Tobacco Products Scientific Advisory Committee

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The Tobacco Products Scientific Advisory Committee (TPSAC) is an advisory panel of the United States Food and Drug Administration organized to provide advice, information and recommendations to the FDA commissioner on matters related to the regulation of tobacco products. [1] [2] It was created in accordance to the Family Smoking Prevention and Tobacco Control Act, signed into law by President Barack Obama on June 22, 2009. [3] The Committee was inaugurated during its March 30–31, 2010 meeting. [4]

Contents

Structure and mission

TPSAC consists of 12 members, including a chairperson, all of whom are selected by the FDA commissioner from among experts in medicine, medical ethics, science and technology related to the manufacture and use of tobacco products. Nine voting seats are held for academics and practitioners in the field of health care, while three non-voting seats are held for industry representatives. Members serve for overlapping terms of four years. [1] Meetings are held approximately four times per year, with all meetings publicly announced in the Federal Register at least 15 days before each meeting.

The Committee's purpose is to review and evaluate safety, dependence, and health issues relating to tobacco products and to provide appropriate advice, information and recommendations to the Commissioner of Food and Drugs on the following topics: [1]

Membership

Voting members

Non-voting members

Controversy

On March 1, 2010, the Wall Street Journal reported that proposed committee members Jack Henningfield and Neal L. Benowitz, had served as consultants to GlaxoSmithKline, and Benowitz to Pfizer as well, both pharmaceutical firms that market smoking cessation drugs. [6] Their selection by the FDA has drawn criticism as "lax on conflict of interest" by the Boston Globe . [7] Meanwhile, advocacy group Americans for Limited Government has raised concerns about funding received by TPSAC chair Jonathan Samet from GlaxoSmithKline and other pharmaceutical companies. [8] In January 2011, Gregory N. Connolly resigned from the committee following allegations of conflicts of interest citing payments to provide deposition or trial testimony in lawsuits against tobacco companies. [9]

In February 2011, Lorillard and R.J. Reynolds filed a federal lawsuit to try to block the advisory committee action or force the FDA to disregard its advice, stating three of the eight panel members had financial conflicts of interest from legal and consulting work against tobacco companies. [10] [11] On July 21, 2014, U.S. District Court Judge Richard Leon (Washington, DC) ruled that "FDA erred in determining that the members didn't have conflicts of interest" and that the appointments were arbitrary and capricious. [12] FDA was also ordered to reconstitute the TPSAC. [12]

TPSAC Decision on Menthol Cigarettes

On March 18, 2011 the panel concluded that removing menthol cigarettes from the market would benefit public health in the United States, but stopped short of recommending that the FDA take any specific actions like restricting or banning the additive. A progress report on panel findings is expected in July 2011. [11]

In March 2011, the tobacco industry released a report to the FDA in response to the TPSAC decision claiming menthol cigarettes are no riskier than regular cigarettes and should not be regulated differently. [13] The U.S. District Court decision from July 21, 2014 ruled that "Conflicts of interest — whether actual or perceived — undermine the public's confidence in the agency's decision-making process and render its final product suspect", [12] blocking the TPSAC report on menthol cigarettes from being used for regulatory purposes.

TPSAC Interactive Public Docket

An Interactive Public Docket on the TPSAC was established to allow interested members of the public to discuss the Committee's work. [14] The IPD includes discussion forums on TPSAC sub-topics including Studies and Concepts Under Review, Member Statements and Committee Governance.

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The short-term and long-term adverse effects from electronic cigarette use remain unclear. The long-term effects of e-cigarette use are unknown. The risk from serious adverse events, including death, was reported in 2016 to be low. 39 deaths associated with the use of vaping products have been confirmed in the US, as of November 5, 2019. The long-term health consequences from vaping is probably to be slighter greater than nicotine replacement products. They may produce less adverse effects compared to tobacco products. They may cause long-term and short-term adverse effects, including airway resistance, irritation of the airways, eyes redness, and dry throat. Serious adverse events related to e-cigarettes were hypotension, seizure, chest pain, rapid heartbeat, disorientation, and congestive heart failure but it was unclear the degree to which they were the result of e-cigarettes. Less serious adverse effects include abdominal pain, dizziness, headache, blurry vision, throat and mouth irritation, vomiting, nausea, and coughing. Short-term adverse effects reported most often were mouth and throat irritation, dry cough, and nausea.

References

  1. 1 2 3 Frequently Asked Questions (FAQ's) about the Tobacco Products Scientific Advisory Committee
  2. ↑ Tobacco Products Scientific Advisory Committee
  3. ↑ Occasional Smoker, 47, Signs Tobacco Bill, Jeff Zeleny, New York Times, June 22, 2009.
  4. ↑ Tobacco Products Scientific Advisory Committee at FDA.gov
  5. 1 2 3 4 5 6 7 8 9 10 11 12 13 Roster of the Tobacco Products Scientific Advisory Committee (retrieved April 1, 2010)
  6. ↑ FDA Tobacco Panel Includes Members With Quit-Smoking Ties, Wall Street Journal, David Kesmodel and Jared A. Favole, March 1, 2010.
  7. ↑ FDA lax on conflicts of interest, Boston Globe, March 8, 2010
  8. ↑ ALG Calls On Administration to Dismiss Science Panel Members With Conflicts, March 31, 2010.
  9. ↑ Kesmodel, David (5 January 2011). "FDA Tobacco Adviser Resigns". Wall Street Journal. Retrieved 27 July 2011.
  10. ↑ "Lorillard suit accuses FDA panel of bias". The Business Journal. 25 February 2011. Retrieved 27 July 2011.
  11. 1 2 Wilson, Duff (18 March 2011). "Advisory Panel Urges F.D.A. to Re-examine Menthol in Cigarettes". New York Times. Retrieved 27 July 2011.
  12. 1 2 3 https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2011cv0440-82 . Retrieved 9 September 2014.Missing or empty |title= (help)
  13. ↑ "Tobacco makers fight menthol rules". Associated Press. 18 March 2011. Archived from the original on 27 April 2012. Retrieved 27 July 2011.
  14. ↑ TPSAC IPD
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