Macrolide Antibiotics (Kitasamycin, Oleandomycin and Tylosin
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NOVEMBER 2017 Macrolide antibiotics (kitasamycin, oleandomycin and tylosin): proposed regulatory decisions The reconsideration of products containing kitasamycin, oleandomycin and tylosin and approvals of their associated labels © Australian Pesticides and Veterinary Medicines Authority 2017 ISBN 978-1-925390-93-3 (electronic) Ownership of intellectual property rights in this publication Unless otherwise noted, copyright (and any other intellectual property rights, if any) in this publication is owned by the Australian Pesticides and Veterinary Medicines Authority (APVMA). Creative Commons licence With the exception of the Coat of Arms and other elements specifically identified, this publication is licensed under a Creative Commons Attribution 3.0 Australia Licence. This is a standard form agreement that allows you to copy, distribute, transmit and adapt this publication provided that you attribute the work. 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Third party material does not necessarily reflect the views of the APVMA, or indicate a commitment to a particular course of action. There may be links in this document that will transfer you to external websites. The APVMA does not have responsibility for these websites, nor does linking to or from this document constitute any form of endorsement. The APVMA is not responsible for any errors, omissions or matters of interpretation in any third-party information contained within this document. Comments and enquiries regarding copyright: Director Public Affairs and Communication Australian Pesticides and Veterinary Medicines Authority PO Box 6182 KINGSTON ACT 2604 Australia Telephone: +61 2 6210 4701 Email: [email protected] This publication is available from the APVMA website: www.apvma.gov.au. CONTENTS iii CONTENTS FOREWORD VI SUBMISSIONS FROM THE PUBLIC ARE INVITED VII Preparing your comments for submission vii EXECUTIVE SUMMARY 1 Introduction 1 Review findings 1 Proposed regulatory decisions 2 1 INTRODUCTION 3 Macrolide antibiotics 3 Reasons for the review of macrolide antibiotics 3 Scope of the review 5 Products included in the review of macrolide antibiotics 6 Regulatory options 6 Next steps for this review 6 2 INTERNATIONAL GUIDELINES AND/OR REGULATIONS ON PRUDENT USE OF ANTIMICROBIALS IN FOOD- PRODUCING ANIMALS 7 United States 7 Canada 7 Europe and the United Kingdom 8 New Zealand 8 The World Health Organization (WHO), Food and Agriculture Organization of the United Nations (FAO) and the World Organisation for Animal Health (OIE) 8 Codex Alimentarius Commission (Codex) 9 3 SUMMARY OF ASSESSMENTS AND PROPOSED FINDINGS 10 Public health assessment (antimicrobial resistance) 10 Efficacy assessment 11 Scheduling committee decision 11 Australia’s approach to combating antimicrobial resistance 12 The National Antimicrobial Resistance Strategy 13 Conclusion 14 4 REVIEW OUTCOMES 15 Summary of the proposed regulatory decisions 15 Supported claims 16 Unsupported claims 16 CONTENTS iv Label restraints 16 Label approval numbers 16 5 PROPOSED REGULATORY DECISIONS 17 Vary particulars and/or conditions (of label approval), cancel previous labels and affirm product registrations 17 Cancel registrations of certain products with no supported uses 19 Phase-out periods 20 APPENDIX A – LIST OF PRODUCT REGISTRATIONS AND LABEL APPROVALS 22 APPENDIX B – SUMMARY OF PROPOSED LABEL CHANGES 25 Proposed changes to directions for use 50 g/kg Tylosin Oral Pre-mix products 25 Use patterns to remain on varied label 25 Proposed changes to directions for use 100 g/kg Tylosin Oral Pre-mix products 27 Use patterns to remain on varied label 27 Proposed changes to directions for use 250 g/kg Tylosin Oral Pre-mix products 30 Use patterns to remain on varied label 30 Proposed changes to directions for use 260 g/kg Tylosin Oral Pre-mix products 33 Use patterns to remain on varied label 33 Proposed changes to directions for use 903 g/kg Tylosin Oral Pre-mix products 33 Use patterns to remain on varied label 33 ABBREVIATIONS 34 LIST OF TABLES Table 1: Approved claims that are supported 16 Table 2: Approved claims that are no longer supported 16 Table 3: Product registrations to be affirmed following variation of approved labels 17 Table 4: Product registrations to be cancelled 19 Table A-1: Product registrations and associated label approvals included in the review 22 Table B-1: Proposed indications for use for Product 36791 Elanco AF0050 Tylan 50 Tylosin Phosphate Premix 25 Table B-2: Proposed indications for use for Product 45175 Lienert Tylan 50 Premix 25 Table B-3: Proposed indications for use for Product 54573 Tyleco 50 Granular 26 Table B-4: Proposed indications for use for Product 60891 Tylodox 50 G Microgranulate Feed Additive 26 Table B-5: Proposed indications for use for Product 62888 Tylodox 50 27 Table B-6: Proposed indications for use for Product 36790 Elanco AF0091 Tylan 100 Tylosin Phosphate Premix 27 Table B-7: Proposed indications for use for Product 53703 Tylomix 100 Tylosin Tartrate Premix 28 Table B-8: Proposed indications for use for Product 60283 CCD Tylosin 100 (Tylosin Phosphate) Premix 28 Table B-9: Proposed indications for use for Product 61977 Pharmasin 100 Granular Premix 29 Table B-10: Proposed indications for use for Product 81769 Tylodox 100G 29 Table B-11: Proposed indications for use for Product 36806 Elanco AF0250 Tylan 250 Tylosin Phosphate Premix 30 CONTENTS v Table B-12: Proposed indications for use for Product 53752 Tyleco 250 Granular 30 Table B-13: Proposed indications for use for Product 59908 Tylodox 250 31 Table B-14: Proposed indications for use for Product 61913 Pharmasin 250 Granular Premix 31 Table B-15: Proposed indications for use for Product 64657 Tylodox 250 G Microgranulate Feed Additive 32 Table B-16: Proposed indications for use for Product 67990 Tylogran 250 BMP 32 Table B-17: Proposed indications for use for Product 61525 Elanco AF0248 Tylan Granular Tylosin Phosphate 33 Table B-18: Proposed indications for use for Product 65360 Tylodox 1000 33 FOREWORD vi FOREWORD The Australian Pesticides and Veterinary Medicines Authority (APVMA) is an independent statutory authority with responsibility for the regulation of agricultural and veterinary chemicals in Australia. Its statutory powers are provided in the Agvet Codes scheduled to the Agricultural and Veterinary Chemicals Code Act 1994. The APVMA has legislated powers to reconsider the approval of an active constituent, registration of a chemical product or approval of a label at any time after it has been registered. The reconsideration process is outlined in sections 29 to 34 of Part 2, Division 4 of the Agvet Codes. A reconsideration may be initiated when new research or evidence has raised concerns about the use or safety of a particular chemical, a product containing that chemical, or its label. The scope of each reconsideration can cover a range of areas including human health (toxicology, public health, occupational health and safety), the environment (environmental fate and ecotoxicology), residues and trade, chemistry, efficacy or target crop/animal safety. However, the scope of each reconsideration is determined on a case- by-case reflecting the specific issues raised by the new research or evidence. The reconsideration process includes a call for data from a variety of sources, a scientific evaluation of that data and, following public consultation, a regulatory decision about the ongoing use of the chemical or product. The data required by the APVMA must be generated according to scientific principles. The APVMA conducts science and evidence-based risk analysis with respect to the matters of concern, analysing all the relevant information and data available. In undertaking reconsiderations, the APVMA works in close cooperation with external experts including the Department of the Environment and Energy, the Department of Health, Food Standards Australia New Zealand (FSANZ), and the state departments of agriculture, as well as other expert advisers as appropriate. This document sets out the proposed regulatory decision (PRD) relating to the active constituents kitasamycin, oleandomycin and tylosin and products containing kitasamycin, oleandomycin and tylosin when used in accordance with label instructions. The preliminary review findings and proposed regulatory decisions are based on information collected from a variety of sources. This proposed regulatory decision on kitasamycin, oleandomycin and tylosin is available from the APVMA website at www.apvma.gov.au. PUBLIC SUBMISSIONS vii SUBMISSIONS FROM THE PUBLIC ARE INVITED This proposed regulatory decisions