The en banc Fifth Circuit held 10-6 that the U.S. Food and Drug Administration’s (FDA) denial of a flavored e-cigarette product manufacturer’s premarket tobacco application (PMTA) was arbitrary and capricious, and that the agency’s error was not harmless. See Wages and White Lion Investments, L.L.C. v. FDA, No. 21-60800 (5th Cir. Jan. 3, 2024) (en banc). In so holding, the Fifth Circuit joins the Eleventh Circuit, which rejected FDA’s denial of a similar vaping product PMTA, and disagrees with the Second, Third, Fourth, Seventh, and Ninth Circuits, which have sided with FDA in cases raising analogous issues.
According to the Fifth Circuit majority, FDA sent the industry on “a wild goose chase.” In a long series of “meetings, PowerPoint decks, proposed rules, comment periods, guidance documents, and enforcement priorities,” FDA explained to the industry what companies should and should not include in their marketing applications. According to the guidance, the agency did not expect that manufacturers would need to submit specific studies in support of their applications. Instead, it would “be possible to support a marketing order for an [electronic nicotine delivery system] product without conducting new nonclinical or clinical studies given other data sources can support the PMTA.” FDA also emphasized the central importance each company’s marketing plan would play in its assessment of their products. Finally, the agency invited manufacturers to rely on existing data about unflavored products rather than conducting detailed long-term studies that would be necessary to generate new data specific to each flavored product.
Heeding these detailed instructions, thousands of manufacturers prepared and submitted applications for millions of products. FDA denied them all for reasons that the Fifth Circuit majority views as contradictory to the detailed guidance it had provided the industry all along the way. It faulted petitioners, for example, for having failed to conduct clinical trials and longitudinal cohort studies—the very studies it had previously said were not necessarily required to support a PMTA. It also rejected petitioners’ attempt to use data regarding unflavored products to support inferences regarding their own flavored products. And finally, it refused even to read petitioners’ marketing plans—the ones it had insisted on would be critical to its evaluation of their applications.