0243

(Filed April 29, 1980)

UNITED STATES OF AMERICA

V.

ALCON LABORATORIES (PUERTO RICO), INC., ET AL.

Before Juan M. Perez Gimenez, Judge

ORDER

On February 27, 1980, this Court entered an order

remanding this matter to the Food and Drug Administration.

The government was instructed to defer regulatory action

against the products involved herein, and it was further

ordered that the preceding seizure action be left without

effect.

Thereafter the plaintiff moved for a stay of the order

pending appeal. The motion, having been opposed by defend-

ants and having been extensively argued by the parties, now

stands submitted pending decision by this Court.

The government’s motion is grounded on the contention

that there is no statutory authority to enjoin the Food and

Drug Administration from instituting seizure action under the

Act. It strongly relies on the case of Ewing v. Mytinger &

Casselberry, Inc., 339 U.S. 594 (1950). However, the case is

inapposite to the issues presented in the instant case. The issue

35a

presented in Ewing v. Mytinger, supra, was whether the Food

and Drug Administration should be enjoined from initiating

enforcement action and not, as in the present case, whether

after enforcement action has been initiated, the Court in the

exercise of its sound discretion, can remand the case to the

Agency for a formal administrative determination.

For the reasons advanced in our Opinion and Order of

April 8, 1980, the matter was to be remanded to the Food and

Drug Administration to determine whether the product is a

‘‘new drug’’.

Contrary to plaintiff's contention, even in enforcement

proceedings, a remand may be ordered by the Court:

‘‘Rven when no such administrative determination has

been made and the issue arises in a district court in en-

forcement proceedings, it would be commonplace for the

court to wait an appropriate administrative declaration

before it acted.’’ (Emphasis supplied) 412 U.S. 645, at

652 (1973).

In view of our findings to the effects that the product has

been used for years, and considering the factors' which

strengthen the Court’s determination to remand, to allow the

continued retention of the material seized would be an abuse

of judicial discretion.

WHEREFORE, in view of foregoing, the government’s

motion for stay pending appeal is hereby DENIED; and it is

further ordered that one box of each of WANS children,

WANS #1, WANS #2, from each of the seizures, be retained

under seal pending a final determination of the new drug

status of WANS.

' The information which prompted the F.D.A. to initiate these

actions was not only contradictory, but also insufficient to allow a

causal relation. In all but one case the reactions were associated

with an overdos , and also there were alternative causes to which

the adverse reactions may be attributed.

IT IS SO ORDERED.

San Juan, Puerto Rico, April 29, 1980.

/S/ JUAN M. PEREZ-GIMENEZ

Juan M. Perez-Gimenez

U. S. District Judge

37a

APPENDIX F

1. 21 U.S.C. §334 provides in pertinent part:

(a) (1) Any article of food, drug, or cosmetic that is

adulterated r misbranded when introduced into or while in

interstate commerce or while held for sale (whether or not the

first sale) after shipment in interstate commerce, or which

may not, under the provisions of section 404 or 505, be in-

troduced into interstate commerce, shall be liable to be pro-

ceeded against while in interstate commerce, or at any time

thereafter, on libel of information and condemned in any

district court of the United States or United States court of a

Territory within the jurisdiction of which the article is found:

Provided, however, That no libel for condemnation shall be

instituted under this Act, for any alleged misbranding if there

is pending in any court a libel for condemnation proceeding

under this Act based upon the same alleged misbranding, and

not more than one such proceeding shall be instituted if no

such proceeding is so pending, except that such limitations

Shall not apply (A) when such misbranding has been the basis

of a prior judgment in favor of the United States, in a

criminal, injynction, or libel for condemnation proceeding

under this Act, or (B) when the Secretary has probable cause

to believe from facts found, without hearing, by him or any

officer or employee of the Department that the misbranded

article is dangerous to health, or that the labeling of the

misbranded article is fraudulent, or would be in a material

respect misleading to the injury or damage of the purchaser or

consumer. In any case where the number of libel for condem-

nation proceedings is limited as above provided the pro-

ceeding pending or instituted shall, on application on the

claimant, seasonably made, be removed for trial to any

district agreed upon by stipulation between the parties, or, in

case Of failure to so stipulate within a reasonable time, the

claimant may apply to the court of the district in which the

seizure has been made, and such court (after giving the United

States attorney for such district reasonable notice and oppor-

tunity to be heard) shall by order, unless good cause to the

38a

contrary is shown, specify a district of reasonable proximity

to the elaimant’s principal place of business to which the case

shall be removed for trial.

* * *

(b) The article, equipment, or other thing proceeded

against shall be liable to seizure by process pursuant to the

libel, and the procedure in cases under this section shall con-

form, as nearly as may be, to the procedure in admiralty; ex-

cept that on demand of either party any issue of fact joined in

any such case shall be tried by jury. When libel for condem-

nation proceedings under this section, involving the same

claimant and the same issues of adulteration or misbranding,

are pending in two or more jurisdictions, such pending pro-

ceedings, upon application of the claimant seasonably made

to the court of one such jurisdiction, shall be consolidated for

trial by order of such court, and tried in (1) any district

selected by the claimant where one of such proceedings is

pending; or (2) a district agreed upon by stipulation between

the parties. If no order for consolidation is so made within a

reasonable time, the claimant may apply to the court of one

such jurisdiction, and such court (after giving the United

States attorney for such district reasonable notice and oppor-

tunity to be heard) shall by order, unless good cause to the

contrary is shown, specify a district of reasonable proximity

to the claimant’s principal place of business, in which all such

pending proceedings shall be consolidated for trial and tried.

Such order of consolidation shall not apply so as to require

the removal of any case the date for trial of which has been

fixed. The court granting such order shall give prompt

notification thereof to the other courts having jurisdiction of

the cases covered thereby.

2. 21 U.S.C. §332 provides:

(a) The district courts of the United States and the United

States courts of the Territories shall have jurisdiction, for

cause shown, and subject to the provisions of section 38]

(relating to notice to opposite party) of Title 28, to restrain

violations of section 301 of this title, except paragraphs (h),

(i), and (j) of said section.

39a

(b) In case of violation of an injunction or restraining

order issued under this section, which also constitutes a viola-

tion of this Act, trial shall be by the court, or, upon demand

of the accused, by a jury. Such trial shall be conducted in ac-

cordance with the practice and procedure applicable in the

case of proceedings subject to the provisions of section 22 of

such Act of October 15, 1914, as amended. [This section,

which appeared as U.S.C., title 28, sec. 387, has been repeal-

ed. It is now covered by Rule 42(b), Federal Rules of

Criminal Procedure.]

3. 21 U.S.C. §321 provides in pertinent part:

For the purposes of this Act — (p) The term ‘‘new drug’’

means — (1) Any drug (except a new animal drug or an

animal feed bearing or containing a new animal drug) the

composition of which is such that such drug is not generally

recognized, among experts qualified by scientific training and

experience to evaluate tne safety and effectiveness of drugs, as

safe and effective for use under the conditions prescribed,

recommended, or suggested in the labeling thereof, except

that such a drug not so recognized shall not be deemed to be

a “‘new drug’’ if at any time prior to the enactment of this

Act it was subject to the Food and Drugs Act of June 30,

1906, as amended, and if at such time its labeling contained

the same representations concerning the conditions of its use;

-

(2) Any drug (except a new animal drug or an animal

feed bearing or containing a new animal drug) the composi-

tion of which is such that such drug, as a result of investiga-

tions to determine its safety and effectiveness for use under

such conditions, has become so recognized, but which has

not, otherwise than in such investigations, been used to a

material extent or for a material time under such conditions.

*““ENACTMENT DATE’’ AS DEFINED IN DRUG

AMENDMENTS ACT OF 1962

Sec. 107 of P.L. 87-781

Sec, 107(c)(1) [As used in this subsection? the term ‘‘enactment

date’’ méans the date of enactment of this Act; and the term ‘‘basic

40a

4. 21 U.S.C. §355 provides in pertinent part:

(a) No person shall introduce or deliver for introduction

into interstate commerce any new drug, unless an approval of

an application filed pursuant to subsection (b) is effective with

respect to such drug. :

Act’’ means the Federal Food, Drug, and Cosmetic Act.

(2) An application filed pursuant to section 505(b) of the basic

Act which was ‘‘effective’’ within the meaning of that Act on the

day immediately preceding the enactment date shall be deemed, as

of the enactment date, to be an application ‘‘approved’’ by the

Secretary within the meaning of the basic Act as amended by this

Act.

(3) In the case of any drug with respect to which an application

filed under section 505(b) of the basic Act is deemed to be an

approved application on the enactment date by virtue of paragraph

(2) of this subsection —

(A) the amendments made by this Act to section 201(p),

and to subsections (b) and (d) of section 505, of the basic Act,

insofar as such amendments relate to the effectiveness of

drugs, shall not, so long as approval of such application is not

withdrawn or suspended pursuant to section 505(e) of that Act,

apply to such drug when intended solely for use under

conditions prescribed, recommended, or suggested in labeling

covered by such approved application, but shall apply to any

changed use, or conditions of use, prescribed, recommended,

or suggested in its labeling, including such conditions of use as

are the subject of an amendment or supplement to such

application pending on, or filed after, the enactment date; and

(B) clause (3) of the first sentence of section 505(e) of the

basic Act, as amended by this Act, shall not apply to such drug

when intended solely for use under ccnditions prescribed,

recommended, or suggested in labeling covered by such

approved application (except with respect to such use, or

conditions of use, as are the subject of an amendment or

supplement to such approved application, which amendment or

supplement has been approved after the enactment date under

section 505 of the basic Act as amended by this Act) until

whichever of the following first occurs: (i) the expiration of the

two-year period beginning with the enactment date; (ii) the

effective date of an order under section 505(e) of the basic Act,

other than clause (3) of the first sentence of such section

505(e), withdrawing or suspending the approval of such

application.

4la

5. 21 U.S.C. §351 provides in pertinent part: A drug or

device shall be deemed to be adulterated—

(a)(1) If it consists in whole or in part of any filthy,

putrid, or decomposed substance; or (2)(A) if it has been

prepared, packed, or held under insanitary conditions

whereby if may have been contaminated with filth, or

whereby it may have been rendered injurious to health; or (B)

if it is a drug and the methods used in, or the facilities or

controls used for, its manufacture, processing, packing, or

holding do not conform to or are not operated or ad-

ministered in conformity with current good manufacturing

practice to assure that such drug meets the requirements of

this Act as to safety and has the identity and strength, and

meets the quality and purity characteristics, which it purports

or is represented to possess; or (3) if its container is compos-

ed, in whole or in part, of any poisonous or deleterious

substance which may render the contents injurious to health;

or (4) if (A) it bears or contains, for purposes of coloring on-

ly, a color additive which is unsafe within the meaning of sec-

tion 706(a), or (B) it is a color additive the intended use of

which in or on drugs or devices is for purposes of coloring

only and is unsafe within the meaning of section 706(a); or (5)

if it is a new animal drug which is unsafe within the meaning

of section 512; or (6) if it is an animal feed bearing or con-

taining a new animal drug, and such animal feed is unsafe

within the meaning of section 512.

(4) In the case of any drug which, on the first day immediately

preceding the enactment date, (A) was commercially used or sold in

the United States, (B) was not a new drug as defined by section

201(p) of the basic Act as then in force, and (C) was not covered by

an effective application under section 505 of that Act, the

amendments to section 201(p) made by this Act shall not apply to

such drug when intended solely for use under conditions prescribed,

recommended, or suggested in labeling with respect to such drug on

that day.]

42a

6. 21 U.S.C. §352 provides in pertinent part:

A drug or device shall be deemed to be misbranded —

* . *

(j) If it is dangerous to health when used in the dosage or

manner, or with the frequency or duration prescribed, recom-

mended, or suggested in the labeling thereof.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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