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Federal
Register Notices > Rules - 200 8
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Classification of Three Steroids as Schedule III Anabolic
Steroids Under the Controlled Substances Act
FR Doc E8-8842[Federal Register: April 25, 2008 (Volume 73,
Number 81)] [Proposed Rules] [Page 22294-22300] From the Federal
Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25ap08-10]
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1300
[Docket No. DEA-285P] RIN 1117-AB17
Classification of Three Steroids as Schedule III Anabolic
Steroids Under the Controlled Substances Act
AGENCY: Drug Enforcement Administration (DEA),
Department of Justice.
ACTION: Notice of proposed rulemaking.
SUMMARY: This Notice of Proposed Rulemaking (NPRM)
proposes to classify the following three steroids as "anabolic
steroids'' under the Controlled Substances Act (CSA): boldione,
desoxymethyltestosterone, and 19-nor-4,9(10)-androstadienedione.
The Drug Enforcement Administration (DEA) believes that this
action is necessary in order to prevent the abuse and
trafficking of these steroids. If the regulations are amended,
these steroids will be listed as schedule III controlled
substances subject to the regulatory control provisions of the
CSA.
DATES: Written comments must be postmarked, and
electronic comments must be sent on or before June 24, 2008.
ADDRESSES: To ensure proper handling of comments,
please reference "Docket No. DEA-285'' on all written and
electronic correspondence. Written comments via regular mail
should be sent to the Deputy Administrator, Drug Enforcement
Administration, Washington, DC 20537, Attention: DEA Federal
Register Representative/ODL. Written comments sent via express
mail should be sent to DEA Headquarters, Attention: DEA Federal
Register Representative/ODL, 8701 Morrissette Drive,
Springfield, VA 22152. Comments may be sent directly to DEA
electronically by sending an electronic message to
dea.diversion.policy@usdoj.gov. Comments may also be sent
electronically through http://www.regulations.gov using the
electronic comment form provided on that site. An electronic
copy of this document is also available at the http://www.regulations.gov
Web site. DEA will accept attachments to electronic comments in
Microsoft Word, WordPerfect, Adobe PDF, or Excel file formats.
DEA will not accept any file format other than those
specifically listed here.
Posting of Public Comments: Please note that all
comments received are considered part of the public record and
made available for public inspection online at http://www.regulations.gov
and in the Drug Enforcement Administration's public docket. Such
information includes personal identifying information (such as
your name, address, etc.) voluntarily submitted by the
commenter.
If you want to submit personal identifying information (such
as your name, address, etc.) as part of your comment, but do not
want it to be posted online or made available in the public
docket, you must include the phrase "PERSONAL IDENTIFYING
INFORMATION'' in the first paragraph of your comment. You must
also place all the personal identifying information you do not
want posted online or made available in the public docket in the
first paragraph of your comment and identify what information
you want redacted.
If you want to submit confidential business information as
part of your comment, but do not want it to be posted online or
made available in the public docket, you must include the phrase
"CONFIDENTIAL BUSINESS INFORMATION'' in the first paragraph of
your comment. You must also prominently identify confidential
business information to be redacted within the comment. If a
comment has so much confidential business information that it
cannot be effectively redacted, all or part of that comment may
not be posted online or made available in the public docket.
Personal identifying information and confidential business
information identified and located as set forth above will be
redacted and the comment, in redacted form, will be posted
online and placed in the Drug Enforcement Administration's
public docket file. If you wish to inspect the agency's public
docket file in person, by appointment, please see the FOR
FURTHER INFORMATION CONTACT paragraph.
FOR FURTHER INFORMATION CONTACT: Christine A. Sannerud,
PhD, Chief, Drug and Chemical Evaluation Section, Office of
Diversion Control, Drug Enforcement Administration, Washington,
DC 20537 at (202) 307-7183.
SUPPLEMENTARY INFORMATION:
I. Background Information
On November 29, 1990, the President signed into law the
Anabolic Steroids Control Act of 1990 (Title XIX of Pub. L.
101-647), which became effective February 27, 1991. This law
established and regulated anabolic steroids as a class of drugs
under schedule III of the Controlled Substances Act (CSA). As a
result, a new anabolic steroid is not scheduled according to the
procedures set out in 21
U.S.C. 811, but can be administratively classified as an
anabolic steroid through the rulemaking process by adding the
steroid to the regulatory definition of an anabolic steroid in 21
CFR 1300.01(b)(4).
On October 22, 2004, the President signed into law the
Anabolic Steroid Control Act of 2004 (Pub. L. 108-358), which
became effective on January 20, 2005. Section 2(a) of the
Anabolic Steroid Control Act of 2004 amended 21
U.S.C. 802(41)(A) by replacing the existing definition of "anabolic
steroid.'' The Anabolic Steroid Control Act of 2004 classifies a
drug or hormonal substance as an anabolic steroid if the
following four criteria are met: (A) The substance is chemically
related to testosterone; (B) the substance is pharmacologically
related to testosterone; (C) the substance is not an estrogen,
progestin, or a corticosteroid; and (D) the substance is not
dehydroepiandrosterone (DHEA). Any substance that meets the
criteria is considered an anabolic steroid and must be listed as
a schedule III controlled substance. DEA believes that boldione,
desoxymethyltestosterone, and 19-nor-4,9(10)- androstadienedione
meet this definition of anabolic steroid and is proposing that
they be added to the list of anabolic steroids in 21 CFR
1300.01(b)(4).
Anabolic steroids are a class of drugs with a basic steroid
ring structure that produces anabolic and androgenic effects.
The prototypical anabolic steroid is testosterone. Anabolic
effects include promoting the growth of muscle. The androgenic
effects consist of promoting the development of male secondary
sexual characteristics such as facial hair, deepening of the
voice, and thickening of the skin.
In the United States, only a small number of anabolic
steroids are approved for either human or veterinary use.
Approved medical uses for anabolic steroids include treatment of
androgen deficiency in hypogonadal males, adjunctive therapy to
offset protein catabolism associated with prolonged
administration of corticosteroids, treatment of delayed puberty
in boys, treatment of metastatic breast cancer in
[[Page 22295]]
women, and treatment of anemia associated with specific
diseases (e.g., anemia of chronic renal failure, Fanconi's
anemia, and acquired aplastic anemia). However, with the
exception of the treatment of male hypogonadism, anabolic
steroids are not the first-line treatment due to the
availability of other preferred treatment options. DEA is not
aware of any legitimate medical use or New Drug Applications (NDA)
for the three substances that DEA is proposing to classify by
this NPRM as anabolic steroids under the definition set forth
under 21
U.S.C. 802(41)(A). Moreover, DEA has not been able to
identify any chemical manufacturers currently using these
substances as intermediates in their manufacturing process(es).
Adverse effects are associated with the use or abuse of
anabolic steroids. These effects depend on several factors
(e.g., age, sex, anabolic steroid used, the amount used, and the
duration of use). In early adolescents, the use of testosterone
and other anabolic steroids that have estrogenic effects can
cause premature closure of the growth plates in long bones
resulting in a permanently stunted growth. In adolescent boys,
anabolic steroid use can cause precocious sexual development. In
both girls and women, anabolic steroid use induces permanent
physical changes such as deepening of the voice, increased
facial and body hair growth, and the lengthening of the
clitoris. In men, anabolic steroid use can cause shrinkage of
the testicles, decreased sperm count, and sterility.
Gynecomastia (i.e., enlargement of the male breast tissue) can
develop with the use of those anabolic steroids with estrogenic
actions. In both men and women, anabolic steroid use can damage
the liver and can cause high cholesterol levels, which may
increase the risk of strokes and heart attacks. Furthermore,
anabolic steroid use is purported to induce psychological
effects such as aggression, increased feelings of hostility, and
psychological dependence and addiction. Upon abrupt termination
of long-term anabolic steroid use, a withdrawal syndrome may
appear including severe depression.
II. Evaluation of Statutory Factors for Classification as
an Anabolic Steroid
DEA is proposing by this NPRM to classify boldione,
desoxymethyltestosterone, and 19-nor-4,9(10)-androstadienedione
as anabolic steroids under the definition set forth under 21
U.S.C. 802(41)(A). As noted previously, a drug or hormonal
substance is classified as an anabolic steroid by meeting the
following four definitional requirements: (A) The substance is
chemically related to testosterone; (B) the substance is
pharmacologically related to testosterone; (C) the substance is
not an estrogen, progestin, or a corticosteroid; and (D) the
substance is not DHEA.
A. Chemically Related to Testosterone
To classify a substance as an anabolic steroid, a substance
must be chemically related to testosterone. A Structure Activity
Relationship (SAR) evaluation for each of the substances
compared the chemical structure of the steroid to that of
testosterone, as substances with a structure similar to that of
testosterone are predicted to possess comparable pharmacological
and biological activity.
Boldione is also known by the following chemical name:
androsta- 1,4-diene-3,17-dione. DEA has determined that the
chemical structure of boldione is chemically related to that of
testosterone. The chemical structure of boldione differs from
testosterone by only the following two chemical groups: A ketone
group at carbon 17 and a double bond between the first and
second carbon. The human body would be expected to metabolize
the ketone group at carbon 17 into a hydroxyl group that is
present on testosterone. Furthermore, the scientific literature
reports that the additional double bond at carbon 1 in boldione
does not significantly decrease the anabolic activity of the
substance (Vida, 1969). Boldione is an anabolic steroid
precursor, being metabolized by the body into boldenone (Galletti
and Gardi, 1971), which is a schedule III anabolic steroid (21
U.S.C. 801(41)(A)(vi)).
Desoxymethyltestosterone (DMT) is also known by the following
names: 17[alpha]-methyl-5a-androst-2-en-17[beta]-ol; and madol.
DEA has determined that the chemical structure of
desoxymethyltestosterone is chemically related to testosterone.
The chemical structure of desoxymethyltestosterone differs from
testosterone by the following four chemical features: The lack
of a ketone group at the third carbon, a double bond between the
second and third carbon, the lack of a double bond between the
fourth and fifth carbon, and a methyl group at carbon 17. Each
of these four chemical features is known through the scientific
literature not to eliminate the anabolic and androgenic activity
of the substance (Brueggemeir et al., 2002; Vida, 1969).
19-Nor-4,9(10)-androstadienedione is also known by the
following chemical names: 19-norandrosta
4,9(10)-diene-3,17-dione; and estra- 4,9(10)-diene-3,17-dione.
DEA has determined that the chemical structure of
19-nor-4,9(10)-androstadienedione is chemically related to
testosterone. The chemical structure of 19-nor-4,9(10)-
androstadienedione differs from testosterone by the following
three chemical groups: A ketone group at carbon 17, the absence
of a methyl group at carbon 19, and a double-bond between the
ninth and tenth carbon. The human body metabolizes the ketone
group at carbon 17 into a hydroxyl group that is present on
testosterone. Furthermore, the scientific literature reports
that both the absence of the methyl group at carbon 19 and the
additional double bond in 19-nor-4,9(10)- androstadienedione
increase the anabolic activity of the substance (Vida, 1969).
B. Pharmacologically Related to Testosterone
A substance must also be pharmacologically related to
testosterone (i.e., produce similar biological effects) to be
classified as a schedule III anabolic steroid. The pharmacology
of a steroid, as related to testosterone, can be established by
performing one or more of the following androgenic and anabolic
activity assays: ventral prostate assay, seminal vesicle assay,
levator ani assay, testicular atrophy assay, gonadotropin
suppression assay, and androgen receptor binding and efficacy
assays. These assays are described below.
Ventral Prostate Assay, Seminal Vesicle Assay, and Levator
Ani Assay: The classic scientific procedure for examining
the effects of a steroid as compared to testosterone is to
perform the ventral prostate assay, seminal vesicles assay, and
levator ani assay. Certain male accessory organs (i.e., the
ventral prostate, seminal vesicles, and levator ani muscle)
specifically need testosterone to grow and remain healthy. Upon
the removal of the testes (i.e., castration), the primary
endogenous source of testosterone is eliminated causing the
atrophy of the ventral prostate, seminal vesicles, and levator
ani muscle (Eisenberg et al., 1949; Nelson et al., 1940; Scow,
1952; Wainman and Shipoundoff, 1941). Numerous scientific
studies have demonstrated the ability of exogenous testosterone
administered to rats following castration to maintain the normal
weight and size of all three testosterone sensitive organs (Biskind
and Meyer, 1941; Dorfman and Dorfman, 1963; Kincl and Dorfman,
1964; Nelson et al., 1940; Scow, 1952; Wainman and Shipoundoff,
1941). Thus, a steroid with testosterone-like activity will also
prevent the atrophy of these three testosterone-dependent organs
in castrated rats.
[[Page 22296]]
Testicular Atrophy Assay: Administering testosterone
to non- castrated rats causes a decrease in serum levels of
gonadotropins (i.e., luteinizing hormone [LH] and follicle
stimulating hormone [FSH]) from normal levels. Gonadotropins are
pituitary hormones that affect the size and function of the
testes. The suppression of these gonadotropins by excess
testosterone results in a significant decrease in the size and
weight of the testes (Boris et al., 1970; McEuen et al., 1937;
Moore and Price, 1938). Accordingly, a steroid with
testosterone-like activity will also significantly diminish the
size and weight of the testes.
Gonadotropin Suppression Assay: The castration of rats
causes a substantial increase in the serum levels of
gonadotropins (i.e., LH and FSH) above normal levels due to the
removal of the principal source of endogenous testosterone (Gay
and Bogdanove, 1969; Swerdloff et al., 1972, 1973; Swerdloff and
Walsh, 1973). The administration of testosterone to castrated
animals suppresses the increase in the serum levels of
gonadotropins (Gay and Bogdanove, 1969; Swerdloff et al., 1972;
Swerdloff and Walsh, 1973; Verjans et al., 1974). The
administration of anabolic steroids with testosterone-like
activity will also prevent this increase in serum levels of LH
and FSH.
Androgen Receptor Binding and Efficacy Assay: Androgen
receptor binding and efficacy assays are also used to
demonstrate that the activity of a steroid is similar to that of
testosterone. Testosterone produces its anabolic effects
subsequent to binding to and activating the androgen receptor.
Different cell-based assays can compare candidate steroids to
testosterone for their ability to bind to and activate androgen
receptors.
There are several different types of assays used to establish
androgen receptor binding and efficacy. In one assay, C3H10T1/2
stem cells express androgen receptors and are used to assess
steroids for their ability to bind and activate the androgen
receptor (Jasuja et al., 2005a,b; Singh et al., 2003). In these
stem cells, the translocation of the androgen receptor to the
nucleus of the cell in the presence of the ligand (e.g.,
testosterone or its active metabolite dihydroxytestosterone)
confirms that the ligand bound to the androgen receptor and
activated the downstream signaling cascade. When activated, the
C3H10T1/2 stem cells differentiate into skeletal muscle cells as
demonstrated by the increase in the expression of muscle
specific proteins (i.e., myogenic determination transcription
factor [MyoD] and myosin heavy chain [MHC]). Another assay uses
human breast cancer cells genetically altered to contain a
specific reporter gene (e.g., luciferase gene) regulated by
androgen receptor activation (Hartig et al., 2002; Wilson et
al., 2002). The expression of a bioluminescent protein (e.g.,
luciferase) signals both androgen receptor binding and
activation.
Results of the Androgenic and Anabolic Activity Assays
In January 2006, DEA reviewed the published scientific
literature for pharmacological data on the anabolic and
androgenic activity of boldione, desoxymethyltestosterone, and
19-nor-4,9(10)- androstadienedione using the assays described
above. As discussed further below, there was sufficient
information on the pharmacology of desoxymethyltestosterone in
the reviewed scientific literature to determine that
desoxymethyltestosterone is pharmacologically related to
testosterone (i.e., produces biological effects similar to those
of testosterone). However, the published literature contained
insufficient pharmacological data to determine whether boldione
and 19-nor-4,9(10)- androstadienedione were pharmacologically
related to testosterone. Consequently, as discussed further
below, DEA sponsored pharmacological studies involving several
different androgenic and anabolic activity assays to generate
the data necessary to make this determination.
Androgenic and anabolic activity assay results indicate that
boldione, desoxymethyltestosterone, and 19-nor-4,9(10)-
androstadienedione have similar pharmacological activity as
testosterone.
Boldione
DEA sponsored a study \1\ by the Veteran's Administration
Puget Sound Health Care System to determine the anabolic and
androgenic effects of boldione in intact and castrated rats
(Matsumoto and Marck, 2006). The results of these studies were
compared to the results of a study by the same laboratory using
a similar protocol to characterize the androgenic and anabolic
effects of testosterone (Marck et al., 2003). Boldione
administered to castrated male rats by silastic capsules
implanted under the skin prevented atrophy of the ventral
prostate, seminal vesicle, and levator ani, and the rise in
serum gonadotropin (LH and FSH) associated with castration.
Boldione administration also produced testicular atrophy in
intact rats. Another DEA sponsored study \2\ at a laboratory at
Boston University examined the ability of boldione to bind to
the androgen receptor and to cause the differentiation of
C3H10T1/2 stem cells into muscle cells (Bhasin, 2005). All of
these effects caused by boldione in C3H10T1/2 stem cells were
comparable to those of testosterone as established in
experiments using the same or similar methodology (Singh et al.,
2003). Collectively, the evidence indicates that the
pharmacology of boldione is similar to testosterone.
---------------------------------------------------------------------------
\1\ The study by the Veteran's
Administration Puget Sound Health Care System may be found at
www.regulations.gov in the electronic docket associated with
this rulemaking.
\2\ The study by Boston University may be
found at www.regulations.gov in the electronic docket
associated with this rulemaking.
---------------------------------------------------------------------------
Desoxymethyltestosterone
Desoxymethyltestosterone was administered subcutaneously,
orally, or intramuscularly to castrated rats (Dorfman and Kincl,
1963; Kincl and Dorfman, 1964; Nutting et al., 1966). By all
three routes of administration, desoxymethyltestosterone
prevented the atrophy of ventral prostate, seminal vesicle, and
levator ani. Desoxymethyltestosterone also induced the
expression of the bioluminescent protein luciferase in CAMA-1
breast cancer cells signaling androgen receptor binding and
activation (Ayotte et al., 2006). Collectively, the evidence
indicates that the pharmacology of desoxymethyltestosterone is
similar to testosterone.
19-Nor-4,9(10)-Androstadienedione
DEA sponsored a study \3\ by the Veteran's Administration
Puget Sound Health Care System to determine the anabolic and
androgenic effects of 19-nor-4,9(10)-androstadienedione in
intact and castrated rats (Matsumoto and Marck, 2006). The
results of these studies were compared to the results of a study
by the same laboratory using a similar protocol to characterize
the androgenic and anabolic effects of testosterone (Marck et
al., 2003). 19-nor-4,9(10)-androstadienedione administered to
castrated male rats by silastic capsules implanted under the
skin prevented the atrophy of the ventral prostate, seminal
vesicle, levator ani, and the rise in serum gonadotropins (LH
and FSH) associated castration. Another DEA sponsored study at a
laboratory at Boston University \4\
[[Page 22297]]
examined the ability of 19-nor-4,9(10)-androstadienedione to
bind to the androgen receptor and to cause the differentiation
of C3H10T1/2 stem cells into muscle cells (Bhasin, 2005). All of
these effects caused by 19-nor-4,9(10)-androstadienedione in
C3H10T1/2 stem cells were comparable to those of testosterone as
established in experiments using the same or similar methodology
(Singh et al., 2003). Collectively, the evidence indicates that
the pharmacology of 19-nor- 4,9(10)-androstadienedione is
similar to testosterone.
---------------------------------------------------------------------------
\3\ The study by the Veteran's
Administration Puget Sound Health Care System may be found at
www.regulations.gov in the electronic docket associated with
this rulemaking.
\4\ The study by Boston University may be
found at www.regulations.gov in the electronic docket
associated with this rulemaking.
---------------------------------------------------------------------------
C. Not Estrogens, Progestins, and Corticosteroids
DEA has determined that boldione, desoxymethyltestosterone,
and 19- nor-4,9(10)-androstadienedione are unrelated to
estrogens, progestins, and corticosteroids. DEA evaluated the
SAR for each of the substances. The chemical structure of each
substance was compared to that of estrogens, progestins, and
corticosteroids because the chemical structure can be related to
its pharmacological and biological activity. DEA found that the
three substances lacked the necessary chemical structures to
impart significant estrogenic activity (e.g., aromatic A ring) (Duax
et al., 1988; Jordan et al., 1985; Williams and Stancel, 1996),
progestational activity (e.g., 17[beta]-alkyl group) (Williams
and Stancel, 1996), or corticosteroidal activity (e.g.,
17[beta]-ketone group or 11[beta]-hydroxyl group) (Miller et
al., 2002).
D. Not Dehydroepiandrosterone
Dehydroepiandrosterone, also known as DHEA, is exempt from
control as an anabolic steroid by definition (21
U.S.C. 802(41)(A)). Boldione, desoxymethyltestosterone, and
19-nor-4,9(10)-androstadienedione are not dehydroepiandrosterone
and are therefore not exempted from control on this basis.
III. Conclusion
Therefore, based on the above, DEA concludes that boldione,
desoxymethyltestosterone, and 19-nor-4,9(10)-androstadienedione
meet the CSA definition of "anabolic steroid'' because each
substance is: (A) Chemically related to testosterone; (B)
pharmacologically related to testosterone; (C) not an estrogen,
progestin, or a corticosteroid; and (D) not DHEA (21 U.S.C.
802(41)). All anabolic steroids are classified as schedule III
controlled substances (21
U.S.C. 812). Once a substance is determined to be an
anabolic steroid, DEA has no discretion regarding the scheduling
of these substances. As discussed further below, all
requirements pertaining to controlled substances in schedule III
would pertain to these three substances.
IV. Impact of Proposed Rule
Effect of Classifying These Substances as Anabolic
Steroids
If this rulemaking is finalized as proposed, DEA will
classify boldione, desoxymethyltestosterone, and 19-nor-4,9(10)-
androstadienedione as schedule III anabolic steroids. If
classified as schedule III anabolic steroids, any person who
manufactures, distributes, dispenses, imports, or exports
boldione, desoxymethyltestosterone, or
19-nor-4,9(10)-androstadienedione, or who engages in research or
conducts instructional activities with respect to these three
substances would be required to obtain a schedule III
registration in accordance with the CSA and its implementing
regulations. Manufacturers and importers of these three
substances would be required to register with DEA and would be
permitted to distribute these substances only to other DEA
registrants. Only persons registered as dispensers would be
allowed to dispense these three substances to end users. The CSA
defines a practitioner as "a physician, dentist, veterinarian,
scientific investigator, pharmacy, hospital, or other person
licensed, registered, or otherwise permitted, by the United
States or the jurisdiction in which he practices or does
research, to distribute, dispense, conduct research with respect
to, administer, or use in teaching or chemical analysis, a
controlled substance in the course of professional practice or
research'' (21
U.S.C. 802(21)). At present, there are no approved medical
uses for these three substances. Until a manufacturer applies to
the Food and Drug Administration and gains approval for products
containing these substances, no person may dispense them in
response to a prescription.
Manufacture, import, export, distribution, or sale of
boldione, desoxymethyltestosterone, and
19-nor-4,9(10)-androstadienedione, except by DEA registrants,
would become a violation of the CSA that may result in
imprisonment and fines (21
U.S.C. 841 and 960).
Possession of these three steroids, unless legally obtained,
would also become subject to criminal penalties (21
U.S.C. 844).
In addition, under the CSA, these three substances could be
imported only for medical, scientific, or other legitimate uses
(21
U.S.C. 952(b)) under an import declaration filed with DEA (21
CFR 1312.18). Importation of these substances would be
illegal unless the person importing these substances is
registered with DEA as an importer or researcher and files the
required declaration for each shipment. An individual who
purchases any of these substances directly from foreign
companies and has them shipped to the U.S. will be considered to
be importing even if the steroids are intended for personal use.
Illegal importation of these substances would be a violation of
the CSA that may result in imprisonment and fines (21
U.S.C. 960).
Requirements for Handling Substances Defined as Anabolic
Steroids
Upon consideration of public comments from this NPRM, DEA may
issue a final rule classifying boldione,
desoxymethyltestosterone, and 19- nor-4,9(10)-androstadienedione
as anabolic steroids. If classified as anabolic steroids,
boldione, desoxymethyltestosterone, and 19-nor-
4,9(10)-androstadienedione would become subject to CSA
regulatory controls and administrative, civil, and criminal
sanctions applicable to the manufacture, distribution,
dispensing, importation, and exportation of a schedule III
controlled substance, including the following:
Registration. Any person who manufactures,
distributes, dispenses, imports, exports, or engages in research
or conducts instructional activities with a substance defined as
an anabolic steroid, or who desires to engage in such
activities, would be required to be registered to conduct such
activities with schedule III controlled substances in accordance
with 21
CFR part 1301.
Security. Substances defined as anabolic steroids
would be subject to schedule III-V security requirements and
would be required to be manufactured, distributed, and stored in
accordance with 21
CFR 1301.71, 1301.72(b), (c), and (d), 1301.73, 1301.74,
1301.75(b) and (c), 1301.76 and 1301.77.
Labeling and Packaging. All labels and labeling for
commercial containers of substances defined as anabolic steroids
would be required to comply with requirements of 21
CFR 302.03-1302.07.
Inventory. Every registrant required to keep records
and who possesses any quantity of any substance defined as an
anabolic steroid is required to keep an inventory of all stocks
of the substances on hand pursuant to 21
CFR 1304.03, 1304.04 and 1304.11. Every registrant who
desires registration in schedule III for any substance defined
as an anabolic
[[Page 22298]]
steroid shall conduct an inventory of all stocks of the
substances on hand at the time of registration.
Records. All registrants would be required to keep
records pursuant to 21
CFR 1304.03, 1304.04, 1304.05, 1304.21, 1304.22, 1304.23 and
1304.26.
Prescriptions. All prescriptions for these schedule
III substances or for products containing these schedule III
substances would be required to be issued pursuant to 21
CFR 1306.03-1306.06 and Sec. Sec. 1306.21-1306.27. All
prescriptions for these schedule III compounds or for products
containing these schedule III substances, if authorized for
refilling, would be limited to five refills within six months of
the date of issuance of the prescription.
Importation and Exportation. All importation and
exportation of any substance defined as an anabolic steroid
would be required to be in compliance with 21 CFR part 1312.
Criminal Liability. Any activity with any substance
defined as an anabolic steroid not authorized by, or in
violation of, the Controlled Substances Act or the Controlled
Substances Import and Export Act is unlawful.
Disposal of Anabolic Steroids
If this regulation is finalized as proposed, persons who
possess substances that become classified as anabolic steroids
and who wish to dispose of them rather than becoming registered
to handle them should contact their local DEA Diversion field
office for assistance in disposing of these substances legally.
DEA Diversion field office will provide the person with
instructions regarding the disposal. A list of local DEA
Diversion field offices may be found at http://
www.deadiversion.usdoj.gov.
Regulatory Certifications
Regulatory Flexibility Act
The Deputy Administrator hereby certifies that this
rulemaking has been drafted in accordance with the Regulatory
Flexibility Act (5 U.S.C. 601-612). DEA is not able to determine
whether this regulation will, if promulgated as a Final Rule,
not have a significant economic impact on a substantial number
of small entities. As of August 2007, DEA identified 22 dietary
supplements promoted for building muscle and increasing strength
that are purported to contain boldione, desoxymethyltestosterone,
or 19-nor-4,9(10)-androstadienedione. Four dietary supplements
purport to contain boldione; nine dietary supplements purport to
contain desoxymethyltestosterone; and nine dietary supplements
purport to contain 19-nor-4,9(10)- androstadienedione. All 22
dietary supplements are marketed and sold on the Internet.
The manufacturers and distributors of the 22 identified
dietary supplements purported to contain boldione,
desoxymethyltestosterone, or 19-nor-4,9(10)-androstadienedione
also sell a variety of other dietary supplements. DEA has
identified a substantial number of Internet distributors that
sell these dietary supplements. However, these distributors also
sell a variety of other nutritional products. Without
information on the percentage of revenues derived from these
dietary supplements, however, DEA is not able to determine the
economic impact of the removal of these dietary supplements
alone on the business of the firms. DEA has not been able to
identify any chemical manufacturers that are currently using
these substances as intermediates in their manufacturing
process(es). DEA seeks comment on whether this regulation, if
promulgated as a Final Rule, will have a significant economic
impact on a substantial number of small entities.
As of August 2007, DEA identified 20 chemical manufacturers
and distributors that sell at least one of the three substances
addressed in this NPRM. Most of the companies are located in
China and sell a variety of steroids. DEA notes that, as the
vast majority of entities handling these substances are Internet
based, it is virtually impossible to accurately quantify the
number of persons handling these substances at any given time.
Further, DEA has no information regarding the percentage of
revenue these substances constitute for each handler.
DEA has identified one company based in the U.S. that is a
DEA registrant that manufactures and distributes at least one of
these substances as reference products for testing laboratories.
DEA notes, upon placement into schedule III, these substances
may be used for analytical purposes. This company is registered
with DEA and is already in compliance with the CSA and DEA
implementing regulations regarding the handling of schedule III
substances.
Executive Order 12866
The Deputy Administrator hereby certifies that this
rulemaking has been drafted in accordance with Executive Order
12866 section 1(b). It has been determined that this rule is a
significant regulatory action. Therefore, this action has been
reviewed by the Office of Management and Budget.
As discussed above, the effect of this rule would be to
remove products containing these substances from the
over-the-counter marketplace. DEA has no basis for estimating
the size of the market for these products. DEA notes, however,
that virtually all of the substances are imported. According to
U.S. International Trade Commission data, the import value of
all anabolic steroids in 2006 was $6 million. These three
substances would be a subset of those imports. The value of
anabolic steroid imports for the first six months of 2007
declined by 35 percent although the quantity imported increased.
The total market for these products containing these substances,
therefore, is probably quite small. Moreover, DEA believes that
the importation of these three substances is for illegitimate
purposes.
The benefit of controlling these substances is to remove from
the marketplace substances that have dangerous side effects and
no legitimate medical use in treatment in the United States. As
discussed in detail above, these substances can produce serious
health effects in adolescents and adults. If medical uses for
these substances are developed and approved, the drugs would be
available as schedule III controlled substances in response to a
prescription issued by a medical professional for a legitimate
medical purpose. Until that time, however, this action would bar
the importation, exportation, and sale of these three substances
except for legitimate research or industrial uses.
Executive Order 12988
This regulation meets the applicable standards set forth in
Sections 3(a) and 3(b)(2) of Executive Order 12988 Civil Justice
Reform.
Executive Order 13132
This rulemaking does not preempt or modify any provision of
state law; nor does it impose enforcement responsibilities on
any state; nor does it diminish the power of any state to
enforce its own laws. Accordingly, this rulemaking does not have
federalism implications warranting the application of Executive
Order 13132.
Paperwork Reduction Act
This rule proposes to regulate three anabolic steroids, which
are neither approved for medical use in humans nor approved for
administration to cattle or other non-humans. Under this
proposal, only chemical manufacturers who may use these
substances as chemical intermediates for the synthesis of other
steroids would be required to register
[[Page 22299]]
with DEA under the CSA. However, DEA has not been able to
identify any chemical manufacturers that are currently using
these substances as intermediates in their manufacturing
process(es). Therefore, DEA is specifically seeking input from
the chemical industry on any manufacturing process(es) that
maybe impacted by this rulemaking. Thus, DEA does not expect
this proposal to impose any additional paperwork burden on the
regulated industry.
Unfunded Mandates Reform Act of 1995
This rule will not result in the expenditure by state, local,
and tribal governments, in the aggregate or by the private
sector, of $120,000,000 or more (adjusted for inflation) in any
one year and will not significantly or uniquely affect small
governments. Therefore, no actions were deemed necessary under
the provisions of the Unfunded Mandates Reform Act of 1995.
Congressional Review Act
This rule is not a major rule as defined by Section 804 of
the Small Business Regulatory Enforcement Fairness Act of 1996
(Congressional Review Act). This rule will not result in an
annual effect on the economy of $100,000,000 or more; a major
increase in cost or prices; or significant adverse effects on
competition, employment, investment, productivity, innovation,
or on the ability of United States-based companies to compete
with foreign-based companies in domestic and export markets.
List of Subjects in 21 CFR Part 1300
Chemicals, Drug traffic control.
For the reasons set out above, 21 CFR part 1300 is proposed
to be amended as follows:
PART 1300--DEFINITIONS
1. The authority citation for part
1300 continues to read as follows:
Authority: 21 U.S.C. 802, 871(b), 951, 958(f).
2. Section 1300.01 is amended in paragraph (b)(4) by: A.
Redesignating paragraphs (b)(4)(xiii) through (b)(4)(lx) as
(b)(4)(xiv) through (b)(4)(lxi),
B. Adding a new paragraph (b)(4)(xiii),
C. Redesignating new paragraphs (b)(4)(xvii) through
(b)(4)(lxi) as (b)(4)(xviii) through (b)(4)(lxii),
D. Adding new paragraph (b)(4)(xvii),
E. Redesignating new paragraphs (b)(4)(xlvii) through
(b)(4)(lxii) as (b)(4)(xlviii) through (b)(4)(lxiii), and
F. Adding new paragraph (b)(4)(xlvii) to read as follows:
Sec.
1300.01 Definitions relating to controlled substances.
* * * * *
(b) * * *
(4) * * *
(xiii) boldione (androsta-1,4-diene-3,17-dione)
* * * * *
(xvii) desoxymethyltestosterone
(17a-methyl-5a-androst-2-en-17-ol) (a.k.a., madol)
* * * * *
(xlvii) 19-nor-4,9(10)-androstadienedione
(estra-4,9(10)-diene-3,17- dione)
* * * * *
Dated: April 11, 2008.
Michele M. Leonhart,
Deputy Administrator.
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[FR Doc. E8-8842 Filed 4-24-08; 8:45 am]
BILLING CODE 4410-09-P
NOTICE: This is an
unofficial version. An official version of these publications may be obtained
directly from the Government Printing Office (GPO).
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