Hoffmann-La Roche, Inc. v. Kleindienst
Hoffmann-La Roche, Inc. v. Kleindienst
Opinion of the Court
OPINION OF THE COURT
The petitioner, Hoffmann-La Roche, Inc. (Hoffmann), has brought this special statutory proceeding against the Honorable Richard G. Kleindienst, Attorney General of the United States, and John E. Ingersoll, Director of the Bureau of Narcotics and Dangerous Drugs of the United States Department of Justice (respondents), to review a Final Order issued by the Director, filed on February 5, 1971 (36 Fed.Reg. 2555 (1971)l.
Chlordiazepoxide
The legislative history of the Act must be referred to. Very relevant to that history is the Final Report of the President’s Advisory Commission on Narcotics and Drug Abuse, at 2 (1963), which states: “When this report speaks of ‘drug addiction’ it is using the term in its full technical sense to include both the psychological and the physical dependence. When it speaks of ‘drug abuse’ it is referring to the broader problem which includes also those drugs which create only psychological dependency. We will use the term ‘drug abuse’ in this report as existing when an individual takes psychotoxic drugs under any of the following circumstances: (a) in amounts sufficient to create a hazard to his own health or to the safety of the community; or (b) when he obtains drugs through illicit channels; or (e) when he takes drugs on his own initiative rather than on the basis of professional advice. Drug abuse today involves not only the narcotic drugs and marihuana, but to an increasingly alarming extent other drugs such as the barbiturates, the amphetamines and even certain of the ‘tranquilizers.’ This latter group will be referred to in this report as the ‘dangerous drugs.’ ”
Regulation 21 C.F.R. § 166.2(e) (1967), follows the Final Report of the President’s Advisory Commission on Narcotics and Drug Abuse, supra at 2, and states in part as follows: “(e) The Commissioner may determine that a substance has a potential for abuse because of its depressant or stimulant effect on the central nervous system or its hallu
This case was begun by a proposed regulation filed by Acting Commissioner Rankin on January 17, 1966.
The issues presented are rather hard to frame for they are differently stated by the parties. Hoffmann asserts in its brief at 1-2: “The issues are whether the order of the Director should be held unlawful and set aside because — (1) the order is in excess of statutory authority or limitation in that it employs a decisional standard different from that established by Congress; (2) the conclusions as to chlordiazepoxide (Librium) are not supported by adequate findings or substantial evidence on the whole record; (3) the listing of diazepam (Valium) cannot be based on the experience with Librium, and the conclusions as to Valium are not supported by adequate findings or substantial evidence
I.
We deal first with this case on the basis of the evidence which was before the Director, without regard to the matters discussed under the later headings of this opinion. Hoffmann contends that the Director’s order is based on a deci-sional standard different from that established by the statute and that the agency has not met the requirements of the applicable statutes in that “ ‘[1] the agency must make findings that support its decision and [2] those findings must be supported by substantial evidence.’ [Burlington Truck Lines, Inc. v. United States, 371 U.S. 156, 168 [83 S.Ct. 239, 9 L.Ed.2d 207] (1962)] Moreover, mere ‘conclusionary statements . . . are not the sort of findings which enable [the Court] intelligently to pass upon the correctness of the judgment reached.’ ‘The agency’s findings must be sufficiently definite to enable the courts to perform the task of judicial review.’ [Braniff Airways, Inc. v. Civil Aeronautics Board [113 U.S.App.D.C. 132] 306 F.2d 739, 742 (D.C.Cir. 1962)].”
The applicable law is cogently set out by Judge Butzner in Carter-Wallace, Inc. v. Gardner, 417 F.2d 1086 (4 Cir. 1969), in which Carter-Wallace, Inc. attacked a Food and Drug Administration order subjecting meprobamate to control as a depressant drug. The court stated: “In selecting ‘potential for abuse’ as one of the criteria for subjecting a drug to special control, the House Committee did not intend this to be determined on the basis of the drug’s having a potential for isolated or occasional nontherapeutic purposes. Instead, the committee recommended that a drug’s potential for abuse should be determined ‘on the basis of its having been demonstrated to have such depressant or stimulant effect on the central nervous system as to make it reasonable to assume that there is a substantial potential for the 'occurrence of significant diversions from legitimate drug channels, significant use by individuals contrary to professional advice, or substantial capability of creating hazards to the health of the user or the safety of the community.”
The principles of law and criteria enunciated in Carter-Wallace, supra at 1090, we believe to be sound and we adopt them.
“1. The Drug Abuse Control Amendments of 1965 were intended to protect the public health and safety by establishing special controls for depressant and stimulant drugs. This protection was to be accomplished through increased record keeping and inspection requirements, through providing for control over intrastate traffic in these drugs because of its effect on interstate traffic, and through making possession of these drugs, other than by the user, illegal outside of the legitimate channels of commerce.
“2. Chlordiazepoxide (Librium) and diazepam (Valium) are drugs with a depressant effect on the central nervous system. They may be legitimately dispensed only upon the prescription of a practitioner licensed by law to administer such drugs, and in full conformity with section 503(b) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. 353(b).
“3. The substantial, probative, and reliable evidence of record establishes that chlordiazepoxide (Librium) due to its depressant effect on the central nervous system has been abused in the past in the following ways:
“(a) There has been significant use of chlordiazepoxide (Librium) in amounts sufficient to create a hazard to the health of the individual and to the safety of other individuals and the community.
“(b) There has been significant diversion of chlordiazepoxide (Librium) from legitimate channels.
“(c) There has been significant use of Librium by individuals on their own initiative rather than on the basis of medical advice from a practitioner licensed by law to administer such drugs in the course of his professional practice.
“4. Due to the past history of abuse of chlordiazepoxide (Librium), because of its established capacity to substitute for other sedative drugs which are known to be abused and which are now subject to increased controls of the amendments, it is reasonable to conclude that the abuse of chlordiazepoxide (Librium) will continue to increase unless this drug is similarly brought under the control of the amendments.
“5. The substantial, probative, and reliable evidence of record establishes that diazepam (Valium) due to its depressant effect upon the central nervous system has been abused in the past in the following manner:
“(a) There has been significant use of diazepam in amounts sufficient to create a hazard to the health of the individual and to the safety of other individuals and the community.
“(b) There has been significant use of diazepam (Valium) by individuals on their own initiative rather than on the basis of medical advice from a practitioner licensed by law to administer such drugs in the course of his professional practice.
“6. Diazepam (Valium), the newer drug, is so related to chlordiazepoxide (Librium), a drug for which there is considerable evidence of continuing abuse as to make it likely that it will have the same potentiality for abuse.
“7. Due to past history of abuse of diazepam (Valium), because of its close relation to chlordiazepoxide (Librium), and because of its established capacity to substitute for other sedative drugs which are known to be abused and which are now subject to controls under the provisions of the Drug Abuse Control Amendments of 1965, it is reasonable to conclude that the abuse of diazepam (Valium) will continue to increase.
“8. Chlordiazepoxide (Librium) and diazepam (Valium) are drugs which because of their depressant effect on the central nervous system, have a substantial potential for significant abuse within the meaning of the Amendments, 21 U.S.C. 321(v)(3).
“Therefore, it is ordered, That the stay of effectiveness announced May 17, 1966 (31 F.R. 7174), on the listing of chlordiazepoxide and its salts and diaze-pam in § 166.3(c)(1) [redesignated § 320.3(e)(1)] as a drug subject to control under the Amendments by the order of March 19, 1966 (31 F.R. 4679), be ended.”
The last paragraph of this order brought its terms into effect until stayed by the order of this court.
The amount of evidence presented in this ease has been enormous. The Findings of Fact contained in the Final Order of the Director, as set out hereinafter, and the references to their supporting evidence, we deem to be sufficient for the purposes of this opinion.
“1. The benzodiazepines, of which chlordiazepoxide (Librium) was the first synthesized, are a new class of drugs, different chemically from the barbiturates or any other drugs known at the time of their syntheses (Zbinden, Tr. 2080-84; R-142C; R-119; Lofft, Tr. 531).
“2. Chlordiazepoxide (Librium) is a benzodiazepine compound with the following chemical formula: 7-chloro-2-methylamino-5-phenyl-3H-l, 4-benzodi-azepine 4-oxide hydrochloride. It is a colorless crystalline substance; is soluble in water and its molecular weight is 336.22 (R-119).
“3. Diazepam (Valium) is a benzodi-azepine derivative with the following chemical formula: 7-ehloro-l, 3-dihy-dro-l-methyl-5-phenyl-2H-l, 4-benzodi-azepine-2-one. It is a colorless crystalline compound insoluble in water and its molecular weight is 284.74 (R-120).
“4. Experimental studies of their effects in animals were conducted by the Respondent. These tests indicated that Librium and Valium are depressant drugs having a marked calming action on the central nervous system at lower doses. An increase in dose resulted in more pronounced effects on the central nervous system, i. e., drowsiness, motor incoordination or ataxia, and sleep. On the basis of specially designed experiments whereby excitation was induced by surgical or chemical means, or by putting the animals under stressful conditioned behavior situations, the benzo-diazepines produced an antiexcitatory effect at dose levels below those that caused neurotoxicity or over-sedation, thus suggesting a usefulness in the treatment of anxiety and tension. The benzodiazepines are not generally recognized as effective sedative-hypnotic agents within the normal dosage range. (Zbinden, Tr. 2199-2204; R-142; Lang (1963), R-145; Heise (1961), R-146).
“5. The Respondent also presented evidence concerning the results of experimental tests on animals, designed to determine the primary site of action of the benzodiazepines. Primary site of action is defined to mean to location in the brain where a drug at the lowest dose will produce an effect. It is believed that the primary site of action of these drugs is in the subcoritical structures of the brain. The precise site of action cannot be determined with certitude. Dr. Gerhard Zbinden of Roche Laboratories stated that their tests showed it to be in the hippocampus (Tr. 2187-88). However, Dr. Harold Himwich, another Respondent witness, testified that his tests showed that the area most sensitive to low doses of Librium and Valium, was in the transmission from the amygdala to the hippocampus (Tr. 2677). Moreover a doubling of the dose in these tests done at Roche . Laboratories resulted in the drug effect spreading to the cortex, the area of the brain associated with judgmental functions.
“6. Librium and Valium are widely used in the treatment of anxiety and tension, as muscle relaxants, as anticon-vulsants, and as anti-depressants.
“7. Librium has been in general medical use since 1960. More than 6 billion capsules of the drug have been commercially distributed, and millions of patients have taken Librium since its approval by the Food and Drug Administration (Bennett, Tr. 4135-36; R-222).
“8. Librium is indicated whenever fear, anxiety and tension are significant components of the clinical profile.
“In low oral doses, the drug is effective in mild to moderáte anxiety and tension, tension headache, pre- and post-operative apprehension, premenstrual tension and menstrual stress, chronic alcoholism, behavior disorders in children, and whenever anxiety and tension are concomitants of gastrointestinal, cardiovascular, gynecologic or der-matologic disorders.
“Skeletal muscle spasticity (resulting from spinal cord injury, congenital or acquired brain damage) and other debilitating neuro-museular disorders such as dystonia and athetosis frequently respond to Librium. Painful muscle spasm associated with myositis, fibrosi-tis, bursitis, tenosynovitis, arthritis, fractures, intervertebral disc syndrome, whiplash injury, low back pain or postural strains is often benefited when emotional factors are present.
“In higher oral doses, Librium is of value in the more severe anxiety and tension states, agitated depression and ambulatory psychoneuroses (e. g., acute and chronic anxiety states, phobias, obsessive-compulsive reactions and schizoid behavior disorders). In addition, it may be useful in certain types of acute agitation due to chronic alcoholism or alcoholic withdrawal (including delirium tre-mens), hysterical or panic states, paranoid states and acute stages of schizophrenia (R-119).
“9. Diazepam (Valium) is of use in dealing with anxiety reactions stemming from stressful circumstances or whenever somatic complaints ' are concomitants of emotional factors. It is useful in psychoneurotic states manifested by anxiety, tension, fear and fatigue. Valium may also be useful in acute agitation due to alcohol withdrawal. Valium may be of use to alleviate muscle spasm associated with cerebral palsy and athe-tosis (R-119).”
Finding 15, 36 Fed.Reg., at 2556, states: “Substantial evidence of record establishes that individuals have developed psychic dependence to Librium and Valium. The uncontested testimony of physicians was that patients find the two drugs pleasant to take. (Murray, Tr. 364; Barten, Tr. 454; Evans, Tr. 813-15, 829-30). They provide an inner sensorial feeling that is gratifying to the patient (Uzee, Tr. 907). Patients were reported to have been apprehensive about being without their supply of the medication and expressed to their physicians a reluctance to come off the drugs. Individuals have attempted unsuccessfully to discontinue taking Librium and Valium when a dependency has developed. Still other patients have gone to excessive lengths to maintain their supply of the two drugs. (Lofft, Tr. 1560; Evans, Tr. 817, 825; Uzee, Tr. 905-06; Galen, Tr. 1443-48; Chelton, Tr. 1672; Williams, Tr. 1757-59; Guile (1963), G-14; Lingjerde (1965), G-55; Wenkstetten (1965), G-91, Table 3; Kranz (1965), G-94, pp. 8-9). This experience confirms the opinion expressed by experts that Librium and Valium are drugs to which individuals can and do develop psychic dependence. (Eddy, Tr. Í077; Isabell [sic], Tr. 1552-54; Eddy, et al. (1965), G-81, 727.” An examination of the citations of Finding 15 shows that there is substantial evidence that individuals
We think it is well established that drugs which are capable of producing euphoria are peculiarly susceptible to being abused. Finding of Fact 17 of the Final Order defines “Euphoria” as “an exaggerated sense of well being.” (21 C.F.R. 166.2(e)(2) (1967). “The evidence establishes that euphoria has been reported following use of Librium and Valium. (Barten, Tr. 454; Chambers, Tr. 1628; Domino, Tr. 4617; Zbinden et al. (1961), R-118, pp. 627, 634; Guile (1963), G-14, p. 57; Towler 'et al. (1962), R-73, 833; Darling (1963), G-48, p. 502.” 36 Fed.Reg., at 2556. Checking out these citations we find there is sufficient evidence to support the finding that Librium and Valium produce euphoria albeit the evidence in this respect cannot be characterized as very ample or very persuasive.
“Tolerance” is described in Finding of Fact 19 as “ . .’ . an adaptive process which contributes to abuse because, where it exists, a person tends continually to increase the amount of drug being taken. Tolerance has developed when, after repeated administration, a given dose of a drug produces a decreasing effect or conversely when increasingly larger doses must be administered to obtain the effects observed with the original dose (Jaffe (1965), R-113, p. 285; Deneau, Tr. 1009).” 36 Fed.Reg., at 2557. We accept this definition. Finding of Fact 22 states: “The evidence establishes that it is possible to develop tolerance to Librium and Valium but that it has not been frequently observed or reported.” But the same finding states: “There was . . . evidence that patients have increased their dosage in order to maintain relief of anxiety (Uzee, Tr. 913, 919; Mr. E, Tr. 494-95; Lingjerde (1965), G-55, p. 3). To date however, there have been few such reports in the medical literature and Respondent’s witnesses have testified that tolerance to Librium and Valium has not been encountered in extensive use over many years (Gibbs, Tr. 2263-64; D. Feldman, Tr. 2532-33; Bercel, Tr. 2653-54, 2657; Scherbel, Tr. 2821; Goldman, Tr. 2914; Friend, Tr. 2937; Cohen, Tr. 3218, 3220; Schwab, Tr. 3383-84; D. Feldman, Tr. 3682; Knott, Tr. 3716; D’Agostino, Tr. 3817; Stanfield, Tr. 3844; Snell, Tr. 3884; Smith, Tr. 3924; Schiele, Tr. 4033; Greenberg, Tr. 4060).” 36 Fed.Reg., at 2557. The evidence of tolerance developing from repeated doses of Librium and Valium is not too strong, and if we had this case de novo we would not make the finding as did the Director on the citations of evidence stated in the finding. However, the statement made by the Director in Finding 22 that the evidence does establish that it is possible to develop tolerance to Librium and Valium is supported by the record.
Another factor in determining a drug’s potential for abuse is the existence of withdrawal symptoms. As to withdrawal symptoms associated with Librium and Valium, Finding 34 seems to us to be conclusive. That Finding states: “Dr. John G. Lofft, a psychiatrist and specialist in the treatment of alcoholism and allied addictions, testified that the abstinence syndrome associated with Librium and Valium withdrawal compares to that experienced after abrupt withdrawal from barbiturates (Tr. 550). It is characterized in its mildest form by insomnia and increased anxiety (Tr. 548-49). When the patient has been taking elevated doses for long periods of time the withdrawal syndrome is marked by restlessness, tremulousness, muscle pains, perspiration, hallucinations, and sometimes, although not frequently, convulsive seizures (Tr. 540, 543, 547). The severity of the withdrawal is dependent upon the degree of dependence, and the amount of drug the
Finding 38 seems to supply a strong basis for the regulation proposed under the Drug Abuse Control Amendments of 1965. It is as follows: “There was some evidence indicating that Librium may produce a paradoxical rage reaction, i. e., an excitable and exhilarated state whereby the individual may become a danger to himself and to others. This reaction has been manifested in isolated instances by a hostile and irritable mood to a point where the person taking Librium has become violent and has physically threatened the lives of others (Murray, Tr. 355-56, 357-59, 360-63; Barten, Tr. 447; Lofft, Tr. 558; Gibbs, Tr. 2254-55; Stanfield, Tr. 3860-61; Murray (1962), G-24; Bowes (1965), G-44, p. 338; Krakowski (1963), G — 51, p. 49; Dean (1962), R-70, p. 4).” 36 Fed.Reg., at 2558. An examination of the citations supports the finding.
Is there a substantial potential for occurrence of significant divergence from legitimate drug channels, significant use by individuals of Librium and Valium contrary to professional advice, or substantial capability of creating hazards to the health of the user and the safety of the community? See again H.R.Rep. No. 130, 89th Cong., 1st Sess. 7 (1965), set out above.
There is evidence which supports Finding 40 that pharmacists are distributing amounts of Librium without authorization from physicians, i.e., substantial diversion from legitimate drug channels. Finding 40 is as follows: “The evidence indicates that some pharmacists are distributing amounts of Librium without authorization from physicians. During a 5-year period extending from 1961 through 1965, U.S. Food and Drug Administration records show that there were 35 completed prosecutions involving the drug chlordiazepoxide, all of which were terminated in convictions. These 35 eases involved 132 illegal buys of the drug, made either without a prescription or as requests for a refill when no refill was authorized. Investigations in three of these cases were initiated following complaints that a druggist had illegally dispensed Librium (Clevenger, Tr. 1846). At the close of the investigations in 14 of these cases, Food and Drug Inspectors checked the records, invoices, and prescription files of the drugstores involved. On the basis of investigation it was estimated that in each case between 47 percent and 100 percent of the pharmacies’ supply of chlordiaze-poxide had bgen dispensed without authorization of a physician. An average of 75 percent of the total amount of the drug dispensed by the pharmacists involved in these instances could not be accounted for. This amounted to over 54,000 capsules (Clevenger, Tr. 1799-1807, 1815, 1834-36; G-268). See also Ashcraft, Tr. 1158, 1519; Witness X, Tr. 1895-97 for other evidence to the same effect.” 36 Fed.Reg., at 2558. See also Findings 41 to 46, inclusive. 36 Fed.Reg., at 2559. All of these findings are amply supported by evidence.
Hoffmann places great emphasis on 5 U.S.C. § 706, formerly § 10(e) of the Administrative Procedure Act which provides that a reviewing court must “hold unlawful and set aside agency action, findings, and conclusions” found to be “contrary to constitutional right,” “in excess of statutory . . . authority,” “without observance of procedure required by law,” or “unsupported by substantial evidence.” The section further requires that, “In making the foregoing determinations, the court shall review the whole record. . . . ” We do not disagree, nor do the respondents, with the statement of the law. We have reached the conclusion that the Director’s Final Order and his Findings of Fact and Conclusions of Law are in accordance with 5 U.S.C. § 706, and we are
II.
This opinion could have been terminated at the conclusion of the previous heading “I.” were it not that other points remain for discussion and disposition. Hoffmann asserts that the Director’s order was issued without observance of procedure required by law and without due process of law. This brings us to a critical issue in this case, whether the proceedings were “rule making” or “adjudication” as defined, respectively, in 5 U.S.C. § 551(5) or 5 U.S.C. § 551(7). Whether they were rule making or adjudication, the ultimate standard against which we must evaluate the fairness of the proceedings is due process of law. Permian Basin Area Rate Cases, 390 U.S. 747, 767, 88 S.Ct. 1344, 20 L.Ed.2d 312 (1968); Morgan v. United States, 304 U.S. 1, 18, 58 S.Ct. 773, 82 L.Ed. 1129 (1937).
(a) Hoffmann contends that the proceedings were essentially adjudicatory and that the participation of the Government’s trial counsel in the preparation of the Director’s tentative and final orders therefore contravened the separation of functions principle as enunciated by 5 U.S.C. § 554 and violated Hoff-mann’s right to due process.
Here the final order will- apply across the board to all producers, wholesalers, and distributors of Librium and Valium, as well as to pharmacies and physicians. Hoffmann was not singled out for special consideration based on its own peculiar circumstances. The fact that Hoff-mann may be one of those adversely affected explains the highly adversary character of the proceeding but does not change the generalized nature of the order. Although the proceeding involved a concrete factual situation from which factual inferences provided the basis for the Director’s order, the facts and inferences therefrom were used to formulate a basically legislative-type judgment of entirely prospective application. Compare United States v. Florida East Coast Railway Company, 410 U.S. 224, 93 S.Ct. 810, 35 L.Ed.2d 223 (1973). Since the proceedings were thus in substance rule making, the separation of prosecuting and decision-making functions was not required. Willapoint Oysters, Inc. v. Ewing, 174 F.2d 676 (9 Cir. 1949).
(b) Hoffmann contends that the Director relied on evidence not of record. On November 4, 1969, the day before oral argument was to commence before the Hearing Examiner, the United States Court of Appeals for the Fourth Circuit handed down its decision in Carter-Wallace, Inc. v. Gardner, supra, affirming the Commissioner’s use of “substantial potential for significant abuse” in determining whether or not Meprobamate should be listed. At the conclusion of the oral argument, at the Director’s order, Government counsel indicated a desire to submit additional evidence covering the three year period from the close of the original hearings, viz., November 18, 1966, to November 4, 1969. The Director requested counsel to attempt to arrive at a stipulation which would simplify any further proceedings. Such a stipulation was agreed to and presented to the Director in the form of a “Joint Recommendation” of counsel.
The stipulation recites that four categories of documents which the Government would offer are “substantially similar to evidence previously submitted.” The four categories were: “(1) Cases, evidenced by hospital records, medical records and reports, and police records and reports, involving intentional overdoses of Librium or Valium, alone or in conjunction with other drugs, in an apparent attempt at suicide or in a suicidal gesture, (2) A more limited number of cases of the kind described in
The stipulation also provided, “The cases which would be evidenced by these documents appear to be substantially similar to those already in evidence in the prior hearing and do not appear to differ significantly in their nature or frequency of occurrence from those already in evidence. Therefore, this evidence seems cumulative, except to the extent that it indicates that instances of the kind already in evidence have continued to occur since the hearing.” The stipulation provided
Ploffmann asserts that all that is of record is the description of their nature and contents quoted immediately above but that nonetheless the Director’s Final Order refers to the Joint Recommendation and states: “ ‘As a consequence, evidence relating to intentional overdoses and attempted suicides; evidence concerning suicides and other deaths in which the drugs played a significant role; reports of audits of retail drugstores detailing significant shortages which could not be legitimately accounted for; and police reports showing instances in which the drugs were discovered by police during their investigation of drug and other criminal offenses suggesting use and distribution outside of the legitimate channels, were neither to be presented nor rebutted by either side. . . .’ (Emphasis added.)”
“The comments indicate one of two situations: either the Director read and made an evaluation of the documents, without Roche [Hoffmann] having an opportunity to rebut them or offer evidence as to their significance, or the order was written by the attorneys who had collected the documents for use in their case in behalf of the Government.
The point asserted by Hoffmann is without merit. The emphasis put upon the word “significant” in the Director’s final order as quoted above is in fact
The comments upon which Hoffmann rests its point included in the Proposed Supplemental Findings of Fact were not objected to in the exhaustive list of exceptions which Hoffmann later filed.
The record therefore does not support Hoffmann’s contention that there was a surreptitious display of documents and evidence to the Director by his staff which enabled him to reach the conclusions respecting the three-year period from the close of the original hearing on November 18, 1966 to November 4, 1969, without Hoffmann having an opportunity to rebut the evidence or to offer evidence. And even if the staff attorneys who had collected the documents for use in their case on behalf of the Government had participated in preparing the Director’s order, such participation was not improper in connection with the rule
(c) Hoffmann makes further weighty contentions that the proceedings were conducted without observance of procedure required by law and without due process of law. These contentions must be stated along with what we deem to be the law applicable thereto.
As we pointed out in our earlier opinion, § 706(d)(2) of the Federal Food, Drug and Cosmetic Act, 21 U.S.C. § 376(d)(2), provides that “any report, recommendations, underlying data, and reasons certified to the Secretary by an advisory committee . . . shall be made a part of the record of any hearing if relevant and material, subject to the provisions of section 7 (c) of the Administrative Procedure Act.” 464 F.2d 1068, 1069. The casual refusal of the Hearing Examiner to admit this material and the strong objection of the Government to making it part of the record seems without justification and we deem it to be totally unacceptable as a principle of law.
The Order, 21 C.F.R., Part 166, commencing the present proceedings regarding Librium and Valium, headed “Depressant and Stimulant Drugs; Proposed listing of Additional Drugs Subject to Control” states: “The Commissioner of Food and Drugs proposes, on the basis of his investigations and recommendations of an advisory committee appointed pursuant to section 511(g) (1) of the Federal Food, Drug, and Cosmetic Act, that the drugs set forth below be listed as depressant or stimulant drugs within the meaning of section 201 (v) of the Act. Therefore, pursuant to the provisions of the Federal Food, Drug, and Cosmetic Act (secs. 201 (v), 511, 701, 52 Stat. 1055, as amended, 79 Stat. 227 et seq.; 21 U.S.C. 321 (v), 360a, 371) and under the authority delegated by the Secretary of Health, Education, and Welfare to the Commissioner (21 CFR 2.90), it is proposed that Part 166 be amended by adding thereto § 166.-3(b) and (c), as follows: § 166.3 Listing of drugs defined in section 201 (v) of the act.
* *****
“(e) The Commissioner has investigated and designates all drugs, unless exempted by regulations in this part, containing any amount of the following substances as having a potential for abuse because of their:
“(1) Depressant effect on the central nervous system:
Established Name Some trade and other names
Chloral hydrate Chloral.
Chlordiazepoxide and its salts Librium.
Diazepam Valium.
Ethchlorvynol Placidyl.
Ethinamate Valmid.
Glutethimide Doriden.
Meprobamate Miltown, Equanil, Meprotabs.
Methyprylon Noludar.
Paraldehyde
“All ■ interested persons are invited to submit their views in writing regarding the proposal published herein.”
“Mr. Finney: I called to the attention of the presiding officer that in the order, the original order, listing these drugs, which I believe is the General Exhibit A, the Commissioner of Food and Drug recited as follows: ‘The Commissioner of Food and Drugs proposes, on the basis of his investigations and the recommendations of an advisory committee appointed pursuant to section 511(g)(1) of the Federal Food, Drug and Cosmetic Act, that the drugs set forth below be listed as depressant or stimulant drugs within the meaning of Section 201 (v) of the act’ [sic].
“In view of the fact that an advisory committee was utilized in this case under a specific section of the statute and the regulation we would like to move that the presiding officer require the Government to furnish us data as to that advisory committee.
“Specifically, we would like to have all the materials, information and data relevant to the listing of Librium and Valium as drugs having a potential for abuse, which was furnished to the advisory committee for its consideration or used by the advisory committee in its deliberations.
“Secondly, we would like to have the minutes of the advisory committee’s deliberations.
“Third, we would like to have a copy of the report of the advisory committee.
“Fourth, we would like to have any memoranda or other recommendations from the Bureau of Medicine to the Commissioner relative to the report of the advisory committee or the recommendations of the Bureau as to the reasons for the inclusions of Librium and Valium in the list of drugs having a potential for abuse.
“I would point out to the presiding officer that the section of the regulations which deals with the use of an advisory committee makes the delivery of these materials automatic. In the ease-where the original proposal for a rule comes from a party other than the Commissioner and he then elects to resort to an advisory committee then the regulation is very specific as to copies of all these documents being given to the person requesting them.
“In the case of an advisory committee that is appointed by the Commissioner of Food and Drug other than on the request of a party, the same automatic requirement does not exist in the regulations.
“However, there is this provision with respect to the Advisory Committee's report and the proper form of the Advisory Committee’s report. The regulation states, in Section 166.19(b)(3): ‘The [sic] Chairman shall certify to the Commissioner the report and recommendations of the Committee, including any minority report, together with all the underlying data and a statement of the reasons or basis for the recommendations. The report will include copies of all material considered by the Committee except that in the case of scientific literature readily available in scientific libraries proper reference may be made to it instead of furnishing actual copies.’
“This is the section that relates to the nature and the form of the Advisory
“Our reason for requesting that is this: We are seeking and have sought informally, and unsuccessfully, from the Government for some time to get some factual information as to what were the considerations, what were the data, what was the rationale, on which these drugs were included in this list. It appears to us the best and most concise source of that would be, what did the Government deliver to the Advisory Committee, what did the Advisory Committee do about it in their deliberations, and what did they say about it in their report to the Commissioner?
‘‘We feel that having elected to use this procedure, and having then elected to go to hearing on our objections we are entitled to have that information.”
The following then ensued:
“Examiner Buttle: How about this?
“Mr. Phelps [counsel for the respondents] : We strenuously oppose any motion to lay bare the government’s files relating to this. I think these data, reports, minutes, and memoranda would be privileged matter. The Commissioner made his finding alone, based on recommendations given to him.
“True, he did review these reports.
“Examiner Buttle: How about counsel’s statement to the effect that they are entitled to them as a matter of course? Is there anything to that?
“Mr. Phelps: They are not entitled to them as a matter of course, because it is privileged matter.
“Examiner Buttle: Well, I do not see why respondents need them in this instance, because I have indicated that I am going to allow them to offer, and I will receive, evidence in accordance with the theory of their case, which would mean that I will have evidence before me, complete evidence before me, which will involve the respondent’s construction of the legislation, and rules issued under it for control.
“Since I am receiving such evidence and have indicated on the record that I intend to do so, I see no point in your having this information.
“What point is there for it?
“I am going to look at your whole case, as a matter of fact, completely in accordance with your theory, completely in accordance with what you say is what Congress meant when it passed the legislation it did pass. So what difference does it make what the Advisory Committee recommended, when now you are adjudicating the matter and we are going to have a complete report in addition to what the Advisory Committee considered ? What difference does it make what the Committee or Commissioner considered, insofar as this hearing is concerned?
“Mr. Finney: May I inquire whether the Presiding Examiner would feel the same way if we made a second request to be supplied only with a copy of the report of the Advisory Committee ?
“Examiner Buttle: What about the report of the Advisory Committee ?
“Mr. Phelps: We would oppose that also. I would have to look at that myself. I do not recall it, exactly.
“Examiner Buttle: Would you look into it?
“Mr. Phelps: I will.
“Examiner Buttle: If you feel free to do it voluntarily, I am anxious that you be as cooperative as you can.
“Mr. Phelps: Yes, sir.
“Examiner Buttle: But I am afraid if we get into all the underlying data with regard to wha<t the Advisory Committee considered it will merely confuse the issues that I’m going to consider.
“I am allowing you to adduce the entire theory of your case. I think it is only fair that I should. I do not see how
“Mr. Phelps: That could be one of the things we will discuss with them when we get together.
“Examiner Buttle: Yes. Discuss that between now and Friday.
“So your application is denied in that respect, for the reasons I indicated.
“Mr. Finney: Just in order that neither the Presiding Officer nor the Government’s counsel be under any misapprehension in this matter, because I do not want to induce their cooperation on the basis of any misunderstanding of our feeling about it, I would like to advise the Government and the Presiding Officer at this time that — based on what investigation we can make, we think in this case the Government purported to use an Advisory Committee and totally departed from its own regulations as to how that Advisory Committee should function, and the kind of documents that that Advisory Committee would provide to the Government.”
There is nothing in the record to suggest that Hearing Examiner Buttle examined the Shideman report or its underlying exhibits. In fact, a fair reading of the colloquy between him and counsel indicates that he did not read or examine the report and its underlying material.
Two statutes are involved.
21 U.S.C. § 874 provides: “The Attorney General may from time to time appoint committees to advise him with respect to preventing and controlling the abuse of controlled substances. ”
21 U.S.C. § 376(d)(2) provides: “[A]ny report, recommendations, underlying data, and reasons certified to the Secretary by an advisory committee appointed pursuant to subparagraph (D) of the subsection (b)(5) of this section, shall be made a part of the record of any hearing if relevant and material, subject to the provisions of section 1006(c) of Title 5. The advisory committee shall designate a member to appear and testify at any such hearing with respect to the report and recommendations of such committee upon request of the Secretary, the petitioner, or the officer conducting the hearing, but this shall not preclude any other member of the advisory committee from appearing and testifying at such hearing;
Despite the express provisions of the statutes referred to, the Hearing Examiner, counsel for the Department objecting to the admission of the report and its underlying material, refused to have them produced for the examination of the petitioner, first on the ground that the material was “confidential” and later on the ground that production would be useless. At long last, on July 10, 1972, pursuant to our direction, the report was produced and is attached to this opinion as Appendix “B”. The report in substance is merely a recommendation that certain drugs, including Librium and Valium, should be included in “the regulations implementing the drug abuse law” because, allegedly they have a “potential for abuse because of their depressant effect on the central nervous system . . . ” Without the underlying material the report was informa-tionally useless and the original material apparently was lost. However, to make
Hoffmann is very critical of the Shideman report and its underlying data, but nonetheless Hoffmann’s memorandum of December 12, 1972, respecting the report goes far afield. On the other hand, we must confess ourselves surprised as does Hoffmann by the paucity of supporting material for the report.
Our next reference must be to the Shannon and Yolles reports, Dr. James A. Shannon, Director of National Institute of Health, addressed to the Surgeon General, Public Health Service, a report dated July 1, 1965, which listed “a num
Hoffmann’s brief goes on to assert: “Knowing that there was no clinical evidence of compulsive use, and that the basic mode of action of Librium and Valium had been scientifically demonstrated to be quite different from those
“Equally useful in anticipating the Government’s theory and preparing Petitioner’s case would have been the memorandum of Dr. Yolles. It would have given Petitioner its first notice, prior to Dr. Deneau’s appearance as a witness, that the Government would argue for the listing of ‘all [sedative compounds] which have been shown by Dr. Gerald Deneau ... to effectively replace barbiturates and prevent withdrawal symptoms in dogs made physiologically dependent upon barbiturates.’ It also would have provided the conclusive rebuttal to the use of this standard, because the memorandum points out that other sedatives not proposed for control could also be expected to suppress the barbiturate abstinence syndrome, ‘since bromides are the only non-phenothiazine sedatives tested, to date, which have failed to suppress this syndrome.’ Since this test would result in regulation of practically all sedatives, it runs directly counter to the intention of the Drug Abuse Amendments, as clearly expressed by Commissioner Larrick in his testimony before the House committee: ‘Not every drug that would affect the central nervous system [e. g., every sedative] would come under this bill. It would have to not only affect the nervous system, but be a drug that is sought for non-medical purposes to produce these escapes from reality.’ ”
An examination of the record shows that Hoffmann makes some rather extravagant claims as to the assistance which the possession of the reports of Drs. Shannon and Yolles would have afforded it, but without burdening this already over-long opinion with the details of these claims it is sufficient to say that in our view Hoffmann would have been assisted in the preparation of its case had these reports been before it.
As to what effect the inclusion of this report and its supporting material would have had upon the Hearing Examiner and the Director in the formulation of his Final Order, one can only surmise. It seems clear from the record that the report and its material were never examined by the Hearing Examiner or by the Director. Some of its contents were potently in favor of Hoffmann’s position and there can be no doubt that there would have been substantial assistance to Hoffmann in the preparation of its case had the entire Shideman report and its underlying documents been made available to it when requested at the pre-trial proceeding. Accordingly, we deem the nondisclosure to be so egregious as to have tainted the entire procedure.
As we said in our previous opinion, 464 F.2d at 1072, “The objection of Hoffmann goes to the fairness of the hearing, and it should be noted that the denial of somewhat analogous reports have been treated as a lack of procedural due process even where the reports have not been mandatorily required by statute.” In support of our position we cited Gonzales v. United States, 348 U.S. 407, 75 S.Ct. 409, 99 L.Ed. 467 (1955) ; United States v. Cabbage, 430 F.2d 1037 (6 Cir. 1970); and United States v. Owen, 415 F.2d 383 (8 Cir. 1969).
The listing action set out in the Director’s Final Order will be vacated and set aside.
CHRONOLOGY OF PERTINENT EVENTS RELATING TO PROCEEDINGS TO DESIGNATE LIBRIUM AND VALIUM AS DRUGS SUBJECT TO CONTROL
July 15, 1965 — Drug Abuse Control Amendments of 1965 enacted into law. [Act of July 15, 1965, Pub.L. No. 89-74, 79 Stat. 226]
January 18, 1966 — Commissioner of Food and Drugs published in the Federal Register a proposal to amend Part 166 of the regulations [21 C.F. R. Part 166] under the Federal Food, Drug, and Cosmetic Act by listing Librium and Valium under Section 166.-3(c)(1) as “depressant or stimulant” drugs having a potential for abuse because of their depressant effect on the central nervous system. [31 Fed.Reg. 565]
January 27, 1966 — Commissioner published in the Federal Register a final order amending regulations under the Act to add a new Part 166 dealing with depressant and stimulant drugs and containing basic definitions and interpretive regulations. [31 Fed. Reg. 1071]
February 17, 1966 — -Respondent Hoff-mann-LaRoche Inc. (hereinafter “Roche”), manufacturer and distributor of Librium and Valium, submitted its comments on the proposed listing of the two drugs.
March 19, 1966 — Commissioner published in the Federal Register the order proposed on January 18, 1966, and provided that persons adversely affected might file written objections within thirty days. [31 Fed.Reg. 5679]
April 18, 1966 — Roche filed timely objections to the order of March 19, 1966, asserting that the listing of the two drugs was not justified on the basis of experience and would be contrary to the public interest.
May 17, 1966 — Commissioner published in the Federal Register an order and notice stating the effectiveness of the prior order with respect to Librium and Valium, finding that Roche’s objections stated reasonable grounds for a hearing, specifying the issues, and setting the matter for hearing. [31 Fed.Reg. 7174]
July 19, 1966 — Commissioner published in the Federal Register an order and notice designating a new Hearing Examiner. [31 Fed.Reg. 9725]
August 1, 1966 — Pre-hearing conference held.
August "5, 1966 — Second pre-hearing conference held.
August 8 to November 18, 1966 — Hearings and conferences held. [During this period there were forty-five days of hearings and conferences, the transcript of which covers 5,090 pages; thirty-four witnesses were called and forty-six articles or extracts from the medical literature were introduced by the Government; forty-three witnesses were called and fifty-five articles or extracts from the medical literature were introduced by the Respondent.]
January 31, 1967 — Roche submitted Respondent’s Proposed Findings of Fact and Proposed Conclusions of Law, accompanied by a Brief of Respondent in Support of Proposed Findings of Fact and Proposed Conclusions of Law.
February 9, 1967 — Roche submitted Respondent’s Supplemental Brief in Reply.
February 28, 1967 — Oral argument held before Hearing Examiner.
April 7, 1967 — Hearing Examiner issued Report Including Recommended Findings and Conclusions.
April 20, 1967 — Roche filed Motion to Disqualify Assistant General Counsel, Food and Drug Division, U. S. Department of Health, Education, and Welfare, seeking to prevent said counsel from participating or advising in the formulation of any tentative order, or in the decision on any motion in the case.
May 4, 1967 — Commissioner transmitted by letter to Roche the order denying the motion filed on April 28, 1967.
December 6, 1967 — Commissioner published in the Federal Register a final order listing Meprobamate as a drug subject to control. [32 Fed.Reg. 17473]
February 7, 1968 — President of the United States submitted to Congress Reorganization Plan No. 1 of 1968, transferring to the Department of Justice the functions of the Bureau of Narcotics and the Bureau of Drug Abuse Control. [33 Fed.Reg. 5611]
April 3, 1968 — Conference held between Commissioner and attorney for Roche.
April 8, 1968 — Reorganization Plan No. 1 of 1968 became effective.
May 21, 1969 — Director of the Bureau of Narcotics and Dangerous Drugs, U. S. Department of Justice, published in the Federal Register his Proposed Findings of Fact and Conclusions and Tentative Order, proposing to list Librium and Valium as drugs subject to control. [34 Fed.Reg. 7968]
August 19, 1969 — Roche filed Exceptions and Brief of Respondent, relating to the proposed order of May 21, 1969.
October 28, 1969 — Director published in the Federal Register a Notice of Oral Argument on Exceptions to Tentative Order Placing Librium and Valium under Control.
November 4, 1969 — United States Court of Appeals for the Fourth Circuit issued its decision in Carter-Wallaee, Inc. v. Gardner, 417 F.2d 1086 (4th Cir. 1969).
November 5, 1969 — Oral argument held before Director.
February 27, 1970 — Further conference held before Director.
April 1, 1970 — Counsel signed Joint Recommendation of the Bureau of Narcotics and Dangerous Drugs and Hoff-mann-LaRoche Inc., in the Matter of Listing Librium and Valium as Drugs Subject to Control.
April 8, 1970 — -Director published in the Federal Register a Notice of Supplemental Hearing, announcing that the hearing was to receive evidence bearing on the use of Librium and Valium in conjunction with, or related to, the abuse of other drugs, including rebuttal evidence from Roche. [35 Fed. Reg. 5695]
April 13, 1970 — Pre-hearing conference held.
April 22, to June 15, 1970 — Supplemental hearings and Conferences held [During this period there were fourteen days of hearings and conferences, the transcript of which covers 938 pages; six witnesses were called by the Government; eighteen witnesses were called and four articles from the medical literature were introduced by the Respondent.]
July 6, 1970 — Post-hearing conference held.
September 11, 1970 — Roche submitted Supplemental Brief of Respondent, accompanied by Respondent’s Proposed Supplemental Findings of Fact and Proposed Conclusions of Law.
September 21, 22, and 28, 1970 — Oral arguments held before Hearing Examiner on proposed findings of fact.
October 27, 1970 — Comprehensive Drug Abuse Prevention and Control Act of 1970 enacted into law. [Act of October 27, 1970, Pub.L.No. 91-513, 84 Stat. 1236]
November 6, 1970 — Hearing Examiner submitted his Supplemental Report of Findings and Conclusions Re Potential for Abuse of Librium and Valium Used Conjunctively with Other Drugs.
November 9, 1970 — Roche filed Motion to Disqualify Counsel, Bureau of Narcotics and Dangerous Drugs, seeking to prevent said counsel from participating or advising in the formulation of any tentative order, or in the decision on any motion, in this case.
November 24, 1970 — Director published in the Federal Register his Proposed Supplemental Findings of Fact, relating to alleged use of Librium or Valium in conjunction with, or related to, the abuse of other drugs. [35 Fed. Reg. 17998]
January 6, 1971 — Roche filed Exceptions of Respondent to Proposed Supplemental Findings of Fact, including request for oral argument before the Director.
January 13, 1970 — Acting Director denied request for oral argument filed on January 6, 1971.
February 6, 1971 — Director published in the Federal Register a Final Order, Findings of Fact and Conclusions of Law, to become effective on May 7, 1971, listing Librium and Valium as drugs subject to control. [36 Fed. Reg. 2555]
APPENDIX “B”
UNITED STATES GOVERNMENT
Memorandum,
TO: DR. JOSEPH F. SADUSK, JR. MEDICAL DIRECTOR
FROM: Dr. Frederick F. Shideman, Chairman Advisory Committee
SUBJECT: Abuse of Depressant and Stimulant Drugs
After due deliberation it is the unanimous opinion of this committee that there is sufficient evidence at this time to support a finding of “potential for abuse” with respect to the drugs listed below. Accordingly, it is our recommendation that such drugs be included in the regulations implementing the drug abuse law.
I. Drugs having a potential for abuse because of their depressant effect on the central nervous system:
glutethimide (Doriden) chlordiazepoxide (Librium) meprobamate (Miltown, Equan-il, etc.) ethchlorvynol (Placidyl) chloral hydrate diazepam (Valium) ethinamate (Valmid) methyprylon (Noludar) paraldehyde
II. Drugs having a potential for abuse because of their stimulant effect on the central nervous system. In addition, these drugs may also be designated as habit forming because of their stimulant effect on the central nervous system.
“d” and “dl” methamphetamine hydrochloride phenmetrazine hydrochlorade (Preludin)
III. Drugs having a potential for abuse because of their hallucinatory effect:
d-lysergic acid diethylamide
(LSD-25)
peyote
dimethyltryptamine (DMI)
psilocyn
psilocybin
DEPARTMENT OF HEALTH, EDUCATION AND WELFARE
Exhibit No.....................
Hearing ........................
Offered by:.....................
Date .........................
Reporter ..............'.........
We reproduce the Memorandum in the form in which it was submitted to us. There are imperfections in the Memorandum but we think that it is sufficiently clear to demonstrate the report of which it is a copy.
. Cited in Hoffmann’s Appendix, Vol. I, at 391 as “February 6, 1971” and “35 Fed. Reg.”
. Section 201 (v) of the 1965 Amendments, 21 U.S.C. § 321(v) (1965), provided in part as follows: “The term ‘depressant or stimulant drug’ means — -(1) any drug which contains any quantity of (A) bar-bituric aoid * * * ; (2) any drug which contains any quantity of (A) amphetamine * * *; (3) any drug which contains any quantity of a substance which the Secretary, after investigation, has found to have, and by regulation designates as having, a potential for abuse because of its depressant or stimulant effect on the central nervous system * *
The provisions of the 1970 Act are not markedly different in respect to the issues before us from the 1965 Act. Section 102 (9) (D) defines a depressant or stimulant drug as: “any drug which contains any quantity of a substance which the Attorney General, after investigation, has found to have, and by regulation designated as having, a potential for abuse because of its depressant or stimulant effect on the central nervous system or its hallucinogenic effect.” 21 U.S.C. § 802(9) (D) (1970).
. See H.R.Rep.No.130, 89th Gong., 1st Sess. 13 (1965), stating in part: “The committee considered the advisability of specifically designating meprobamate, glutethimide, ethinamate, ethehlorvynol, methyprylon, and chlordiazepoxide as ‘depressant or stimulant drugs.’ It was decided that this should not be done because the Secretary of Health, Education, and Welfare will, under the provisions of proposed section 201 (v) (3) of the Federal Food, Drug, and Cosmetic Act, consider designating these drugs as ‘depressant or stimulant drugs’ and that it would be inadvisable to single out these drugs while leaving out others having substantially similar abuse potentials. The committee expects the Secretary to take early action with respect to the consideration of the listing of these six drugs. (Emphasis added).
. Cited in Hoffmann’s appendices as “January 18, 1966.”
. Cited in Hoffmann’s appendices as “May 17, 1966.” '
. See note 1, supra.
. Order of April 20, 1971.
. The record in this case is large. Without counting exhibits the record exceeds 10,000 pages, much of which is printed. The exhibits contain several hundred printed pages. The task of examining this very large record has been made more difficult by the fact that many of the references in Hoffmann’s brief have been paginated to the transcripts, not paginated to the appendices, which consist of four large volumes, not counting a large volume of exhibits, and other pertinent materials.
. Note 7, which immediately follows the word “community” in Judge Butzner’s opinion, refers again to the Final Report of the President’s Advisory Commission on Narcotics and Drug Abuse.
. 36 Fed.Reg. 2555, 2560-61 (1971).
. 36 Fed.Reg., at 2555-56.
. Findings 34 and 35, 36 Fed.Reg., at 2558, we believe may be deemed to be generally illustrative of the close relationship of the effects of the respective drugs:
“34. Dr. John G. Lofft, a psychiatrist and specialist in the treatment of alcoholism and allied addictions, testified that the abstinence syndrome associated with Librium and Valium withdrawal compares to that experienced after abrupt withdrawal from barbiturates (Tr. 550). It is characterized in its mildest form by insomnia and increased anxiety (Tr. 548-49). AVhen the patient has been taking elevated doses for long periods of time the withdrawal syndrome is marked by restlessness, tremulousness, muscle pains, perspiration, hallucinations, and sometimes, although not frequently, convulsive seizures (Tr. 540, 543, 547). The severity of the withdrawal is dependent upon the degree of dependence, and the amount of drug the person has been taking (Tr. 551-52; Jaffe (1965), R-133, p. 289). Librium-Valium withdrawal differs from the barbiturate withdrawal syndrome in that it persists over a longer period of time (Lofft, Tr. 550-51).
“35. The evidence also indicates that those individuals who showed signs of Librium or Valium dependence usually had experienced difficulty with similar drugs before — most often alcohol (Lofft, Tr. 553; Evans, Tr. 820; Uzee, Tr. 905; Chambers, Tr. 1626-29; Chelton, Tr. 1670, 1674). These ‘dependent personalities’, as they have been characterized, look for chemical solutions to a variety of problems. They will reduce a dependency on alcohol by moving to a different but related dependency (Lofft, Tr. 552-53). Sometimes the pattern of dependency is multiple in nature, e. g., Librium and alcohol together, Librium and a barbiturate, etc. (Lofft, Tr. 536; Evans, Tr. 819-20; Uzee, Tr. 907; Isbell, Tr. 1558; Chambers, Tr. 1632; Chelton, Tr. 1671; Williams, Tr. 1741).”
See further Findings of Fact 59 to 63, inclusive, 36 Fed.Reg., at 2560.
See also Conclusions of Law 5 to 7, inclusive, 36 Fed.Reg., at 2561.
. The proceedings were conducted on behalf of the Bureau by three attorneys, one of which was the Chief Deputy Counsel and the other two were of the Staff of the Chief Counsel. Hoffmann moved to disqualify these attorneys on November 9, 1970, seeking to prevent them from participating or advising the formulation
. Davis, Administrative Law Treatise, 1970 Supplement, p. 443.
. The “Joint Recommendation” is in effect a stipulation and is binding on both the parties and the Commissioner. Hack-feld & Co. v. United States, 197 U.S. 442, 25 S.Ct. 456, 49 L.Ed. 826 (1905) ; Osborne v. United States, 351 F.2d 111 (8 Cir. 1965) ; Burstein v. United States, 232 F.2d 19 (8 Cir. 1956) ; United States v. Kahriger, 210 F.2d 565 (3 Cir. 1954).
, The word used in the Petitioner’s brief is “recommended” but it is the understanding of the court that the Joint Recommendation is in law a stipulation which was binding upon the parties and upon the Director.
. Appendix, Yol. I, pp. 391-392.
. Petitioner’s Brief, p. 97.
. Appendix, Vol. I, 309, 310, 318-387.
. “. . . [Specifically this evidence is as follows:
Conclusions (a) : Evidence concerning suicides and other deaths in which the drugs played a significant role—
Reference: Finding 51 (App. I p. 407) Spellman Tr. 634-685 Snoddy Tr. 1132-1140 G-99(a-ü), G — 121, G-150, G-157 G-170, G-183, G-190, G-221(a)-(i) G-225B (10), G-226BG), (2), (3), (4) G-241 (G-99v), G-261 (1 case) G-288 (G-99-S), G-289 (G-99E) G-290
Conclusions (b) : Reports of audits of retail drugstores detailing significant shortages which could not be legitimately accounted for—
Reference: Findings 40, 41 (App. I p. 404)
Clevenger Tr. 1796-1863 Ashcraft Tr. 1157-1158, 1517-1519 Witness “X” Tr. 1895-1897 G-268
Conchisions (c) : Police reports showing instances in which the drugs were discovered by police during their investigation of drug and other offenses suggesting use and distribution outside of the legitimate channels—
Reference: Finding 45 (App. I p. 405) Bonder Tr. 754-771, 794-796 Conen, Sheldon Tr. 880-897 G-101, G-112, G-113, G-178, G-193, G-265, G-266, G-270, G-271, G-272”
. It is probable that the inquiry into Librium and Valium was inspired, as also was that into Meprobamate and certain other drugs, by Congress. See Finding of Fact No. 63 of the Final Order of the Director as follows: “The legislative history of the Amendments reflects the expectations of Congress, in enacting this legislation, that Librium and similar tranquilizing drugs, would be expeditiously brought under the control of the Amendments because of their potential for abuse. Testimony taken before the House Committee on Interstate and Foreign Commerce demonstrated the need for bringing Librium under these controls. (House Report No. 130, 89th Congress) This Committee considered the advisability of listing chlordiazepoxide (Librium) among others by name, but
We cannot agree, however, with Hoff-mann’s contention that the Congressional Report influenced the Director’s decision. Congress suggested an inquiry which the Bureau of Narcotics and Dangerous Drugs made in due course and by accustomed procedure.
. Tr. 04-71.
. This section is referred to in the answer of file respondents to our order to show cause of March 17, 1972 as to why the report, recommendations and underlying data and reasons certified to the Secretary by the advisory committee should not be made available to the peti- . tioner for examination by it, as 21 U.S.C. § 360a (g)(1). It is presently set out in the Comprehensive Drug Abuse Prevention and Control Act of 1970, 21 U.S.C. § 874.
. In this connection we refer to our Per Curiam opinion in Hoffman-LaRoche, Inc. v. Kleindienst et al., 464 F.2d 1008 (3 Cir. 1972). IVe in effect ordered production of the report and its underlying material. Cf. Environmental Protection Agency, et al., v. Mink et al., 410 U.S. 73, 93 S.Ct. 827, 35 L.Ed.2d 119 (1973). Indeed, the right to examine statements which might have been false or twisted such as an investigator’s testimony is material and is not privileged. See N.L.R.B. v. Capitol Fish Co., 294 F.2d 86S, 872 (5 Cir. 1961). In fact, the respondents do not assert privilege in this court.
A photostatic copy of the report was finally found and is attached to this opinion as Appendix “B”. The report is addressed to Dr. Joseph F. Sadusk, Medical Director, from Dr. Frederick E. Shideman, Chairman, Advisory Committee. Tiie underlying material contained in the Joint Supplemental Appendix filed November 29, 1972 was procured from a member of the advisory committee who had retained possession of the supporting documents.
. In our previous opinion, 464 F.2d 106,8, 1073, we stated: “We do not know, of course, the length of the report of the advisory committee or the amount of data upon which it was based, but we think we can safely assume that it was not inconsiderable.” Our assumption apparently was incorrect.
. Supp.Appendix, at 36.
. See Supp.Appendix, at 45-58.
. There was information from other sources. See this opinion under heading “I.1
.
UNITED STATES GOVERNMENT
Memorandum
Date: July 1, 1965
To: Surgeon General, PHS
From: Director, NIH
Subject: Drug Abuse Control Amendments of 1965
In reference to your memorandum on the same subject to the Bureau Chiefs, dated June 7, members of our staff have identified a number of agents which they believe should be considered by the FDA for the list of drugs to be controlled.
We have applied the following criteria for drugs with amphetamine-like action to be listed under Section 201 (v) (2): (1) Evidence that the drug has been used compulsively; (2) the drug produces sensation and feelings of wellbeing; and (3) chronic abuse of the agent can produce a toxic psychosis. The following agents fulfill one or more of these criteria:
diethylpropion (Tenuate)
methentermine (Wyamine)
methylphenidate (Ritalin)
phenmetrazine (Preludin)
pipradrol (Meratran)
Our nominations for inclusion under Section 201 (v) (3) are listed below and fulfill one or more of the following criteria: (1) Clinical evidence of compulsive use; (2) evidence that physical dependence will develop with chronic use; and (3) evidence that the agent has a basic mode of action that is similar, if not identical, to agents that have been clearly, demonstrated to produce physical dependence,
carisoprodol (Soma)
ehlordiazepoxide (Librium)
diazopam [sic] (Valium)
ethchlorvynol (Placidyl)
ethinamate (Valmid)
glutethimide (Doriden)
meprobamate (Miltown, Equanil, Meprospan, Meprotabs)
methyprylon (Noludar)
We also expect that LSD-25, psilocin, and mescaline will be included on the list of drugs to be regulated. We hope that Papaverine will be exempted from regulation.
Attached is a memorandum from the Director of NIMH setting forth a thoughtful consideration of this problem.
/s/ J. A. SHANNON James A. Shannon, M.D.
Attachment
.
UNITED STATES GOVERNMENT
Memorandum
Date: June 25, 1965
To: The Surgeon General
Through: Director, NIH
From: Director, National Institute of Mental Health, NIH
Subject: Drugs to be included under the Drug Abuse Amendments of 1965
I have reviewed the Drug Abuse Control Amendments and Commissioner Lar-rick’s memorandum to you of May 26, 1965. Before giving a list of drugs, 1 would like to make a few comments about a central issue in all this, namely the definition of “potential for abuse.” If one assumes that all agents with pharma-
In addition, the whole question of the availability of bromides on an over-the-counter basis could be re-evaluated, since these agents can be used by individuals who wish to feel sedated and prolonged use can produce a bromide psychosis.
In developing our list of sedative compounds we have included all those which liave been shown by Dr. Gerald Deneau in the Department of Pharmacology at the University of Michigan to effectively replace barbiturates and prevent withdrawal symptoms in dogs made physiologically dependent upon barbiturates. Two drugs meprobamate and glutethimide, have also been shown to produce barbiturate-like addiction in dogs.
In considering amplietamine-like drugs, we have concluded those with amphetamine-like effects in man in which there have been reported cases of psychic dependence and abuse.
Several of the sedative-tranquilizer drugs have also been reported to cause either physiological abstinence syndromes or to be abused for their sedative properties. A detailed list of bibliographic references relating to abuse, dependence and abstinence syndromes or, in the case of the stimulants, drug-induced psychoses, is being prepared by the National Clearinghouse for Mental Health Information and will be transmitted next week.
It should be noted that the major tranquilizers useful in the treatment of schizophrenia, principally the phenothiazine derivatives and the rauwolfia alkaloids, are not included in the listing because these agents are generally found unpleasant by drug-abuse-prone individuals and are not, to my knowledge, subject to abuse.
I have not specifically addressed myself to the preparations which could be considered exempt because they include both drugs with a potential for abuse and other drugs which would be likely to make the abuse of the combination preparation unlikely. However, if Commissioner Larrick would be willing to provide me with a listing of the multitudinous preparations of this type and their constituents, I could attempt to provide opinions concerning the potential for abuse of these specific preparations.
In addition to the barbiturates, the following sedative drugs should certainly be under control since they not only, can prevent barbiturate withdrawal symptoms but also have been reported to cause physical dependence in man; meprobamate (Miltown, Equanil, Meprospan, Meprotabs),; glutethimide (Doriden); ethinamate (Valmid); ethchlorvynol (Placidyl); methyprylon (Noludar), and chlordiaze-poxide (Librium).
In addition the following drugs have been shown to substitute for barbiturates in barbiturate-dependent animals and should probably be under control: chloral hydrate, paraldehyde, carisoprodol (Soma) and bromural.
The following compounds are sedative but have not been tested in dogs: diaze-pam (Valium); hydroxyphenamate (Listica); hydroxyzine (Atarax, Vistaril); phenaglycodol (Ultran).
Abuse of the following stimulants in an amphetamine-like manner has been reported, either in England or the United States: methylphenidate-HCl (Ritalin) and phenmetrazine-HCl (Preludin).
The following compounds have amphetamine-like actions and might possibly be abused; pipradol-HCl (Meratrain) and diethylpropion-HCl (Tenuate).
All non-phenothiazine and non-rauwolfia sedatives or tranquilizers could be considered for inclusion as could all stimulants and anorexegenic agents.
Direct evidence of abuse or dependence in man would be a more restrictive and possibly cleaner basis for making decisions about the inclusion of drugs under control. By this criterion, meprobamate, glutethimide, ethinamate, ethchlorvynoi, methyprylon, chlordiazepoxide, methylphenidate and phenmetrazine should be under control while other sedatives and stimulants should be watched for evidence of abuse.
I have not included any of the hallucinogenic drugs in that list (such as LSD [lysergic acid diethylamide] or psilocybin) since they are investigational new drugs (IND) and therefore are not available on prescription.
I hope the above information is of assistance to Commissioner Larrick and will be helpful to you in preparing your reply.
/s/ Stanley E. Yolles Stanley E. Yolles, M.D.
. See Final Memorandum of Hoffmann, pp. 20-23.
. 21 U.S.C. § 371(f) (3) (1971).
Reference
- Full Case Name
- HOFFMANN-La ROCHE, INC. v. Richard G. KLEINDIENST, Attorney General of the United States, and John E. Ingersoll, Director, Bureau of Narcotics and Dangerous Drugs, United States Department of Justice
- Cited By
- 8 cases
- Status
- Published