Debra Borchardt
On February 9, the FDA sent out a number of warning letters
to companies that make and sell products containing cannabidiol (CBD), a
type of cannabinoid found in marijuana. Some of the products that the
FDA tested contained no CBD in them at all.
Even more troubling, many of the products claim to be treatments for
serious diseases and suggest that patients go into remission once they
take the CBD product. The FDA is concerned that patients may believe
these claims and delay seeing a doctor and taking approved drugs with a
proven track record.
“The FDA is in the business of regulating claims. The more claims you
make the more scrutiny you’ll face,” said Seth Yakatan, Chief Executive
Officer of Kalytera, a company that is creating a synthetic form of
CBD.
“Many of these products are claiming in their marketing and
promotional materials that they are intended for the use in the
diagnosis, cure, mitigation, treatment or prevention of diseases,
including, for example: cancer, various infections, psychiatric
disorders, multiple sclerosis, arthritis and diabetes,” said Michael
Felberbaum, a spokesman at the U.S. Food and Drug Administration.
The companies claim that they are dietary supplements. However,
claiming a product should be used to treat cancer means it is a drug and
not a diet supplement and therefore, must go through the standard drug
trials and testing phases. For example, GW Pharmaceuticals has two
substantial clinical investigations regarding the use of CBD.
The
products are Sativex and Epidiolex and GW Pharmaceuticals has spent
millions of dollars testing their drugs on patients.
“The companies receiving these warning letters were selected, in
part, based on the egregiousness of the claims made about their products
and the determination that inaction posed a potential risk to public
health,” said Felberbaum.
The FDA has an exception to this rule: If the products were marketed
as a diet supplement prior to being tested as a drug they can continue
to be sold as a supplement. Robert Hoban, a lawyer with Hoban &
Feola, believes that CBD products fit within the FDA exception. Hoban
said that the CBD industry has provided substantial evidence indicating
CBD was marketed and sold as a dietary supplement for many years.
In a statement Hoban cited Sarah Syed, director of marketing at CV
Sciences, one of the larger CBD companies, who stated, “It is our
opinion which is broadly shared by the marketplace, that CBD has been
marketed as a dietary supplement prior to commencement and public notice
of any substantial clinical investigations instituted on CBD…thereby
rendering the IND preclusion inapplicable.”
The FDA acknowledged the exception, but concluded that wasn’t the
case for CBD. “The FDA is not aware of any evidence that would call into
question its current conclusion that CBD products are excluded from the
dietary supplement definition under section 201(ff)(3)(B)(ii) of the
FD&C Act, but interested parties may present the agency with any
evidence that has bearing on this issue,” said Felberbaum.
“This is a very broad attack on the CBD industry,” said Hoban. He
believes the warning letters are an effort to put the brakes on the CBD
market. He also believes that there is a lack of understanding by the
federal government about the CBD products even though the FDA has
approved CBD drug trials for pharmaceutical companies like GW
Pharmaceuticals.
However, no one can argue that a company that is selling a CBD
product that claims to reduce breast cancer tumors, but contains no CBD
at all should be called out. That is why the FDA exists – to protect
Americans from companies selling bogus products.
“These folks selling CBD in this format are trying to make money,”
said Seth Yakatan. “Good for them, but if they get caught with their
hand in the cookie jar they shouldn’t be surprised.” He said the FDA’s
move doesn’t help or hurt his company.
There are CBD products that continue to be sold. In order to remain
on the good side of the FDA, they have reduced their claims and provide
little information regarding their products. However, this creates
another problem. If a consumer feels there is a legitimate use for a
company’s CBD product, they can buy it but then they have no idea how
much to take or how best to take it. There aren’t many doctors that can
guide them either. The products vary by strengths and in what forms to
take. There is little standardization and it’s completely confusing to
the consumer.
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