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Ego Pharmaceuticals Pty Ltd and Minister for Health and Ageing [2009] AATA 729 (10 September 2009)
Last Updated: 23 September 2009
Administrative Appeals Tribunal
DECISION AND REASONS FOR DECISION [2009] AATA 729
ADMINISTRATIVE APPEALS TRIBUNAL )
) No 2008/4472
GENERAL ADMINISTRATIVE DIVISION )
Re Ego Pharmaceuticals Pty Ltd
Applicant
And Minister for Health and Ageing
Respondent
DECISION
Tribunal Justice Downes, President
Dr T Schafer
Date 10 September 2009
Place Canberra
Decision The report of Dr Pershing dated June 2008 is determined to be
“new information” pursuant to s 60A of the Therapeutic Goods
Act 1989. The two reports of Dr Pershing dated August 2008 are not
“new information” pursuant to s 60A. Section 37 of the
Administrative Appeals Tribunal Act 1975 does not require the respondent
to file any further list of documents.
..................[sgd[........................
Garry
Downes
President
RELEVANT ACT/S:
Therapeutic Goods Act 1989
Administrative Appeals Tribunal Act 1975
CITATIONS
Shi v Migration Agent Registration Authority [2008] HCA 31; (2008) 235 CLR 286
Eli Lilly v Australia Pty Ltd and Minister for Health and Family
Services (1999) 53 ALD 453
REASONS FOR DECISION
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Justice Downes, President
Dr T Schafer
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JUSTICE DOWNES, PRESIDENT
- Ego
Pharmaceuticals has applied under the Therapeutic Goods Act 1989 for
approval to market a product for topical application to the skin. One of the
issues which arises in connection with the question
of whether the application
should be approved is whether it satisfies the requisite tests relating to
quality, safety and efficacy.
The application by Ego was refused by the
original decision-maker on 23 June 2008 and that decision was affirmed on review
by a
delegate of the Minister on 12 September 2008. Ego now appeals to the
Administrative Appeals Tribunal.
- One
of the issues which will arise in the application for review before the Tribunal
is what material the Tribunal can take into account.
The extent of the material
that can be put before the Tribunal is regulated by s 60A of the
Therapeutic Goods Act. That provision precludes what is described in the
section, somewhat misleadingly, as “new information”, being put
before
the tribunal. I say that the description is somewhat misleading because
one of the tests of whether information is “new information”
is
whether it was in existence at the time the original decision was made. The
phrase “new information” is obviously
used in the sense of existing
information newly sought to be relied upon.
- Section
60A provides that if an applicant, called an appellant in the legislation,
lodges new information in support of the application with
the Tribunal, the
Tribunal may remit the matter for fresh decision, or, alternatively, may
consider the matter; but if it does, it
must not consider new information except
information that indicates that the quality, safety or efficacy of the goods is
unacceptable.
The phrase “new information” is defined in the Act,
and there are three aspects of it. First, the information must
be in existence
at the time of the original decision. Secondly, it must be information which
“was not made available to the
Secretary or authorised delegate for the
purpose of making the decision.” Thirdly, the information must be
relevant to the
decision. There is then an additional statement included in the
definition as follows:
“And includes any opinions that are
wholly or substantially based on such information (whether or not the opinions
were formed
before or after the decision was made).”
- Ego
has today lodged in the tribunal a folder of documents which is claimed by the
respondent to include some documents which are
entirely new information and some
documents which are partly new information. The folder is comprised of three
reports by Dr Lynne
K. Pershing. The first report was made in June 2008.
The second and third reports were both made in August 2008. The reports
themselves
are said to be new information. Each of the reports contain a number
of references to other documents, and some, but not all, of
the documents
referred to in the three reports are said to be new information.
- What
the tribunal has to determine today as a preliminary matter is whether these
documents lodged by the applicant amount to new
information, and, if they do,
what course should be followed so far as the application is concerned. Section
60A has two aspects to it which seem to me to be worthy of comment. First, the
section appears to have an object of requiring the Tribunal
to determine the
matter on the material that was before the original decision-makers. That seems
to me to be an entirely usual kind
of provision. Until the decision of the High
Court of Australia in Shi v Migration Agent Registration Authority [2008] HCA 31; (2008)
235 CLR 286, a year or so ago, perhaps there was even some doubt as to whether
the tribunal should, as a matter of course, always proceed on
material that was
before it, whether or not it was before the original decision-maker. Secondly,
the provision, whilst limiting the
material which the applicant can put before
the tribunal in this way, does not impose any similar limitation on the
respondent.
Indeed, the tribunal can have regard to new information to the
extent to which it indicates that the quality, safety or efficacy
of the goods
is unacceptable. There seems to be no limitation on further information which
the respondent can put before the tribunal.
This aspect of the provision seems
to me to be slightly different and is not a provision which one might describe
as everyday.
- It
does seem to me that the fact that the legislation gives somewhat uneven rights
to the applicant and the respondent is a matter
which is at least relevant to
the construction of the section. Having said that, however, I note that it is
to be expected that
virtually the whole of the information that will be before a
decision-maker will be information provided by the applicant. After
all, it is
the applicant who has developed, and seeks marketing approval for the product,
and which has accordingly conducted the
appropriate research and trials.
- The
question arises in the present case as to what is the effect of the concluding
words of the definition of new information. I
say that because the material
that is relied upon in the present case can be characterised as three reports or
opinions based on
the material in the references cited in the reports. If that
qualifying provision is to operate, then the question may be whether
the reports
are wholly or substantially based on new information. If they are wholly or
substantially based on new information,
they will be new information. If they
are not wholly or substantially based on new information, they will not be new
information.
- The
first report is a report made in June, which is some 20 pages long. It
contains 14 references which may be taken to
be the material upon which the
opinion is based. Of the 14 references in the report, eight are to
material which is accepted
by the respondent not to be new information, and six
are to material which is said by the respondent to be new information. The
applicant has not sought to contradict that suggestion. I note that the
information which is said to be new information is primarily
published research,
which substantially predates the first decision. The material which is not said
to be new information includes
things like three CVs and is not material of the
same substance.
- It
seems to me that, having regard to the whole of the definition of new
information, including the three lines at the end, the report
of
Dr Pershing of June 2008 is new information and there is no dispute that
the references to which I have referred as being
new information are also new
information. It accordingly follows that, in my opinion, the June report is new
information within
the section, as are the references also identified as new
information.
- However,
it seems to me that the second and third reports are in a different category.
Although they are dated after the date of
the relevant decision, it does not
seem to me that that fact is particularly relevant. What is important is that
although there
are a number of references cited in each of the two reports, very
few of them are said to be new information. There are one or two
paragraphs in
the body of the document which are also said to be new information but they seem
to me, also, to cover a very small
part of the report. It accordingly seems to
me that the two reports of August 2008 and the references in them, which are
said to
be new information themselves, are not new information within the
section. I say this, because it does not seem to me that they
satisfy the
section generally and certainly they do not satisfy, to my mind, the section, in
particular, in that part of it which
is contained in the last three lines.
- I
particularly think that the second and third reports are opinions which are not
wholly or substantially based on new information.
It would surprise me if the
legislature, having provided that opinions that are wholly or substantially
based on new information
are, themselves, new information, did not intend that
opinions not wholly or substantially based on new information were not.
However,
I do base my decision on the whole of the definition.
- It
follows that so far as the question of whether material lodged this morning is
new information or not, it is my opinion that the
first report and certain
attachments of Dr Pershing do amount to new information, but the second and
third reports, and accordingly
the attachments in dispute, do not.
- There
is a second matter, which was raised before the tribunal this morning, relating
to s 37 of the Administrative Appeals Tribunal Act 1975. In
accordance with s 37 the respondent has filed documents in accordance with
the requirements of the section. Those requirements are that the person who
made the decision should lodge with the Tribunal, inter alia, all
documents:
“...in the person’s possession or under the person’s
control relevant to the review of the decision by the Tribunal.”
- The
product proposed to be marketed by Ego is said to be a generic equivalent of an
existing product, called Elocon. Ego argues that
at least some material held by
the Therapeutic Goods Administration, relating to the application and marketing
approval for Elocon,
will be relevant to this review and submits that the
respondent could only comply with its obligation under s 37 of the AAT
Act
by examining the material held in connection with Elocon and then including
within the s 37 documents, any documents which
were then found to be
relevant. The respondent argues that nothing in that material could be relevant
and that there is no occasion
to make the search in the first place.
- The
primary issues that will be before the tribunal are as to the quality, safety
and efficacy of the applicant’s product, not
the quality, safety and
efficacy of the Elocon product, even though Ego may wish to argue that the two
are relevantly equivalent.
It seems to me that when one takes that into
account, and asks the question whether material, in disparate files of the
Therapeutic
Goods Administration, relating to a different application by a
different applicant, can be subject to a requirement for inclusion
of such
documents within those files, which might be of some evidentiary assistance in
the application for review, the correct response
is that the s 37 does not
impose such an obligation. The first proposition is that this other material
relates to a different
product. Next, there is a question as to whether, in any
event, it can be said that, relevantly, the other material is within the
possession or power of the decision-maker. It may be that the decision-maker
could ask for the material and that it would be provided
if asked for, but it
does not seem to me that it follows that when a decision-maker is making a
decision relating to a particular
application, based on material put before the
decision-maker in that application, that it would be proper for the
decision-maker
to begin searching through other files of the Therapeutic Goods
Administration, against the possibility that something, which would
assist,
might be found. If the result that that conclusion leads to is not reached from
an analysis of what is within the possession
or control of the decision-maker,
it does seem to me that it is reached by an application of the test of
relevance.
- For
all these reasons, it accordingly seems to me that s 37 does not require
the respondent to file any further list of documents.
- During
the course of the hearing today, some product information relating to the Elocon
product was put before the tribunal. I have
to say, I am still unclear whether
it is sought to add that material as material to be relied upon, which is not
caught by s 60A,
although I think that the document was really only handed
to us to illustrate a point that was made with respect to the other documents.
In any event, it does seem to me that if this document was not made available to
the decision-maker in the sense that the document,
by some means, whether at the
behest of the applicant, the respondent or by some other means, came before the
decision-maker, then
the document does seem to me to be new information, which
would be excluded.
- A
lot was made during submissions today about the meaning of the phrase
“made available.” I have not found it necessary
to spend any time
dealing with the phrase in coming to my decision. However, it does seem to me
that, first of all, the information
– because those are the words of the
section – must be in, or something akin to, a written form – for
example,
an electronic communication might be sufficient – and in so
concluding I think I am not disagreeing with what Deputy President
McMahon said
in the tribunal in Eli Lilly v Australia Pty Ltd and Minister for Health and
Family Services (1999) 53 ALD 453. So it seems to me that information
requires something concrete. Memory or recollection of the existence of
a
document is not enough. I do not, however, think that “made
available” means made available by the applicant. It
seems to me that,
provided it is practically before the decision-maker or within, so to speak, the
decision-maker’s grasp or
call, it can be said to have been made
available.
- For
all these reasons, it seems to me that the position relating to the new
information is as I have found it to be, and the application
under s 37
must fail.
DR SCHAFER
- I
agree with his Honour’s decision. I do not propose to go into any detail
about the specific issues that we have been asked
to consider today but I will,
very briefly, comment on the documents that the applicant has sought to,
inter alia, have included as part of its application before the tribunal.
- Specifically,
the applicant seeks to rely on three expert reports by Dr Pershing, one
dated June 2008, which was prior to the
initial decision, and two dated August
2008 which are post the initial decision.
- In
my view, the expert report dated June 2008 and its associated references fall
within the definition of “new information”
in s 60A of the
Therapeutic Goods Act 1989, on two possible constructions of that
provision. Firstly, by virtue of that document pre-dating the initial decision,
it falls
within the definition of new information in s 60A because it was
relevant to the initial decision and was not made available to the Secretary for
the purposes of making the decision.
Alternatively, if we are to consider that
an expert opinion of itself is not new information but falls within the
definition of new
information if it is wholly or substantially based on new
information, I consider that the expert report dated June 2008 substantially
includes information that constitutes new information and, therefore, comes
within that definition.
- In
relation to the expert opinions dated August 2008, both of those reports
post-date the initial decision. In my view, those expert
reports are not wholly
or substantially based on new information and, therefore, do not come within the
definition of “new
information” and should be taken to be so for the
purposes of section 60A.
- In
relation to the applicant’s request to rely, inter alia, on data
from the originator’s product, in my view, the applicant’s
obligation is to establish, pursuant to s 25(1)(d) of the Therapeutic
Goods Act that the quality, safety and efficacy of their product for the
purposes for which it is to be used has been satisfactorily established.
- In
my view, the applicant, by virtue of the originator’s product, has already
had the benefit of the originator’s product
by being able to submit an
abridged application which did not require the applicant to submit comprehensive
toxicology and clinical
data. The key test that the applicant must satisfy is
whether its product is bioequivalent to the originator’s product. It
does
not, in my view, provide for a review of the originator’s data for that
test to be established.
- In
my view, the initial decision-maker has relied on the information provided by
the applicant and it is the applicant’s responsibility
to submit
information as part of its application to the TGA to satisfy the statutory test
in s 25(1)(d). For that reason primarily I do not think that it is
appropriate for the tribunal to consider the originator’s data as
appropriate
to this application.
I certify that the
26 preceding paragraphs are a true copy of the reasons for the decision herein
of Justice Downes, President and
Dr Schafer.
Signed:
.............................[sgd]...............................................
Claire Doherty, Associate
Date/s of Hearing: 10 September 2009
Date of Decision: 10 September 2009
Solicitor for the Applicant: Ian Cunliffe
Counsel for the Applicant: Mr J Kirk
Solicitor for the Respondent: DLA Phillips Fox
Counsel for the Respondent: Ms M Allars
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