norml09 - Page 36
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Under the FDCA_ a human GRASE drug must have a material
history of past use in treatment in the United States.
21 U_SoCo 321 (p)(2) (which has .... otherwise than in such
investigations_ been used to a material extent or a material
time); W einbe___qer vo Hyn_on_., 412 UoS. 609_ 631 (1973)o
Rigorous scientific proofs and current unanimous acceptance
by the medical and scientific community are not enough for a
human drug to be GRASEo ___-Bio LabsInc. vo United
States, 836 F.2d 135, 142 n.8 (3d Cir. 1987). The general
availability of a drug for use in treatment is a factor
courts have considered to determine if a human drug is
GRASE.
In contrast, a drug can achieve current acceptance for
human medical use through the NDA process without a past
history of use in treatment. Also_ animal drugs can become
accepted as GRASE without any past history of medical use.
Given this conflict in FDCA standards, which did Congress
choose when drafting the CSA?
As the Court of Appeals points_ out, requiring a
material history of past use in treatment before recognizing
a drug as having a currently accepted medical usep would
permanently freeze all Schedule ! drugs into Schedule I.
930 Fo2d at 940. Clearly, Congress did not intend this
result. Moreover_ the use of the word "currently" before
the term '_accepted medical use" would indicate Congress
rejected the human GRASE requirement of past material use in
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