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DRUG SAFETY

(Part 1)

HEARINGS

BEFORE A

SUBCOMMITTEE OF THE

COMMITTEE ON

GOVERNMENT OPERATIONS
HOUSE OF REPRESENTATIVES

EIGHTY-EIGHTH CONGRESS

SECOND SESSION

MARCH 24, 25, APRIL 8, AND JUNE 8, 1904

Printed for the use of the

Committee on Government Operations

U.S. GOVERNMENT PRINTING OFFICE
WASHINGTON : 1964

COMMITTED ON GOVERNMENT OPERATIONS

WILLIAM L. DAWSON, Illinois, Chairmen

CHET HOLIFIELD, California
JACK BROOKS, Teme

L. H. FOUNTAIN, North Carolina
PORTER HARDY, JR., Virginia
JOHN A. BLATNIK, Minnesota
ROBERT E. JONES, Alabama
EDWARD A. GARMATZ, Maryland
JOHN E. MO88, California
DANTE B. FASCELL, Florida
HENRY 8. REUSS, Wisconsin'
JOHN S. MONAGAN, Connecticut
RICHARD E. LANKFORD, Maryland
TORBERT H. MACDONALD, Massachuset
J. EDWARD ROUSH, Indiana

WILLIAM 8. MOORHEAD, Pennsylvania
CORNELIUS E. GALLAGHER, New Jermy
WILLIAM J. RANDALL, Missouri
BENJAMIN 8. ROSENTHAL, New York

B. WALTER RIEHLMAN, New Yask
GEORGE MEADER, Michigan
CLARENCE J. BROWN, Ohio
FLORENCE P, DWYER, New Jassay

ROBERT P. GRIFFIN, Michigan

GEORGE M. WALLHAUSER, New Jersey

JOHN B. ANDERSON, Illinois

OGDEN B. REID, New York

FRANK J. HORTON, New York

BILL STINSON, Washingtem
ROBERT MCCLORY, Illinois
IRENE B. BAKER, Tennesse

CHRISTINE Ray Davis, Haff Director
JAMES A. LANIGAN, General Couned
MILES Q. ROMNEY, Associate General Counsel
J. P, CARLSON, Minority Couned
RAYMOND T. COLLINS, Minerity Professional Saf

INTERGOVERNMENTAL RELATIONS SUBCOMMIT
L. H. FOUNTAIN, North Carolina, Chairmen ́
FLORENCE P. DWYER,'New Jersey
BILL STINSON, Washington

JOHN A. BLATNIK, Minnesota
TORBERT H. MACDONALD, Massachusetts
J. EDWARD ROUSH, Indiana
JOHN E. MO88, California

DELPHIS C. GOLDBERG, Professional Staf Member
JAMES R. NAUGHTON, Couned

W. DONALD GRAY, Senior Investigater
GEORGE O. BERINI, Assistant Counsel


Apple, William S., Ph. D., executive director, American Pharmaceu

tical Association; accompanied by Edward G. Feldmann, Ph. D.,

director, scientific division.

Hussey, Hugh H., M.D., director, Division of Scientific Activities,

American Medical Association; accompanied by Paul R. M.

Donelan, attorney, legislative department..

Larrick, George P., Commissioner of Food and Drugs; accompanied
by Dr. Ralph Smith, William W. Goodrich, W. B. Rankin, and
M. D. Kinslow..
Smith, Austin, M.D., president, Pharmaceutical Manufacturers Asso-
ciation; accompanied by Leonard Scheele, M.D., senior vice presi-
dent, Warner-Lambert Pharmaceutical Co.; and Theodore G.
Klumpp, M.D., president, Winthrop Laboratories.

Smith, Austin, M.D., president, Pharmaceutical Manufacturers Asso-

ciation; accompanied by Theodore G. Klumpp, M.D., president,

Winthrop Laboratories; Leonard A. Scheele, M.D., senior vice

president, Warner-Lambert Pharmaceutical Co.; Karl H. Beyer,

M.D., vice president, Merck Sharp & Dohme Research Laborato

ries;
t. Joseph Statler, executive vice president and general counsel,

Pharmaceutical Manufacturers Association; and Karl Bambach,

Ph. D., senior vice president, Pharmaceutical Manufacturers Associ

ation...

Letters, statements, etc., submitted for the record by-

Apple, William S., Ph. D., executive director, American Pharmaceu-

tical Association:

Excerpt from comment of Dr. Edward G. Feldman (exhibit 5)..

Excerpt from President Kennedy's message to the Congress re

proposed national mental health program, February 5, 1963.

Exhibit 1-Prescribing information, thorazine, brand of chlor-

promazine..

266

Donelan, Paul R. M., attorney Legislative Department, American
Medical Association: Letter from F. J. L. Blasingame, M.D., exec-
utive vice president, American Medical Association, to Hon. L. H.
Fountain, July 13, 1964...

Dwyer, Hon. Florence P., & Representative in Congress from the

State of New Jersey: Excerpt from statement of William S. Apple,

Ph. D.

Fountain, Hon. L. H., a Representative in Congress from the State

of North Carolina:

241

CONTENTS

Biographical data of Joseph Francis Sadusk, Jr., A.B., M.D..

Brochure describing project RAPID, September 1963.
Expenditures by FDA for methodology research...

165

196

Food and Drug Administration requirements for additional
medical staff in the evaluation of drugs for human use.

Form-Registration of drug establishment, 1963...

215

[blocks in formation]

Changes in drug labeling requirement; changes in new

drug applications..

Changes in drug labeling requirement; changes in new
drug applications; amendment in final order and
changes in effective date..

Press release, January 11, 1961..

99, 100

135

134

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