Friday, 10 April 2015

FDA panel wary of dropping warnings from tobacco pouch



by By Matthew Perrone


Government health advisers have serious reservations about a proposal by Swedish Match to market its smokeless tobacco pouches as less harmful than cigarettes and other tobacco products.



The company is seeking Food and Drug Administration permission to remove or revise several warning labels on the pouches, called snus. It's the first formal request the FDA has considered publicly since it gained authority to regulate tobacco products in 2009.


But a panel of FDA advisers said overwhelmingly Friday that company data do not support several key changes.


The eight-member panel voted unanimously that the company's application does not show that snus lack the same risks of gum diseases and tooth loss as other products. Swedish Match has asked the FDA to drop those warnings from its U.S. offerings, including brands such as Longhorn, Timber Wolf and General snus.


Snus are teabag-like pouches or loose tobacco that users stick between their cheek and gum to absorb nicotine. They are popular in Scandinavian countries and are part of a growing smokeless tobacco market in the U.S. Swedish Match holds about 9 percent of the U.S. market, which is dominated by Richmond, Virginia-based Altria, parent company of Phillip Morris.


Swedish Match also wants the FDA to certify new language that its snus have "substantially lower risks to health than cigarettes." The company points to studies showing that snus are not associated with lung cancer, lung disease and other ailments tied to cigarettes.


But panelists said the company's language oversimplifies the issue, since some snus users also smoke, exposing themselves to from both products. Panelists voted unanimously that the company's language does not adequately describe the health risks of snus, including pregnancy complications such as early delivery and stillbirth.


"I did not think the warning was clear, it did not adequately convey the health risks that are relevant," said Dr. Philip Huang, committee chair and an official with the health department of Travis County, Texas.


The FDA is not required to follow the advice of the panel, which is composed of experts specializing in tobacco control, public health and cancer care.


A day earlier Swedish Match representatives presented findings suggesting that Swedish uptake of snus has helped reduce diseases linked to cigarettes there.


But panelists pointed to key differences between the U.S. and Sweden, including Sweden's ban on tobacco advertising and a population that is less diverse racially, economically and culturally than the U.S.


The advisory panel meeting and FDA's ultimate action on the application are being closely watched by both the public health community and tobacco companies, which are looking for new products to sell as they face declining cigarette demand due to tax increases, health concerns, smoking bans and social stigma.


Under a 2009 law, the FDA was given authority to evaluate tobacco products for their and approve ones that could be marketed as safer than others. The agency has received 17 applications for such products, according to an agency spokeswoman, but none have been given the OK yet. Agency officials have previously noted that some could pose less of a risk to users than smoking.



© 2015 The Associated Press. All rights reserved.


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by By Matthew Perrone


Government health advisers have serious reservations about a proposal by Swedish Match to market its smokeless tobacco pouches as less harmful than cigarettes and other tobacco products.



The company is seeking Food and Drug Administration permission to remove or revise several warning labels on the pouches, called snus. It's the first formal request the FDA has considered publicly since it gained authority to regulate tobacco products in 2009.


But a panel of FDA advisers said overwhelmingly Friday that company data do not support several key changes.


The eight-member panel voted unanimously that the company's application does not show that snus lack the same risks of gum diseases and tooth loss as other products. Swedish Match has asked the FDA to drop those warnings from its U.S. offerings, including brands such as Longhorn, Timber Wolf and General snus.


Snus are teabag-like pouches or loose tobacco that users stick between their cheek and gum to absorb nicotine. They are popular in Scandinavian countries and are part of a growing smokeless tobacco market in the U.S. Swedish Match holds about 9 percent of the U.S. market, which is dominated by Richmond, Virginia-based Altria, parent company of Phillip Morris.


Swedish Match also wants the FDA to certify new language that its snus have "substantially lower risks to health than cigarettes." The company points to studies showing that snus are not associated with lung cancer, lung disease and other ailments tied to cigarettes.


But panelists said the company's language oversimplifies the issue, since some snus users also smoke, exposing themselves to from both products. Panelists voted unanimously that the company's language does not adequately describe the health risks of snus, including pregnancy complications such as early delivery and stillbirth.


"I did not think the warning was clear, it did not adequately convey the health risks that are relevant," said Dr. Philip Huang, committee chair and an official with the health department of Travis County, Texas.


The FDA is not required to follow the advice of the panel, which is composed of experts specializing in tobacco control, public health and cancer care.


A day earlier Swedish Match representatives presented findings suggesting that Swedish uptake of snus has helped reduce diseases linked to cigarettes there.


But panelists pointed to key differences between the U.S. and Sweden, including Sweden's ban on tobacco advertising and a population that is less diverse racially, economically and culturally than the U.S.


The advisory panel meeting and FDA's ultimate action on the application are being closely watched by both the public health community and tobacco companies, which are looking for new products to sell as they face declining cigarette demand due to tax increases, health concerns, smoking bans and social stigma.


Under a 2009 law, the FDA was given authority to evaluate tobacco products for their and approve ones that could be marketed as safer than others. The agency has received 17 applications for such products, according to an agency spokeswoman, but none have been given the OK yet. Agency officials have previously noted that some could pose less of a risk to users than smoking.



© 2015 The Associated Press. All rights reserved.


Medical Xpress on facebook


Related Stories


FDA questions evidence for lower-risk tobacco product


date Apr 07, 2015

U.S. health regulators have questions about the data submitted by tobacco maker Swedish Match in its bid to become the first company to market a smokeless tobacco product as less harmful than cigarettes.



Firm seeks to say tobacco cuts risk


date Jun 10, 2014

Smokeless tobacco maker Swedish Match is asking the Food and Drug Administration to certify its General-branded pouches of tobacco as less harmful than cigarettes.



Hookah pipes, smokeless tobacco snus associated with smoking onset


date Dec 08, 2014

Smoking water pipe tobacco from hookahs and using the smokeless tobacco snus were associated with initiating cigarette smoking and smoking cigarettes in the past 30 days among previously nonsmoking teenagers and young adults, ...



FDA: tobacco companies must report chemicals


date Mar 30, 2012

(AP) -- Tobacco companies will be required to report the levels of dangerous chemicals found in cigarettes, chew and other products under the latest rules designed to tighten regulation of the tobacco industry.



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date Apr 20, 2008

A form of moist Swedish tobacco known as snus has been linked to premature death in users, a new longitudinal study has found.





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Please sign in to add a comment. Registration is free, and takes less than a minute. Read more


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to reset your password.


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