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Premarket Tobacco Product

Applications for Electronic


Nicotine Delivery Systems
(Revised)*

Guidance for Industry


Comments may be submitted at any time for Agency consideration. Electronic comments may be
submitted to https://www.regulations.gov. Alternatively, submit written comments to the
Dockets Management Staff (HFA-305), Food and Drug Administration, 5630 Fishers Lane,
Room 1061, Rockville, MD 20852. All comments should be identified with Docket No. FDA-
2015-D-2496.

For questions regarding this guidance, contact the Center for Tobacco Products at 1-877-CTP-
1373 (1-877-287-1373) Monday - Friday, 9 a.m. – 4 p.m. ET.

Additional copies are available online at https://www.fda.gov/tobacco-products/compliance-


enforcement-training/small-business-assistance-tobacco-product-industry. You may send an e-
mail request to SmallBiz.Tobacco@fda.hhs.gov to receive an electronic copy of this guidance.
You may send a request for hard copies to U.S. Food and Drug Administration, Center for
Tobacco Products, Attn: Office of Small Business Assistance, Document Control Center, Bldg.
71, Rm. G335, 10903 New Hampshire Ave., Silver Spring, MD 20993-2000.

U.S. Department of Health and Human Services


Food and Drug Administration
Center for Tobacco Products

March 2023

*This is the first revision to the first edition of this guidance, which issued in June 2019. Revisions are noted by
date at the end of the guidance.
Table of Contents
I. INTRODUCTION................................................................................................................ 1
II. BACKGROUND .................................................................................................................. 2
III. DEFINITIONS ..................................................................................................................... 5
A. Accessory ................................................................................................................................ 5
B. Additive .................................................................................................................................... 5
C. Component or Part .................................................................................................................. 5
D. Covered Tobacco Product ...................................................................................................... 6
E. E-cigarette ................................................................................................................................ 6
F. E-liquids ................................................................................................................................... 6
G. Finished Tobacco Product ...................................................................................................... 7
H. New Tobacco Product ............................................................................................................. 7
I. Tobacco Product ...................................................................................................................... 7
IV. DISCUSSION ....................................................................................................................... 8
A. Products to Which This Guidance Applies ........................................................................... 8
B. When Are PMTAs Required and What Enforcement Policies Apply? .............................. 9
1. Considerations for All Applicants .................................................................................... 9
2. ENDS Retailers Who Mix or Prepare Their Own E-Liquids or Create or Modify E-
cigarettes from Various Components................................................................................ 10
C. General Procedures for ENDS PMTA Review ................................................................... 10
D. Public Health Considerations for ENDS Products ............................................................. 12
1. Section 910(c)(2)(A) Standard: A Showing That the New Tobacco Product Is Appropriate
for the Protection of the Public Health ............................................................................. 12
2. Valid scientific evidence ................................................................................................... 13
3. Comparison Products ....................................................................................................... 14
4. Nicotine exposure warnings.............................................................................................. 15
5. Warning statement regarding the addictiveness of nicotine ............................................. 16
6. Protective packaging ........................................................................................................ 17
V. HOW TO SUBMIT A PMTA ........................................................................................... 18
VI. CONTENT AND FORMAT OF A PREMARKET TOBACCO PRODUCT
APPLICATION FOR ENDS PRODUCTS ..................................................................... 19
A. General Information ............................................................................................................. 21
B. Table of Contents................................................................................................................... 22
C. Descriptive Information ........................................................................................................ 22
D. Product Samples .................................................................................................................... 24
E. Labeling .................................................................................................................................. 24

i
F. Environmental Assessment ................................................................................................... 25
G. Summary of All Research Information ............................................................................... 25
H. Scientific Studies and Analyses ............................................................................................ 27
1. Product Analyses and Manufacturing .............................................................................. 27
2. Nonclinical and Human Subject Studies ........................................................................... 34
VII. ADDITIONAL RECOMMENDATIONS FOR PREMARKET TOBACCO
PRODUCT APPLICATIONS FOR E-LIQUID PRODUCTS ...................................... 45
A. Components, Ingredients, and Additives ............................................................................ 45
B. Flavors .................................................................................................................................... 45
VIII. ADDITIONAL RECOMMENDATIONS FOR PREMARKET TOBACCO
PRODUCT APPLICATIONS FOR E-CIGARETTES .................................................. 46
A. E-cigarette Design Factors to Consider ............................................................................... 46
B. Possible Design Parameters for Subcategories of E-cigarette Components and Parts ... 47
1. Batteries ............................................................................................................................ 48
2. Atomizers and other similar parts (e.g., cartomizers) ...................................................... 49
3. Software ............................................................................................................................ 50
IX. ADDITIONAL RECOMMENDATIONS FOR ENDS PRODUCTS THAT
PACKAGE E-LIQUIDS AND E-CIGARETTES TOGETHER ................................... 51
X. ADDITIONAL CONSIDERATIONS FOR SCIENTIFIC STUDIES AND
ANALYSES ........................................................................................................................ 51
A. Alternatives to U.S.-Conducted Randomized Controlled Clinical Trials ........................ 52
B. Literature Reviews ................................................................................................................ 52
C. Analysis of Published Literature and Public Datasets ....................................................... 53
D. Master Files ............................................................................................................................ 54
E. Bridging .................................................................................................................................. 55
XI. POSTMARKET REQUIREMENTS ............................................................................... 55
XII. REQUESTING MEETINGS WITH FDA ....................................................................... 56
XIII. OFFICE OF SMALL BUSINESS ASSISTANCE .......................................................... 57

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Contains Nonbinding Recommendations

Premarket Tobacco Product Applications for


Electronic Nicotine Delivery Systems

Guidance for Industry1

This guidance represents the current thinking of the Food and Drug Administration (FDA or Agency) on
this topic. It does not establish any rights for any person and is not binding on FDA or the public. You
can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations.
To discuss an alternative approach, contact the FDA staff responsible for this guidance as listed on the
title page.

I. INTRODUCTION

This guidance is intended to assist persons submitting premarket tobacco product applications
(PMTAs) for electronic nicotine delivery systems (ENDS) under section 910 of the Federal
Food, Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 387j). This guidance communicates
FDA’s current thinking on these applications to improve the efficiency of application submission
and review; however, the recommendations in this guidance are non-binding. When FDA
reviews PMTAs for ENDS, it will base decisions on the obligations that arise from the FD&C
Act and its implementing regulations. FDA anticipates that the experience gained through the
publication of this guidance and review of PMTAs may contribute to future rulemaking and
guidances.

The guidance explains, among other things:

• Products to which this guidance applies;


• When a PMTA is required under the statute and regulations;
• General procedures for review of an ENDS PMTA;
• What information the FD&C Act requires you to submit in a PMTA; and
• What information FDA recommends you submit in an ENDS PMTA to show that
permitting your new tobacco product to be marketed would be appropriate for the
protection of the public health (APPH).

FDA is committed to helping industry better understand the tobacco product review process and
the requirements of the law and will continue holding public webinars and meetings with
industry to assist manufacturers of deemed tobacco products. FDA has published guidance on

1
This guidance was prepared by the Office of Science and Office of Regulations in the Center for Tobacco Products
at FDA.

1
Contains Nonbinding Recommendations

meetings with industry2 and has had many productive meetings to address companies’ specific
questions on their development of tobacco products. Throughout this document, we identify
additional assistance (including support offered by the Office of Small Business Assistance
within the Center for Tobacco Products (CTP)) available to applicants preparing to submit a
PMTA for ENDS.3 FDA’s web site and guidance documents provide information about the three
pathways available to market products (including PMTA).

FDA has also held a series of public workshops to gather scientific information on ENDS
products and the public health, and to provide more information about application review.4 As
specified in the preamble to the final deeming rule, manufacturers will benefit from additional
assistance with their marketing applications, including the designation of a Regulatory Health
Project Manager so that they have a single point of contact in CTP’s Office of Science for
questions about their marketing applications. They also will have access to an appeals process in
the event that FDA denies their marketing applications. FDA expects that these steps will help
streamline the PMTA submission process for applicants and reduce the time it will take the
Agency to review premarket submissions for ENDS and other deemed products.

If an applicant wishes to discuss its development of a PMTA, the applicant may request a
meeting as set forth in the research and development (R&D) meetings guidance. See section XII
of this document for additional discussion related to meetings with FDA.

The recommendations made in this guidance document are substantially similar to those set forth
in the draft guidance issued on May 5, 2016. If you have taken measures consistent with the draft
guidance, they will generally be consistent with the recommendations herein.

FDA’s guidance documents, including this guidance, do not establish legally enforceable
responsibilities. Instead, guidances describe the Agency’s current thinking on a topic and should
be viewed only as recommendations, unless specific regulatory or statutory requirements are
cited. The use of the word should in Agency guidances means that something is suggested or
recommended, but not required.

II. BACKGROUND

The Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act) (Public Law
111-31) was enacted on June 22, 2009, amending the FD&C Act and providing FDA with the

2
Information about how to request meetings with CTP can be found in FDA’s guidance, Meetings with Industry and
Investigators on the Research and Development of Tobacco Products (R&D meetings guidance), available on the
Internet at https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance. For additional
information on requesting a meeting with FDA in the context of preparing for a PMTA submission, see section XII
of this document.
3
See section XIII of this document for more information on CTP’s Office of Small Business Assistance.
4
Information and transcripts from CTP’s series of public workshops on “Electronic Cigarettes and the Public
Health” (conducted December 10-11, 2014; March 9-10, 2015; and June 1-2, 2015) and “Tobacco product
Application Review – A Public Meeting” (conducted October 22-23, 2018) are available on CTP’s Public Meetings
and Conferences Web page at https://www.fda.gov/TobaccoProducts/NewsEvents/default.htm.

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Contains Nonbinding Recommendations

authority to regulate tobacco products. Specifically, section 101(b) of the Tobacco Control Act
amends the FD&C Act by adding a new chapter that provides FDA with authority over tobacco
products. Section 901 of the FD&C Act (21 U.S.C. 387a), as amended by the Tobacco Control
Act, states that the new chapter in the FD&C Act (chapter IX—Tobacco Products) (21 U.S.C.
387 through 387t) applies to all cigarettes, cigarette tobacco, roll-your-own tobacco, and
smokeless tobacco and to any other tobacco products that the Secretary of Health and Human
Services by regulation deems to be subject to this chapter.

On May 10, 2016, FDA issued a final rule, “Deeming Tobacco Products to Be Subject to the
Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and
Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and
Required Warning Statements for Tobacco Products” (final deeming rule) (81 FR 28973). The
final deeming rule extended FDA’s tobacco product authorities to all products, other than
accessories of deemed tobacco products, that meet the statutory definition of “tobacco product”
in section 201(rr) of the FD&C Act (21 U.S.C. 321(rr)).5 In the final deeming rule, FDA clarifies
that all ENDS (including, but not limited to, e-cigarettes, e-pens, e-cigars, e-hookah, vape pens,
personal vaporizers, and electronic pipes) are subject to FDA’s chapter IX authorities on the
effective date of the final deeming rule.6 ENDS products include both the e-liquid and e-cigarette
used as an ENDS, whether sold as a unit or separately.

Products deemed under the final deeming rule are now subject to most of the same FD&C Act
provisions to which cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco
are subject, including premarket review requirements and the adulteration and misbranding
provisions. FDA has issued a draft guidance for public comment explaining FDA’s compliance
policy for investigational tobacco products, which discusses circumstances in which FDA
generally intends not to enforce the premarket review requirements for tobacco products used for
investigational purposes.7 Further, deemed products will be subject to the modified risk tobacco
product restrictions in section 911 of the FD&C Act. If the applicant seeks to market its new
tobacco product as a modified risk tobacco product, the applicant will also have to submit a

5
At the time this guidance was originally published, the statutory term “tobacco product” in section 201(rr)(1) of the
FD&C Act was limited to products made or derived from tobacco. On March 15, 2022, the Consolidated
Appropriation Act (CAA) of 2022, amended the term “tobacco product” in 201(rr)(1) of the FD&C Act to include
products that contain “nicotine from any source.” Under section 901(b) of the FD&C Act, as amended by the CAA,
tobacco products containing nicotine that is not made or derived from tobacco are subject to Chapter IX without
needing to be deemed by regulation. Accordingly, products that meet the tobacco product definition because they
contain nicotine not made or derived from tobacco, including ENDS containing nicotine not made or derived from
tobacco, are not considered deemed tobacco products. Rather, such products are now subject to the requirements for
tobacco products in Chapter IX of the FD&C Act, including premarket application requirements, by the terms of the
amended section 901(b) of the FD&C Act.
6
If an ENDS manufacturer wishes to make a cessation claim or otherwise market its product for therapeutic
purposes, the company must submit an application for its ENDS to be marketed as a medical product. Please see
section IV.B.1 for further discussion.
7
When finalized, the draft guidance Use of Investigational Tobacco Products will represent FDA’s current thinking
on this topic. For the most recent version of a guidance, check the FDA Tobacco Products Guidance Web page at
https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance.

3
Contains Nonbinding Recommendations

modified risk tobacco product application and receive FDA’s authorization.8 In addition, these
products are also subject to certain other restrictions set out in the final deeming rule and may be
subject to other requirements or restrictions established in future regulations.

Under section 910 of the FD&C Act, persons wanting to market a new tobacco product (one that
was not commercially marketed in the United States as of (i.e., on) February 15, 2007, or any
modified tobacco product that was commercially marketed after February 15, 2007) must first
obtain an order to do so (referred to in this guidance as a marketing order) under section
910(c)(1)(A)(i) unless a report pursuant to section 905(j) of the FD&C Act has been submitted
for the new tobacco product and FDA has issued an order under section 910(a)(2) that the new
tobacco product is substantially equivalent to a tobacco product commercially marketed in the
United States as of (i.e., on) February 15, 2007 (the 905(j) pathway), or the new tobacco product
is exempt from the substantial equivalence requirements.9 When a new product is not found to be
substantially equivalent to an appropriate predicate product or exempt from the substantial
equivalence requirements, you must submit a PMTA under section 910(b) and receive a
marketing order under section 910(c)(1)(A)(i) prior to marketing the product.

All regulated tobacco products that meet the definition of a “new tobacco product,” including
ENDS, are subject to the requirements of premarket review in sections 910(a)(2) of the FD&C
Act. Given the expected difficulty in identifying valid ENDS predicate products (products
commercially marketed on February 15, 2007, or previously determined to be substantially
equivalent to an appropriate predicate product) for use in the substantial equivalence pathway,
FDA expects to receive PMTA submissions from manufacturers of ENDS products. Section
910(b)(1) of the FD&C Act contains the requirements for a PMTA submission. This guidance is
intended to provide information to assist applicants in submitting a PMTA to apply for a
marketing order under section 910(c)(1)(A)(i).

To the extent that an eligible predicate product (one marketed as of February 15, 2007, or
previously determined to be substantially equivalent to an appropriate predicate product) is
available for ENDS products, and firms are interested in utilizing the 905(j) pathway to market
for their new ENDS tobacco products, we refer you to sections 905(j) and 910(a) of the FD&C
Act, 21 CFR sections 1105.10 and 1107.1, and FDA’s relevant guidance documents located at
https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance. You can find a
list of marketing orders where FDA determined a product to be substantially equivalent at
https://www.fda.gov/TobaccoProducts/Labeling/TobaccoProductReviewEvaluation/ucm339928.
htm.

8
When finalized, the draft guidance Modified Risk Tobacco Product Applications will represent FDA’s current
thinking on this topic, including submission of a combined PMTA and MRTPA, available at
https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance.
9
FDA has interpreted “as of February 15, 2007” to mean any tobacco product that was commercially marketed in
the United States on February 15, 2007. For additional discussion, see FDA’s guidance for industry Establishing
That a Tobacco Product Was Commercially Marketed in the United States as of February 15, 2007, available on the
Internet at https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance. FDA guidance states
that “[i]f you cannot provide documentation specifically dated on February 15, 2007, FDA suggests you provide
documentation of commercial marketing for a reasonable period of time before and after February 15, 2007.”

4
Contains Nonbinding Recommendations

This guidance represents FDA’s non-binding recommendations on some appropriate means of


addressing the premarket authorization requirements for ENDS products. If an applicant wishes
to discuss the development of a product application, the applicant may request a meeting with
FDA as described in section XII of this document and further discussed in the R&D meetings
guidance document.

III. DEFINITIONS

This section provides definitions of certain terms as they are used in this guidance document.

A. Accessory

The term accessory means any product that is intended or reasonably expected to be
used with or for the human consumption of a tobacco product; does not contain
tobacco and is not made or derived from tobacco; and meets either of the following:

(1) is not intended or reasonably expected to affect or alter the performance,


composition, constituents, or characteristics of a tobacco product; or
(2) is intended or reasonably expected to affect or maintain the performance,
composition, constituents, or characteristics of a tobacco product but
(i) solely controls moisture and/or temperature of a stored tobacco product; or
(ii) solely provides an external heat source to initiate but not maintain
combustion of a tobacco product (21 CFR 1100.3).

For purposes of this guidance, the term “composition,” in this definition means the
manner in which the materials, including, for example, ingredients, additives, and
biological organisms (e.g., micro-organisms added for fermentation in smokeless
products), are arranged and integrated.

Examples of products that FDA considers accessories for an ENDS product include
screwdrivers, lanyards, and decorative cases.

B. Additive

An additive is any substance the intended use of which results or may reasonably be
expected to result, directly or indirectly, in its becoming a component or otherwise
affecting the characteristic of any tobacco product (including any substances
intended for use as a flavoring or coloring or in producing, manufacturing, packing,
processing, preparing, treating, packaging, transporting, or holding), except that
such term does not include tobacco or a pesticide chemical residue in or on raw
tobacco or a pesticide chemical (section 900(1) of the FD&C Act).

C. Component or Part

Component or part means any software or assembly of materials intended or


reasonably expected: 1) to alter or affect the tobacco product’s performance,
composition, constituents, or characteristics; or 2) to be used with or for the human

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Contains Nonbinding Recommendations

consumption of a tobacco product. Component or part excludes anything that is an


accessory of a tobacco product. (21 CFR 1100.3).

The following is a nonexhaustive list of examples of components or parts of ENDS


(including e-cigarettes): e-liquids, atomizers, batteries (with or without variable
voltage), cartomizers (atomizer plus replaceable fluid-filled cartridge), digital
display/lights to adjust settings, clearomizers (refillable e-liquid cartridges with built-
in atomizer and wicking system), tank systems, flavors, bottles that contain e-liquids,
and programmable software.

D. Covered Tobacco Product

Under 21 CFR 1143.1, the term covered tobacco product means any tobacco
product deemed to be subject to the FD&C Act under 21 CFR 1100.1, but excludes
any component or part of a tobacco product that is not made or derived from
tobacco. Examples of covered tobacco products include, but are not limited to,
cigars, pipe tobacco, and e-liquids.10

E. E-cigarette

For the purposes of this guidance, e-cigarette refers to an electronic device that
delivers e-liquid in aerosol form into the mouth and lungs when inhaled; it is also
referred to as an aerosolizing apparatus. For example, FDA considers vapes or vape
pens, personal vaporizers, cigalikes, e-pens, e-hookahs, e-cigars, and e-pipes to be
e-cigarettes. For the purposes of this guidance, e-cigarettes may either be open e-
cigarettes or closed e-cigarettes. An open e-cigarette, also referred to as a refillable
e-cigarette, is an e-cigarette that includes a reservoir that a user can refill with an e-
liquid of their choosing. A closed e-cigarette is an e-cigarette that includes an e-
liquid reservoir that is not refillable, such as a disposable cigalike, or that uses e-
liquid contained in replaceable cartridges or pods that are not intended to be
refillable. Also, for the purposes of this guidance, if an e-cigarette contains e-liquid
it is referred to as a prefilled e-cigarette.

F. E-liquids

For the purposes of this guidance document, e-liquids include liquid nicotine,
nicotine-containing liquids (i.e., liquid nicotine combined with colorings,
flavorings, and/or other ingredients), and liquids that do not contain nicotine or
material made or derived from tobacco, but that are intended or reasonably expected
to be used with or for the human consumption of a tobacco product.

An e-liquid that contains nicotine (from any source) or material made or derived
from tobacco meets the definition of a tobacco product and, therefore, is subject to
FDA’s chapter IX authorities. Liquids that do not contain nicotine or material made
or derived from tobacco, but that are intended or reasonably expected to be used

10
For additional restrictions on covered tobacco products, see 21 CFR 1140.14 and part 1143.

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Contains Nonbinding Recommendations

with or for the human consumption of a tobacco product, may be components or


parts and, therefore, subject to FDA’s tobacco control authorities. For example,
where a “zero nicotine” or “nicotine free” e-liquid (e.g., a zero nicotine flavored e-
liquid) is intended or reasonably expected to be mixed with liquid nicotine, that e-
liquid may be a component or part of a tobacco product and subject to FDA’s
tobacco control authorities. Such e-liquids would be tobacco products even if sold
separately from an e-cigarette. E-liquids containing zero nicotine that are not
otherwise made or derived from tobacco and are not intended or reasonably
expected to be mixed with liquid nicotine or materials made or derived from
tobacco are not tobacco products and thus are not subject to FDA’s tobacco control
authorities under the FD&C Act.

G. Finished Tobacco Product

For purposes of this guidance document, the term finished tobacco product refers to
a tobacco product, including all components and parts, sealed in final packaging.
For example, an e-liquid sealed in final packaging that is to be sold or distributed to
a consumer for use is a finished tobacco product, but in contrast, an e-liquid that is
sold or distributed for further manufacturing into a finished ENDS product is not
itself a finished tobacco product.

H. New Tobacco Product

The term new tobacco product is defined in section 910(a)(1) of the FD&C Act as:

(A) any tobacco product (including those products in test markets) that was not
commercially marketed in the United States as of February 15, 2007; or
(B) any modification (including a change in design, any component, any part, or
any constituent, including a smoke constituent, or in the content, delivery or
form of nicotine, or any other additive or ingredient) of a tobacco product
where the modified product was commercially marketed in the United States
after February 15, 2007.11

I. Tobacco Product

A tobacco product is any product made or derived from tobacco, or containing


nicotine from any source, that is intended for human consumption, including any
component, part, or accessory of a tobacco product (except for raw materials other
than tobacco used in manufacturing a component, part, or accessory of a tobacco
product). The term “tobacco product” does not mean an article that under the
Federal Food, Drug, and Cosmetic Act is: a drug (section 201(g)(1)); a device
(section 201(h)); a combination product (section 503(g)); or a food (section 201(f))
if such article contains no nicotine, or no more than trace amounts of naturally
occurring nicotine (section 201(rr) of the FD&C Act). The term is not limited to
products containing nicotine, tobacco, or tobacco derivatives, and also includes

11
See note 7.

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Contains Nonbinding Recommendations

components, parts, or accessories of tobacco products, whether they are sold for
further manufacturing or for consumer use. For example, e-liquids, e-cigarettes,
atomizers, and batteries used in ENDS are tobacco products, whether they are sold
to consumers for use in an ENDS or are sold for further manufacturing into another
product sold to a consumer.

IV. DISCUSSION

A. Products to Which This Guidance Applies

As noted above, the final deeming rule extended FDA’s tobacco product authorities
to all products, other than accessories of deemed tobacco products, that meet the
statutory definition of “tobacco product” in section 201(rr) of the FD&C Act (21
U.S.C. 321(rr)).12 Currently, FDA generally considers ENDS to be electronic
nicotine delivery systems that deliver aerosolized e-liquid when inhaled. 13 ENDS
products fall within the definition of “tobacco product” under section 201(rr) of the
FD&C Act,, and are subject to the tobacco product authorities in chapter IX of the
FD&C Act including the requirement for premarket review. Components and parts
of ENDS products sold separately are also subject to FDA’s tobacco products
authorities, including premarket review.14 Overall, the ENDS category thus includes
a variety of products, such as vape pens or personal vaporizers, cigalikes, e-pens, e-
hookahs, e-cigars, e-pipes, e-liquids, atomizers, batteries (with or without variable
voltage), cartomizers (atomizer plus replaceable fluid-filled cartridge), digital
display/lights to adjust settings, clearomizers (refillable e-liquid cartridges with built-
in atomizer and wicking system), tank systems, flavors, and programmable software.
Because it is a rapidly changing industry and new ENDS products may be
developed in the future this is a non-exhaustive list of examples of ENDS products.

Subsequent sections of this guidance refer to three subcategories of ENDS products:

• E-liquids
• E-cigarettes
• ENDS products that package e-liquids and e-cigarettes together

We detail our recommendations in sections VI through VIII regarding the type of


information that should be submitted for these three subcategories of products. FDA
recognizes that with the innovation in the ENDS market, there may be ENDS
products that do not fit neatly into one of these categories. If you have questions
about which recommendations you should follow for your ENDS product, please

12
See fn 6.
13
Manufacturers of products that use an electronic heating source in conjunction with substances other than e-
liquids, such as tobacco, should also consider whether the recommendations in this guidance could help them
prepare a PMTA for their product.
14
Please note that the accessories of deemed ENDS (i.e., ENDS containing nicotine made or derived from tobacco
and their components and parts) are not subject to FDA’s tobacco product authorities, including premarket review.

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Contains Nonbinding Recommendations

contact CTP’s call center at 1-877-CTP-1373 (1-877-287-1373). Small businesses


may also contact CTP’s Office of Small Business Assistance by email at
smallbiz.tobacco@fda.hhs.gov or by phone at 1-877-CTP-1373 to discuss questions
regarding PMTA content. Questions about a specific premarket tobacco application
should reference your Submission Tracking Number (STN) and may be directed to
CTP’s Office of Science. For additional information on small business assistance,
see section XIII of this document.

B. When Are PMTAs Required and What Enforcement Policies Apply?

1. Considerations for All Applicants

Section 910 of the FD&C Act requires a marketing order for new tobacco products.
At this time, FDA intends to limit enforcement of the requirements of section 910 to
finished tobacco products, including components and parts of ENDS products sold
or distributed separately for consumer use. FDA does not, at this time, intend to
enforce these requirements for components and parts of deemed products that are
sold or distributed solely for further manufacturing into finished tobacco products,
and not sold separately to the consumer. For example, an e-liquid that is sold or
distributed for further manufacturing into a finished ENDS product is not itself a
finished tobacco product and, at this time, FDA does not intend to enforce against
such e-liquids that are sold or distributed without a marketing order. In contrast, an
e-liquid sealed in final packaging that is to be sold or distributed to a consumer for
use is a finished tobacco product.

If an ENDS product is marketed for tobacco cessation or for any other therapeutic
purpose, the product is a drug or device, rather than a tobacco product, under the
authorities of FDA’s Center for Drug Evaluation and Research or Center for
Devices and Radiological Health, and appropriate approval must be sought to
market a product as a drug or device.15

Please note that if you are seeking to market your new tobacco product as a
modified risk tobacco product, you will also have to submit a modified risk tobacco
product application for FDA’s review and receive authorization.16 See section VI
of this document for information on submitting a single application to seek
authorization to market a new tobacco product as a modified risk tobacco product,
rather than submitting a separate PMTA and MRTPA.

15
21 CFR 1100.3; see, e.g., sections 505 (21 U.S.C. 355) (drugs) and 515 (21 U.S.C. 360e) (devices) of the FD&C
Act and Sottera, Inc. v. Food & Drug Administration, 627 F.3d 891 (D.C. Cir. 2010).
16
21 USC 387k. When finalized, the guidance Modified Risk Tobacco Product Applications will represent FDA’s
current thinking on this topic.

9
Contains Nonbinding Recommendations

2. ENDS Retailers Who Mix or Prepare Their Own E-Liquids or Create or


Modify E-cigarettes from Various Components

An ENDS retail establishment that mixes or prepares combinations of liquid


nicotine, flavors, or other e-liquids for direct sale to consumers for use in ENDS, or
creates or modifies e-cigarettes for direct sale to consumers for use in ENDS
(sometimes known as a vape shop) meets the definition of “tobacco product
manufacturer” in section 900(20)17 of the FD&C Act. Section 910(a)(1) defines a
“new tobacco product” as “any tobacco product (including those products in test
markets) that was not commercially marketed in the United States as of February
15, 2007,” or “any modification (including a change in design, any component, any
part, or any constituent, including a smoke constituent, or in the content, delivery or
form of nicotine, or any other additive or ingredient) of a tobacco product where the
modified product was commercially marketed in the United States after February
15, 2007.” Therefore, those establishments engaged in mixing and/or preparing
combinations of liquid nicotine, flavors, and/or other e-liquids or creating or
modifying e-cigarettes for direct sale to consumers for use in ENDS are both
tobacco product manufacturers and retailers, and consequently are subject to all the
requirements applicable to manufacturers and retailers including the PMTA
requirements.18

C. General Procedures for ENDS PMTA Review

The time it takes to review a PMTA depends on the complexity of the product.
FDA intends to act as expeditiously as possible with respect to all new applications,
while ensuring that statutory standards are met.

FDA will review an ENDS PMTA consistent with the requirements of section
910(c) of the FD&C Act. Under section 910(c)(1)(A), FDA must act on a PMTA
“as promptly as possible, but in no event later than 180 days after the receipt of an
application.” To determine when the 180-day period begins, FDA generally relies
on the date of receipt of a complete application by CTP’s Document Control Center
(DCC) (or, if samples are the last part of the application submitted, the location to
which samples are sent), not the date that the applicant sent it. To be complete, a
PMTA must include all information specified in section 910(b)(1) (and discussed
further in Section VI below). As noted in the next paragraph, FDA may refuse to
file an incomplete application. If FDA refuses to file an application, FDA will issue

17
A “tobacco product manufacturer” means “any person, including any repacker or relabeler, who manufactures,
fabricates, assembles, processes, or labels a tobacco product; or imports a finished tobacco product for sale or
distribution in the United States” (section 900(20) of the FD&C Act, 21 U.S.C. 387(20)).
18
The guidance Interpretation of and Compliance Policy for Certain Label Requirement; Applicability of Certain
Federal Food, Drug, and Cosmetic Act Requirements to Vape Shops represents FDA’s current thinking on this topic.
For the most recent version of a guidance, check the FDA Tobacco Products Guidance Web page at
https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance.

10
Contains Nonbinding Recommendations

a letter to the applicant identifying the deficiencies that prevented FDA from filing
the application.

In addition, we are clarifying that FDA distinguishes among an application that has
been “accepted,” an application that has been “filed,” and an application that is
“complete.”

• Accepted: An application has been “accepted” after the Agency completes a


preliminary review and determines that the application appears on its face to
contain information required by the statutory provisions and any applicable
regulations.19
• Filed: After FDA accepts a PMTA, an application has been “filed” after FDA
completes a filing review and determines that the application is sufficiently
complete to permit a substantive review. This filing review occurs only for a
premarket tobacco application or a modified risk application and results in
either a filing letter or a refusal to file letter.
• Substantive Review of a Complete Application: An application is considered
complete when it contains the information required by section 910(b)(1) of the
FD&C Act, including product samples, which starts the 180-day review period
as set forth in section 910(c)(1)(A) of the FD&C Act. If there are deficiencies
identified during the review of the filed PMTA, CTP may issue letters
requesting additional information or clarification on deficiencies identified
within the application. Issuance of such a letter would pause the 180-day review
period until CTP receives a complete response to all the deficiencies identified
within the letter.

In addition to the information required by section 910(b)(1) of the FD&C Act, FDA
may also request information about your PMTA as necessary to support FDA’s
review of your application under its authority in section 910(b)(1)(G), which
requires a PMTA to contain such other information relevant to the subject matter of
the application as FDA may require. FDA may also want to inspect your
manufacturing, clinical research, or nonclinical research sites, including all records
and information regarding your research related to your PMTA. Inspections of these
sites allow FDA to assess the accuracy and validity of the information provided,
including clinical and nonclinical information, confirm whether the tobacco product
meets applicable product standards under section 907 of the FD&C Act (if any),
and confirm that the product can be manufactured according to defined standards
outlined in the PMTA. Inspections will also provide important information
regarding whether the manufacturing, processing, or packing of the tobacco product

19
FDA’s basic acceptance criteria are codified at 21 CFR 1105.10, which describes when FDA will refuse to accept
a tobacco product submission (or application) because the application has not met a minimum threshold for
acceptability for FDA review.

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Contains Nonbinding Recommendations

conform to tobacco product manufacturing practices, which will be set forth in a


future rulemaking.20

Under section 910(b)(2) of the FD&C Act, FDA has the discretion, upon your
request or on its own initiative, to refer your PMTA to the Tobacco Product
Scientific Advisory Committee (TPSAC). FDA Advisory committees are used to
obtain independent, expert advice on scientific, technical, and policy matters.
TPSAC reviews and evaluates safety, dependence, and health issues relating to
tobacco products and provides appropriate advice, information, and
recommendations to the Commissioner of Food and Drugs.21 If you wish to request
that FDA refer your PMTA to TPSAC, you should include the request in the cover
letter of your initial PMTA submission. If you would like to request that FDA refer
your PMTA to TPSAC after your PMTA has been submitted, please contact CTP to
discuss this option.

D. Public Health Considerations for ENDS Products

1. Section 910(c)(2)(A) Standard: A Showing That the New Tobacco Product Is


Appropriate for the Protection of the Public Health

Section 910(c)(2)(A) of the FD&C Act requires that FDA deny a PMTA where it
finds “there is a lack of a showing that permitting such tobacco product to be
marketed would be appropriate for the protection of the public health.”22 FDA’s
finding of whether there is a showing that permitting a product to be marketed
would be appropriate for the protection of the public health (APPH) must be
determined with respect to the risks and benefits to the population as a whole,
including users and nonusers of the tobacco product, and taking into account:

(A) the increased or decreased likelihood that existing users of tobacco products
will stop using such products; and
(B) the increased or decreased likelihood that those who do not use tobacco
products will start using such products.

20
FDA intends to issue regulations under section 906(e) of the FD&C Act that will contain the requirements for
tobacco product manufacturing practices. At that time, each new PMTA will also be expected to demonstrate that
the methods, facilities, or controls used conform to these regulations (section 910(c)(2)(B)).
21
For more information, please visit the TPSAC website:
https://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryComm
ittee/default.htm
22
In addition, the statute provides that FDA shall deny PMTAs under section 910(c)(2) of the FD&C Act where:
(B) the methods used in, or the facilities or controls used for, the manufacture, processing, or packing of such
tobacco product do not conform to the requirements of section 906(e);
(C) based on a fair evaluation of all material facts, the proposed labeling is false or misleading in any particular;
or
(D) such tobacco product is not shown to conform in all respects to a tobacco product standard in effect under
section 907, and there is a lack of adequate information to justify the deviation from such standard.

12
Contains Nonbinding Recommendations

(Section 910(c)(4) of the FD&C Act.) We provide information in this section to


assist applicants in submitting an ENDS PMTA that could support a showing that
the marketing of a new tobacco product would be APPH.

Throughout this guidance document, we recommend providing specific information


pertaining to different topic areas and scientific disciplines to enable FDA to make a
determination of whether your PMTA supports a showing that permitting the
marketing of your new tobacco product would be APPH. For example, knowing the
full assessment of the toxicological effects of your ENDS (e.g., ingredients,
components, use of the product) is important to assess the health effects on users
and nonusers under Section 910(b). As such, FDA assesses the toxicology of the
product to determine whether product use would have a detrimental effect on users’
and nonusers’ health. FDA weighs all of the potential benefits and risks from the
information contained in the PMTA to make an overall determination of whether
the product should be authorized for marketing.

You may propose specific restrictions on sale and distribution that can help support
a showing that permitting the marketing of the product would be APPH (e.g., a
restriction that decreases the likelihood that those who do not use tobacco products
will start using tobacco products). FDA may consider your product in that context
and may include your proposed restrictions as mandatory conditions in your
marketing order. These restrictions would be in addition to any other restrictions
that FDA may require on the sale and distribution of the tobacco product, or any
postmarket records and reports FDA may find necessary.

The following sections highlight several broad categories of issues that applicants
should consider to help demonstrate that permitting the marketing of their products
would be APPH and, consequently, should be authorized for marketing.

2. Valid scientific evidence

The FD&C Act states that the finding of whether permitting the marketing of a
product would be APPH will be determined, when appropriate, on the basis of well-
controlled investigations23 (section 910(c)(5)(A)). However, section 910(c)(5)(B)
of the FD&C Act also allows the Agency to consider other “valid scientific
evidence” if found sufficient to evaluate the tobacco product. Given the relatively
new entrance of ENDS on the U.S. market, FDA understands that limited data may
exist from scientific studies and analyses.24 If an application includes, for example,
information on other products (e.g., published literature, marketing information)
with appropriate bridging studies, FDA intends to review that information to
determine whether it is valid scientific evidence sufficient to demonstrate that the

23
Well-controlled investigations are generally those that are designed and conducted in such a way that minimizes
or controls for bias, confounding variables, and other factors that may render the results unreliable.
24
As discussed in section VI.H.2., due to the limited nonclinical or clinical research conducted on specific ENDS
products, it is likely that applicants will conduct certain investigations themselves and submit their own research
findings as a part of their PMTA.

13
Contains Nonbinding Recommendations

marketing of a product would be APPH. Nonclinical studies alone are generally not
sufficient to support a determination that permitting the marketing of a tobacco
product would be appropriate for the protection of the public health. Nonetheless, in
general, FDA does not expect that applicants will need to conduct long-term studies
to support an application.25 As an example for nonclinical assessments, long-term
studies such as carcinogenicity bioassays are not expected to be included in an
application. For clinical assessments, instead of conducting clinical studies that
span months or years to evaluate potential clinical impact, applicants could
demonstrate possible long-term health impact by including existing longer duration
studies in the public literature with the appropriate bridging information (i.e., why
the data used are applicable to the new tobacco product) and extrapolating from
short-term studies.26 In addition, nonclinical in vitro assays that assess the toxicities
that are seen following long-term use of tobacco products may be supportive of
these clinical assessments. These studies, used as a basis to support a PMTA,
should be relevant to the new tobacco product and address, with robust rationale,
acute toxicological endpoints or other clinical endpoints that may relate to long-
term health impacts. In this context, FDA considers long-term studies to be those
studies that are conducted over six months or longer.

FDA recommends that you provide a detailed explanation of how the data and
information provided in your PMTA (including the information required by section
910(b)(1) of the FD&C Act) constitute valid scientific information that would
support a finding by FDA that marketing your new tobacco product is APPH.

If an applicant has questions about investigations, including alternatives to well-


controlled investigations it would like to utilize, we recommend that the applicant
meet with FDA to discuss the approach prior to preparing and submitting an
application.27For additional information regarding alternatives to well-controlled
investigations please see section X of this guidance.

3. Comparison Products

As part of FDA’s consideration under 910(c)(4) of the FD&C Act of the risks and
benefits of the marketing of the new tobacco product to the population as a whole,
including users and nonusers of tobacco products, FDA reviews the health risks
associated with changes in tobacco product use behavior (e.g., initiation, switching,
dual use, cessation) that are likely to occur with the marketing of the new tobacco
product. We recommend an applicant compare the health risks of its product to both
products within the same category and subcategory, as well as products in different
categories as appropriate. It is helpful for FDA to understand applicant’s rationale
and justification for comparators chosen within the same category or different

25
See section X for additional discussion.
26
See section X of the guidance for more information about alternatives to conducting long-term studies.
27
See the R&D meetings guidance.

14
Contains Nonbinding Recommendations

categories of tobacco products. This comparative health risk data is an important


part of the evaluation of the health effects of product switching.

Information about tobacco products in the same category or subcategory is


important to FDA’s evaluation of a tobacco product’s potential effect on public
health because current users may switch to other products within the same category.
For tobacco products that are within the same category and subcategory, we
recommend applicants consider products that consumers are most likely to
considered interchangeable between your proposed product and other similar
products. For example, for a PMTA for an e-liquid, FDA recommends the
product’s health risks be compared to those health risks presented by other e-liquids
used in a similar manner. This comparison of health risks is not meant to be a 1:1
product comparison as in a substantial equivalence report under section 905(j),
rather, it is meant to demonstrate how the proposed new product may be evaluated
in relation to similar products. We recommend as part of the evaluation of the new
product’s risk compared to other tobacco products that you include those
characteristics (materials, ingredients, design, composition, heating source, or other
features) that contribute to the new product presenting the same, less, or different
health risks than other tobacco products of similar category and subcategory.

Information about tobacco products in different categories is important to FDA’s


evaluations because it can help demonstrate the changes in health risks current
tobacco users could face if they switched to your new tobacco product or use it in
conjunction with their current tobacco product. For tobacco products that are not in
the same tobacco product category, but that may be appropriate for examining
health risk, FDA recommends determining the likely users of the proposed new
product to justify appropriate products for demonstrating the health risks of the new
product in comparison to other tobacco products. For example, in the 2018 tobacco
market conditions, some ENDS product manufacturers market their products as
replacements for combusted cigarettes. In this case, it could be appropriate to
evaluate the risks of ENDS products in relation to the risks of both cigarettes and
other similar ENDS products. Polytobacco use risks should also be considered.

4. Nicotine exposure warnings

Section 910(b)(1)(F) of the FD&C Act requires a PMTA to contain specimens of


the labeling proposed to be used for the new tobacco product. Warning statements
are an important part of the product’s labeling. Given the health risks and hazards
associated with exposure to e-liquids (including oral, dermal, and ocular dangers),
nicotine exposure warnings on labels or labelling of finished ENDS products that
contain nicotine can help establish that permitting the marketing of the product
would be APPH. FDA believes a nicotine exposure warning is important to aid in
the prevention of, or decrease in, the risk of acute toxicity by warning consumers
and the public about the risk of inadvertent exposure to nicotine (up to and
including potentially deadly nicotine poisoning), especially by children. To that
end, FDA recommends that a nicotine exposure warning be included in specimens
of the labels or labeling that are submitted.

15
Contains Nonbinding Recommendations

Nicotine exposure warnings should accurately and truthfully communicate the


health risks and hazards of e-liquid use in a clear and simple manner. To best help
your product meet the standard for authorization, we recommend that nicotine
exposure warnings:

• Be clear, conspicuous, prominent, understandable, factual, and not false or


misleading;
• Be indelibly printed on the label/labeling of the tobacco product on the side that
is most likely to be viewed by a consumer (if the packaging is too small to
accommodate a legible warning, FDA recommends that these warnings be
permanently affixed on the product’s carton or other outer container, wrapper,
or a tag otherwise permanently affixed to the tobacco product package);
• Include bold colorings and markings containing pictographs — that could be
understood by a child who cannot read — to discourage opening and ingesting
the package contents;
• Provide a statement regarding nicotine being a dangerous substance and the
potential for nicotine poisoning;
• Describe the mode or process of possible accidental exposure;
• Include a specific statement about keeping e-liquids out of the reach of children
and pets; and
• Include instructions to seek medical help if accidental contact occurs.

The text below are examples of a textual nicotine exposure warning. These
examples are not necessarily applicable to all ENDS products, and we recommend
that applicants use text that is appropriate for their product.

WARNING: Contains nicotine, which can be poisonous. Avoid


contact with skin and eyes. Do not drink. Keep out of reach of
children and pets. In case of accidental contact, seek medical help.

or

WARNING: Contains nicotine. Do not get on skin or in eyes. Do


not drink. Store in original container and keep away from children
and pets. In case of accidental contact, call the Poison Control
Center at 1-800-222-1222.

5. Warning statement regarding the addictiveness of nicotine28

In accordance with 21 CFR 1143.3(a)(1), it is unlawful for any person to


manufacture, package, sell, offer to sell, distribute, or import for sale or distribution

28
Because tobacco products containing nicotine not made or derived from tobacco are not deemed tobacco products,
they are not “covered tobacco products” within the meaning of 21 CFR part 1143 and are not subject to the
requirements of 21 CFR 1143.3(a)(1).

16
Contains Nonbinding Recommendations

within the United States any cigarette tobacco, roll-your-own (RYO) tobacco, or
covered tobacco product other than cigars, unless the package label bears the
following warning statement: “WARNING: This product contains nicotine.
Nicotine is an addictive chemical.” Alternatively, under 21 CFR 1143.3(c), such
tobacco products that do not contain nicotine (i.e., no nicotine at detectable levels)
must include the following statement: “This product is made from tobacco.”
Manufacturers of products that do not contain nicotine must submit a self-
certification that their RYO tobacco, cigarette tobacco, or covered tobacco products
other than cigars do not contain nicotine. Because any ENDS product that contains
nicotine made or derived from tobacco or another substance made or derived from
tobacco (e.g., e-liquids containing nicotine, closed delivery systems sold with e-
liquids containing nicotine) is a covered tobacco product, it must comply with the
requirement that the package label bear the appropriate warning statement under 21
CFR part 1143. The specimens of labeling included in a PMTA for a product
containing nicotine under section 910(b)(1)(F) of the FD&C Act must include
package labels with the required warning statement on the addictiveness of nicotine.

The provision at 21 CFR § 1143.3(d) requires that if a tobacco product is too small
or otherwise unable to accommodate a label with sufficient space to bear the
warning statement regarding the addictiveness of nicotine, the warning must appear
on the carton or other outer container or wrapper if the carton, outer container, or
wrapper has sufficient space to bear such information, or appear on a tag otherwise
permanently affixed to the tobacco product package.29 For new tobacco products
too small or otherwise unable to accommodate the warning on the label, you must
submit specimens of the outer container or wrapper or the tag otherwise
permanently affixed to the tobacco product package and explain how the outer
container, wrapping, or tag will be attached to the tobacco product.

6. Protective packaging

Given the health risks and hazards associated with exposure to e-liquids (including
oral, dermal, and ocular dangers), especially to infants and children, FDA
recommends that manufacturers provide sufficient information describing the kind
of packaging in which their ENDS product will be sold to support a finding that the
marketing of the product is APPH. While various types of packaging may help
support such a finding, examples of packaging that may mitigate risks of accidental
exposure to e-liquids include child-resistant packaging30 and exposure-limiting

29
See 21 CFR part 1143 for the complete list of requirements for the required warning statement regarding the
addictiveness of nicotine that must appear on the package labels and advertisements for cigarette tobacco, roll-your-
own tobacco, and covered tobacco products other than cigars.
30
The Child Nicotine Poisoning Prevention Act of 2015 (Pub. L. 114-116) (CNPPA) requires any nicotine provided
in a liquid nicotine container sold, offered for sale, manufactured for sale, distributed into commerce, or imported
into the United States to be packaged in accordance with the standards provided in 16 CFR 1700.15, as determined
through testing in accordance with the method described in 16 CFR 1700.20, and any subsequent changes to such

17
Contains Nonbinding Recommendations

packaging (e.g., flow restrictors). An example of child-resistant packaging that


would help show the marketing of the product would be APPH is, depending on the
circumstances, packaging that is significantly difficult for children 5 years of age
and under to open, use, or obtain a toxic, potentially addicting, or otherwise harmful
amount of the tobacco product or any of its constituents within a reasonable time
and that is not unreasonably difficult for a majority of adults to use properly.31 The
description should also include information regarding the tamper-resistant and
tamper-evident32 properties of the packaging.

V. HOW TO SUBMIT A PMTA

FDA strongly encourages you to submit your PMTA in an electronic format to facilitate
efficiency and timeliness of data submission and processing. We recommend you submit your
application online using the CTP Portal, which can be found online at
https://www.fda.gov/tobacco-products/manufacturing/submit-documents-ctp-portal.

You can also securely submit your PMTA via the FDA Electronic Submissions Gateway (ESG).
Information about the eSubmitter tool can be found online at
https://www.fda.gov/ForIndustry/FDAeSubmitter/ucm189469.htm.

If you submit your application in an electronic format, FDA recommends that you follow the
information set forth in the technical specifications document, Electronic Submission File
Formats and Specifications, which is available on the FDA Web site
(https://www.fda.gov/TobaccoProducts). Following the technical specifications document is one
way you can help ensure that your application is in an electronic format that FDA can process,
read, review, and archive.

Additionally, to help prepare for a potential referral of your PMTA to the TPSAC, FDA
recommends that you identify information that you believe to be a trade secret or confidential
commercial information that is contained in your PMTA. You can identify this information by
submitting two separate and complete versions of the PMTA: one un-redacted version and one
marked-for-redaction version. The marked-for-redaction version should denote the content that is
the subject of a proposed redaction at the place where the text is located in the document in a
manner that allows the text to remain legible, such as placing a box around the content. FDA also
recommends that you submit an index that lists the location of each proposed redaction in the
PMTA by page number, and that you explain in detail why you believe that each proposed

sections adopted by the Consumer Product Safety Commission (CPSC). The CNPPA excludes “a sealed, pre-filled,
and disposable container of nicotine in a solution or other form in which such container is inserted directly into an e-
cigarette or other similar product, if the nicotine in the container is inaccessible through customary or reasonably
foreseeable handling or use, including reasonably foreseeable ingestion or other contact by children.”
31
See, e.g., 15 U.S.C. 1471.
32
Tamper-evident packaging is designed to provide visible evidence to consumers that tampering has occurred, such
as a torn label or a tear in a blister pack.

18
Contains Nonbinding Recommendations

redaction qualifies as a trade secret or confidential, commercial information33 that is not


available for disclosure under 21 CFR 20.61. Doing the above will speed the process if FDA
refers your application to TPSAC.

You may withdraw your PMTA at any time until FDA issues an order granting or denying a
marketing order. Please notify FDA in writing if you wish to withdraw your PMTA. This
notification should be clearly labeled as a PMTA withdrawal and submitted through the
electronic system (CTP Portal or ESG) or sent to the following address:

Food and Drug Administration


Center for Tobacco Products
Document Control Center
Building 71, Room G335
10903 New Hampshire Avenue
Silver Spring, MD 20993-0002

As described in section IV.C, for the purposes of beginning FDA’s 180-day review period, an
application is considered “received” on the date that a complete application is received by CTP’s
DCC (or the location to which samples are submitted).

VI. CONTENT AND FORMAT OF A PREMARKET TOBACCO PRODUCT


APPLICATION FOR ENDS PRODUCTS

Your PMTA must include all information that is required by section 910(b)(1) of the FD&C Act.
Under section 910(b)(1), the application must contain:

(A) full reports of all information, published or known to, or which should reasonably be
known to, the applicant, concerning investigations that have been made to show the
health risks of such tobacco product and whether such tobacco product presents less risk
than other tobacco products;
(B) a full statement of the components, ingredients, additives, and properties, and of the
principle or principles of operation, of such tobacco product;
(C) a full description of the methods used in, and the facilities and controls used for, the
manufacture, processing, and, when relevant, packing and installation of, such tobacco
product;
(D) an identifying reference to any tobacco product standard under section 907, which
would be applicable to any aspect of such tobacco product, and either adequate
information to show that such aspect of such tobacco product fully meets such tobacco
product standard or adequate information to justify any deviation from such standard;

33
Per part 20.61 “[a] trade secret may consist of any commercially valuable plan, formula, process, or device that is
used for the making, preparing, compounding, or processing of trade commodities and that can be said to be the end
product of either innovation or substantial effort. There must be a direct relationship between the trade secret and the
productive process” and “[c]ommercial or financial information that is privileged or confidential means valuable
data or information which is used in one's business and is of a type customarily held in strict confidence or regarded
as privileged and not disclosed to any member of the public by the person to whom it belongs. (§20.61(a)-(b)).

19
Contains Nonbinding Recommendations

(E) such samples of such tobacco product and of components thereof as the Secretary may
reasonably require;
(F) specimens of the labeling proposed to be used for such tobacco product; and
(G) such other information relevant to the subject matter of the application as the Secretary
may require.

This section discusses the mandatory requirements in section 910, provides FDA’s general
recommendations for PMTA content, and explains FDA’s current thinking on well-controlled
investigations and other valid scientific information.

To improve the efficiency of the PMTA submission and review processes, FDA recommends
that you organize your PMTA content in the following order:

• General Information
• Table of Contents
• Descriptive Information
• Product Samples
• Labeling
• Environmental Assessment
• Summary of All Research Findings
• Scientific Studies and Analyses

See sections VII through IX of this guidance document for additional recommendations for
PMTA content for certain types of ENDS products.

FDA anticipates that a single premarket submission may cover multiple products and may
include a single, combined cover letter and table of contents across all products. When FDA
receives a premarket submission that covers multiple, distinct new tobacco products, we intend
to consider information on each product as a separate, individual PMTA. Therefore, it is
important that you clearly identify what content pertains to each distinct product and show that
you have satisfied the requirements of section 910(b)(1) for each product. For example, FDA
considers each ENDS product with a differing flavor variant and/or nicotine strength to be a
different product. In such a case, an applicant may submit a single premarket submission for the
group of ENDS products, clearly delineating which information overlaps and is applicable to all
products and which information is specific to a single product (e.g., a specific flavoring or
nicotine strength).

Additionally, you may submit a single application for any tobacco product that is a new tobacco
product under section 910 of the FD&C Act and which you seek to commercially market as a
modified risk tobacco product. Accordingly, if you are seeking a PMTA marketing order as
discussed in this guidance and a modified risk order for the same product, you may submit a
single application. The single application should include the information required under section
910 for a PMTA, as well as the information required under section 911 of the FD&C Act for a
modified risk tobacco product application. If you choose to submit a single application, it is
important that you clearly identify what content pertains to the PMTA and show that you have
satisfied the requirements of section 910(b)(1).

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Contains Nonbinding Recommendations

As specified in 21 CFR 1105.10, FDA may refuse to accept a submission unless it meets certain
basic criteria, which are noted throughout the document. Your application must be in English or
contain complete English translations of any information submitted within (21 CFR
1105.10(a)(2)). For any documents written in a language other than English, we recommend that
you provide the original document, the English translation, and certification that the translation
into English is accurate. FDA also recommends that your PMTA be legible and well organized.

If you submit your application electronically, it must be in a format that FDA can process, read,
review or archive under 21 CFR 1105.10(a)(3). To facilitate review, FDA recommends that you
follow the information set forth in the technical specifications document, Electronic Submission
File Formats and Specifications, which is available on the FDA Web site
(https://www.fda.gov/TobaccoProducts) and also recommends your PMTA:

• Be static, that is, the pages should not reformat, renumber, or re-date each time the
document is accessed;
• Provide accurate cross-links to other sections when referenced;
• Enable the user to print each document page by page, as it would have been provided in
paper, maintaining fonts, special orientations, table formats, and page numbers; and
• Allow the user to copy text, images, and data electronically into other common software
formats.

A. General Information

FDA recommends that you include a cover letter that contains basic information
identifying yourself as the applicant and the specific product(s) for which you are
seeking a marketing order. This cover letter should prominently identify the
submission with “Premarket Tobacco Product Application (PMTA) – [Name of
New Tobacco Product]” and include information such as:

• The name and address of your company (required by 21 CFR 1105.10(a)(4));


• Your authorized U.S. agent or representative’s name and address (required by
21 CFR 1105.10(a)(4)-(5)). FDA also recommends you provide their title,
phone number, email, and fax number;
• Basic information identifying the new product (required by 21 CFR
1105.10(a)(7)). FDA also recommends this information include the unique
identification information described in section VI.C;
• Identifying information regarding prior submissions for the new product, such
as substantial equivalence reports or previous PMTAs;
• Dates and purpose of any prior meetings with FDA regarding the new tobacco
product;
• A brief statement regarding how the PMTA satisfies the content requirements of
section 910(b)(1) of the FD&C Act, such as a table specifying which PMTA
sections satisfy each statutory requirement;
• A list identifying all enclosures and labeling being submitted with the PMTA;
and

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Contains Nonbinding Recommendations

• The signature of a responsible official, authorized to represent the applicant,


who either resides in or has a place of business in the United States (required by
21 CFR 1105.10(a)(9)).

B. Table of Contents

FDA recommends that you include a comprehensive table of contents that specifies
the section and page number for each item included in the PMTA with hyperlinks to
relevant pages in the application. Your PMTA and any amendments also should
contain a comprehensive index (i.e., a list of files and metadata).

C. Descriptive Information

Section 910(b)(1) of the FD&C Act requires that you provide information
describing the major aspects of the new tobacco product. For this we recommend
including the following:

• A unique identification of the new tobacco product;


• A concise but complete description of the new tobacco product;
• An identifying reference to any tobacco product standard under section 907 of
the FD&C Act that would be applicable to your new tobacco product and either
information that shows your new tobacco product meets the tobacco product
standard or adequate information justifying any deviation from such standard, as
required in section 910(b)(1)(D);
• An overview of the product’s formulation and design, as part of the full
statement of properties required by section 910(b)(1)(B);
• The name and description of any characterizing flavor the product contains, if
applicable (as required by 21 CFR 1105.10(a)(7));
• The nicotine strength;
• The conditions for using the product or instructions for use, as part of the full
statement of the principle or principles of operation required by section
910(b)(1)(B), and, if known, problems with use in previous or similar versions
of the new product; and
• If applicable, any restrictions on the sales and distribution of the new tobacco
product that you propose to be included as part of a marketing order under
section 910(c)(1)(B) to help support a showing that the marketing of the product
would be APPH.

FDA recommends that the unique identification of the product include:

• For E-liquids:
o Product name
o Category: ENDS
o Subcategory: E-Liquid
o Package type

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Contains Nonbinding Recommendations

o Package quantity (e.g., 1 bottle, 5 cartridges)


o Characterizing flavor (for a product that is not identified with a
characterizing flavor, the unique identification should affirmatively state
there is no characterizing flavor; e.g., “Characterizing flavor: none”)
o E-liquid volume per package (milliliter (mL))
o Nicotine concentration (mg/ml or %)
o Propylene glycol (PG)/vegetable glycerin (VG) ratio

• For a Closed E-cigarette or a Prefilled Open E-cigarette:


o Product name
o Category: ENDS
o Subcategory: Closed E-cigarette or Prefilled Open E-cigarette
o Package type
o Package quantity (e.g., 1 e-cigarette, 5 e-cigarettes)
o Characterizing flavor (for a product that is not identified with a
characterizing flavor, the unique identification should affirmatively state
there is no characterizing flavor; e.g., “Characterizing flavor: none”)
o Length
o Diameter
o Nicotine concentration (mg/ml or %)
o PG/VG ratio
o E-liquid volume (mL)
o Wattage
o Battery capacity (milliamp hours (mAh))

• For an Open E-cigarette that is not prefilled (e.g., a refillable e-cigarette that
does not contain e-liquid):
o Product name
o Category: ENDS
o Subcategory: Open E-cigarette
o Package type
o Package quantity (e.g., 1 e-cigarette, 5 e-cigarettes)
o Characterizing flavor (for a product that is not identified with a
characterizing flavor, the unique identification should affirmatively state
there is no characterizing flavor; e.g., “Characterizing flavor: none”)
o Length
o Diameter
o Wattage
o Battery capacity (mAh)

• For ENDS Co-Package:


o Product name
o Category: ENDS
o Subcategory: ENDS Co-Package
o Package type
o Package quantity (e.g., 1 e-cigarette, 5 e-cigarettes)

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o Characterizing flavor (for a product that is not identified with a


characterizing flavor, the unique identification should affirmatively state
there is no characterizing flavor; e.g., “Characterizing flavor: none”)
o Length
o Diameter
o Nicotine concentration (mg/ml or %)
o PG/VG ratio
o E-liquid volume (mL)
o Wattage
o Battery capacity (mAh)

D. Product Samples

Section 910(b)(1)(E) of the FD&C Act requires that a PMTA contain samples of the
new tobacco product and its components as FDA may reasonably require. FDA will
conduct a review of the PMTA for filing and preliminarily determine whether
samples are required and, if so, the number of samples to be submitted for FDA to
conduct its own testing and analysis. FDA anticipates that samples will be required
in most instances, but we generally intend to inform an applicant if samples will not
be required for application filing. FDA will send the applicant a letter that requests
the number of samples to be submitted and instructions on how the applicant can
submit those samples. Samples should be submitted according to the instructions in
the letter and sent directly to the address specified in the letter. As discussed in
Section IV.C., a complete application includes the appropriate number of samples,
if requested by FDA during filing review or by previous agreement. Thus, if the
samples are the last part of the submission to make it complete, FDA’s review
period begins when FDA receives the sample or samples. Discussing product
samples at a presubmission meeting may help speed up the sample submission
process.34

E. Labeling

As required by section 910(b)(1)(F) of the FD&C Act, your PMTA must include
specimens of all proposed labeling for your new tobacco product. The term labeling
is defined in section 201(m) of the FD&C Act as “all labels and other written,
printed, or graphic matter (1) upon any article or any of its containers or wrappers,
or (2) accompanying such article,” and includes labels, inserts, onserts, instructions,
and other accompanying information or materials. The submitted specimens of
proposed labeling for all product panels should be legible and reflect the actual size
and color for use with the new tobacco product as part of your PMTA. All labeling
you submit also should include any warning statements appropriate for the product
class where applicable, such as any required addiction warning and recommended

34
See the guidance for industry guidance entitled Meetings with Industry and Investigators on the Research and
Development of Tobacco Products and section V of the ENDS PMTA Submission Guidance for more information
on presubmission meetings.

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nicotine exposure warnings described in section IV.D.2 of this guidance and must
comply with all other applicable labeling requirements under the FD&C Act.

To help establish that a product is not misbranded and that permitting the marketing
of a product would be APPH, FDA recommends that your product labeling include
text or graphic elements (in addition to any required warning statement regarding
the addictiveness of nicotine and the recommended nicotine exposure warning) to
minimize risks associated with use of the product and text or graphic elements to
identify the product. Text or graphic elements to minimize risks should be directed
at both users and nonusers of the tobacco product and should include directions for
use, storage, and recharging, if applicable. For example, the text or graphic could
help to show that risk of battery failure would be minimized by recharging the
product only with specified chargers or that the product’s composition is stabilized
by certain storage conditions. Identification elements can include information on
your label, such as the batch number, expiration date, and unique identifier bar
codes. FDA encourages applicants to use font types and sizes and organizational
formats (such as bulleted lists) that are legible and conspicuous, making it easy for
consumers to read and understand.

F. Environmental Assessment

An environmental assessment must be included in an ENDS PMTA for FDA’s


review. Under 21 CFR 25.15, an applicant must include an environmental
assessment prepared in accordance with 21 CFR 25.40, unless the action qualifies
for a categorical exclusion. Per 21 CFR 25.35, the only categorical exclusion that
applies to PMTA submissions is an issuance of an order that a new tobacco product
may not be introduced or delivered for introduction into interstate commerce (i.e., a
denial of a marketing authorization after FDA’s review of a PMTA). More
information on environmental assessments can be found in 21 CFR part 25.35

G. Summary of All Research Information

Section 910(b)(1)(A) of the FD&C Act requires that your PMTA contain full
reports of all information published, known to, or which should reasonably be
known to you, concerning investigations that have been made to show the health
risks of your new tobacco product and whether it presents less risk than other
tobacco products. While not required, we recommend that your PMTA contain a
well-structured summary to provide FDA with an adequate understanding of the
data and information in the PMTA, including the quantitative aspects of the data.
This summary will facilitate and help expedite FDA’s review. FDA recommends
that the summary include a description of the operation of the new tobacco product
as well as a section summarizing all research information in your PMTA, including

35
The Small Entity Compliance Guide (SECG), National Environmental Policy Act; Environmental Assessments for
Tobacco Products; Categorical Exclusions, represents FDA’s current thinking on this topic. For the most recent
version of the SECG, check the FDA Tobacco Products Guidance Web page at https://www.fda.gov/tobacco-
products/rules-regulations-and-guidance/guidance.

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the health risks (e.g., toxicological testing outcomes) of the product, the product’s
effect on overall tobacco use behavior among current users, the product’s effect on
overall tobacco use initiation among nonusers, and the product’s effect on the
population as a whole. The discussion should include information such as:

(1) A summary of the nonclinical and clinical studies relevant to your PMTA,
regardless of whether you consider these studies favorable or unfavorable to
the application. It would be helpful to include the specific product or products
that were studied and how those products have similar characteristics (similar
materials, ingredients, design, composition, heating source, or other features)
to the applicant’s product if used as a substitute or supplement for data for the
product. It would also be helpful to include the study findings, such as whether
the findings concern the product’s health risks compared to other tobacco
products and whether the product presents less risk than other tobacco
products. If no relevant health information is available, we recommend that
you state so in this section;
(2) The relative health risks of the new tobacco product for both users and
nonusers compared to other tobacco products on the market (e.g., other ENDS,
combusted tobacco products such as cigarettes), including tobacco products
within the same product category as it may be expected that consumers of
current products within the same product category may switch to using a newly
marketed product, and the health risks compared to never using tobacco
products;
(3) The chemical and physical identity and quantitative levels of the emission of
aerosols under the range of operating conditions (e.g., various temperature,
voltage, wattage settings) and use patterns (e.g., intense and non-intense use
conditions) within which consumers are likely to use the new tobacco product;
(4) The likelihood, based on the research information contained in your
application, of current nonusers of tobacco products initiating or reinitiating
tobacco use by using the new tobacco product;
(5) The likelihood, based on the research information contained in your
application, that consumers will adopt the new tobacco product and then switch
to other tobacco products that may present higher levels of risk, such as
cigarettes;
(6) The likelihood, based on the research information contained in your
application, of consumers using the new tobacco product in conjunction with
other tobacco products;
(7) The likelihood, based on the research information contained in your
application, of current tobacco product users switching to the product instead
of ceasing tobacco product use or using an FDA-approved tobacco cessation
product (because use of ENDS products includes inherent risk above quitting
altogether or the use of an FDA-approved nicotine-replacement therapy
(NRT));
(8) Assessment of abuse liability (i.e., the addictiveness, abuse, and misuse
potential of the new product and the exposure to nicotine during product use);
(9) Assessment of user topography (how individual users consume the product,
e.g., the number of puffs, puff duration, puff intensity, duration of use), the

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frequency with which consumers use the product, and the trends by which
users consume the product over time; and
(10) A discussion demonstrating how the data and information contained in your
PMTA establish that permitting the marketing of the new tobacco product
would be APPH.

As part of the discussion in item (10), FDA recommends that you provide an overall
assessment of the effect that the new tobacco product may have on the health of the
population as a whole. The assessment should synthesize all of the information
regarding the product (as described in items numbered 1-9, above) and its potential
effects on health, tobacco use behavior, and tobacco use initiation to infer the
impact of the potential effect the product’s marketing may have on tobacco-related
morbidity and mortality. As an illustration, an applicant may make an overall
qualitative assessment of whether the product will have a positive impact on the
health of the population as a whole by accounting for potential reductions in disease
risk (as compared to other tobacco products) and the potential for current tobacco
users to switch to the new tobacco product, and weighing that against the potential
for non-tobacco users to adopt use of the tobacco product and the accompanying
potential increases in disease risks among those new users of the product.

H. Scientific Studies and Analyses

Section 901(b)(1)(A), (B), and (C) require that an application contain “full reports
of all information . . . concerning investigations which have been made to show the
health risks of [the] tobacco product and whether such tobacco product presents less
risk than other tobacco products”; “a full statement of the components, ingredients,
additives, and properties, and of the principle or principles of operation”; and “a full
description of the methods used in, and the facilities and controls used for, the
manufacture, processing, and, when relevant, packing and installation of, such
tobacco product.” This section provides FDA’s recommendations concerning these
requirements. FDA recommends organizing the full reports, full statements, and
full descriptions of all scientific studies and analyses required by the FD&C Act and
referenced elsewhere in the PMTA into a single section. For each study, you should
indicate whether the product studied is identical to the new tobacco product, a
different version of the new tobacco product (e.g., an earlier prototype), or another
comparable product.

1. Product Analyses and Manufacturing

FDA recommends that this section contain the detailed technical information and
analyses concerning your new tobacco product and its manufacturing that is
required by section 910(b)(1)(B)-(C) of the FD&C Act.

Product analyses and testing should be conducted on the ENDS tobacco product
that is the subject of the PMTA. Any product sample submitted (as discussed in
section VI.D of this guidance) should be from one of the batches tested for purposes
of this section if such a sample is still within its shelf life. Otherwise, a sample

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Contains Nonbinding Recommendations

should be one with a shelf life current at the time of submission. FDA recommends
that, for each product analysis or testing that is included in this section of your
PMTA, you include full reports of all testing, including the following information,
where applicable:

• Data sets that can reliably reflect the product and its manufacturing. For
example, FDA recommends data sets spanning different batches (generally
three or more) with multiple replicates per batch (generally seven or more),
depending upon the variability demonstrated in the method validation, with date
and time sampling points;
• Accreditation information for each testing laboratory;
• Validation information and rationale for selecting each test method, including
any relevant voluntary testing standards; and
• Complete descriptions of any aerosol-generating regimens used for analytical
testing.

At this time, FDA does not believe there is adequate scientific information or
regulatory experience with ENDS products to support a PMTA authorization using
only information on earlier or other versions of the product or similar products for
descriptions of full product analysis as described in this section. If you feel that
literature reviews may be an appropriate means for satisfying the requirements of
section 910(b)(1)(B), please explain clearly how an adequate comparison (e.g.,
bridging) can be made between the products analyzed in the published material and
the specific product that is the subject of your PMTA. If an applicant has questions
or other alternatives to well-controlled investigations it would like to utilize, we
recommend that the applicant meet with FDA to discuss the approach prior to
preparing and submitting an application.36

a) Components, ingredients, and additives

The chemistry of the product is a major indicator of the consumer’s exposure to


health risks. Section 910(b)(1)(B) of the FD&C Act requires a full statement of the
components, ingredients, additives, and properties, and of the principle or principles
of operation, of such tobacco product as part of your PMTA. FDA interprets this
requirement to mean that you should provide a complete list of uniquely identified
components, ingredients, and additives by quantity in the new product, as well as
the applicable specifications and a description of the intended function for each.

FDA recommends listing information regarding the product’s container closure


system. The container closure system refers to any packaging materials that are a
component or part of the tobacco product. For example, for e-liquids, this would
include the container the liquid is in (e.g., a glass or plastic vial or a cartridge,
including components of the vial or cartridge). The container closure system can

36
See the R&D meetings guidance.

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Contains Nonbinding Recommendations

often affect or alter the performance, composition, constituents, or characteristics of


a tobacco product. The container closure system could, for example, intentionally or
unintentionally, leach ingredients from the packaging into the product, as has
previously occurred with other tobacco products.

This list should also specify the function(s) and grade or purity for each respective
item. For guidance on uniquely identifying components, ingredients, and additives
and reporting their quantities, please refer to FDA’s guidance for industry, Listing
of Ingredients in Tobacco Products.37

b) Properties

Properties of the product can influence a consumer’s exposure to health risks.


Section 910(b)(1)(B) of the FD&C Act requires that your PMTA include a full
statement of the properties of the new tobacco product. We recommend that the
“full statement of the properties” of the new tobacco product include a full narrative
description of the tobacco product. The following information will aid in satisfying
the statutory requirement under the FD&C Act and help FDA to determine whether
permitting the marketing of the new tobacco product would be APPH.

• A description of the product dimensions and the overall construction of the


product (using a diagram or schematic drawing that clearly depicts the finished
product and its components with dimensions, operating parameters, and
materials);
• A description of all design features of the product, specifying the explicit range
of or the nominal values of the design features as well as the design tolerance,
where appropriate;
• A quantitative description of the performance specifications;
• A description of product container closure system. The description should
include information on how the container closure system protects and preserves
the product, such as from damage during transport, environmental
contaminants, leaching, and migration of container closure system constituents
into the products (FDA expects that this documentation may be generated by the
applicant, by the supplier of the material of construction or the component, or
by a laboratory under contract to either the applicant or the manufacturer);
• A description of how the product’s properties (e.g., product design parameters,
constituents) differ from similar, marketed tobacco products in the same
category. For example, if your PMTA is for an e-liquid, we recommend a
comparison to other e-liquids with similar nicotine content, flavors, and other
ingredients, used in the same manner and under similar conditions. Because it is
expected that consumers of current products that are of the same category may
switch to using a newly marketed product, it is important that FDA be able to

37
Available on the Internet at https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance.

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Contains Nonbinding Recommendations

evaluate whether this switching would result in a lower or higher public health
risk. You should describe both how your product may be similar and different
from other products of the same category;
• Stability information for the new tobacco product. This information should
include the established shelf life of the product and changes in pH and
constituents (including HPHCs and other toxic chemicals) over the lifespan of
the product, such as the factors that determine the shelf life (e.g., volume of e-
liquid, power supply, atomizer, coil); how stability is affected by the storage
conditions, such as moisture and temperature; full reports of all stability testing;
and how the product’s performance may significantly decline (e.g., decrease in
aerosol flow rate or change in aerosol constituents) over the product’s lifetime;
and
• Assessments of product design hazards that could be expected to result in illness
or injury from normal use and foreseeable misuse of the product, including
actions taken or future plans that show how a design hazard is reduced,
mitigated, or eliminated. For example, you could assess whether the consumer
could tamper with the heating element and how the manufacturer has responded
to such an assessment so the product is not misused. Similarly, you could
describe how you plan to address the likelihood of battery use and foreseeable
misuse leading to overheating, fire, and explosion during operation, charging,
storage, and transportation.

FDA also recommends that you include a complete list of uniquely identified
constituents or chemicals, including those listed below, as appropriate for your
product, and other toxic chemicals contained within the product or delivered by the
product, such as a reaction product from leaching or aging and aerosol generated
through the heating of the product. This type of information can be provided by
measuring constituent or chemical yields from your product.

We recommend that this testing reflect the range of operating conditions (e.g.,
various temperature, voltage, wattage settings) and use patterns (e.g., intense and
non-intense use conditions) within which consumers are likely to use your product,
and the types of products that consumers are likely to use in conjunction with your
products. For example, a refillable e-cigarette (i.e., an e-cigarette that includes an e-
liquid reservoir that a consumer can refill) should be tested with a reasonable range
of available e-liquids, particularly those available in different levels of nicotine; a
replaceable e-cigarette (i.e., an e-cigarette that uses replaceable cartridges or pods)
should be tested with a reasonable range of replaceable cartridges or pods with
which it can be used; a closed e-cigarette that is not replaceable (i.e., an e-cigarette
that includes an e-liquid reservoir that is not refillable) should be tested with the e-
liquid with which it is packaged and sold; and components or parts should be tested
with the reasonable range of products with which they could be used. FDA
recommends that manufacturers of e-liquids test the constituent delivery in an e-
cigarette that is designed to deliver low levels of aerosol (such as open refillable
cigarette-like systems) as well as in an e-cigarette that is designed to deliver higher

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Contains Nonbinding Recommendations

levels of aerosol with varying temperatures and voltage (such as a tank or mod
system). Evaluating new tobacco products under a range of conditions, including
both non-intense (e.g., lower levels of exposure and lower volumes of aerosol
generated) and intense (e.g., higher levels of exposure and higher volumes of
aerosol generated), enables FDA to understand the likely range of delivery of
emissions. The two regimens are expected to provide the Agency with information
about possible different deliveries of constituents, including the range of quantities
of constituents.

In order to help FDA assess potential health risks and to enable FDA to make a
finding that permitting the marketing of a new tobacco product would be APPH,
FDA recommends that you consider the following constituents or chemicals38 for
analysis in e-liquids or aerosols, or both, as appropriate, for your product:

• Acetaldehyde
• Acetyl propionyl (also known as 2,3-pentanedione)
• Acrolein
• Acrylonitrile
• Benzene
• Benzyl acetate
• Butyraldehyde
• Cadmium
• Chromium
• Crotonaldehyde
• Diacetyl
• Diethylene glycol
• Ethyl acetate
• Ethyl acetoacetate
• Ethylene glycol
• Formaldehyde
• Furfural
• Glycerol
• Glycidol

38
These constituents include constituents that, to FDA’s current thinking, potentially could cause health hazards
depending on the level, absorption, or interaction with other constituents. FDA intends to establish a revised list of
harmful and potentially harmful constituents (HPHCs) that include HPHCs in ENDS products and publish it in the
Federal Register. While applicants should submit certain information about HPHCs as part of their applications, the
requirement to submit HPHC listings under section 904 of the FD&C Act is separate and distinct from the premarket
review requirements under section 910. HPHC information submitted under section 904 will assist FDA in
assessing potential health risks and determining if future regulations to address a product’s health risks are
warranted. For PMTAs, FDA expects that applicants will report the levels of HPHCs as appropriate for each
product, so the reported HPHCs will differ among different product categories. The Agency recommends that
manufacturers consult with CTP’s Office of Science about what is appropriate in the context of a specific
application.

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Contains Nonbinding Recommendations

• Isoamyl acetate
• Isobutyl acetate
• Lead
• Menthol
• Methyl acetate
• N-butanol
• Nickel
• Nicotine from any source, including total nicotine, unprotonated nicotine, and
nicotine salts
• NNK (4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone)
• NNN (N-nitrosonornicotine)
• Propionic acid
• Propylene glycol
• Propylene oxide
• Toluene
• Other constituents, as appropriate for your particular product. For example, you
might want to consider whether you should test for flavorants that can be
respiratory irritants such as benzaldehyde, vanillin, and cinnamaldehyde.

FDA recognizes that some of the constituents or chemicals listed immediately


above may be ingredients in e-liquids (e.g., menthol, propylene glycerol, glycerol,
diethylene glycerol, ethylene glycerol). In such cases, it might be acceptable to
provide the quantity added to the e-liquid in lieu of measuring constituent or
chemical yields generated from the e-cigarette. If this approach is taken, FDA
recommends you clearly state that the reported constituent or chemical quantity
reflects the amount added to the product and not the quantity measured in the
product. FDA also recommends that you explain why you believe the amount of
ingredients or chemicals added to the product is an accurate measure of the
constituent or chemical found in the product or aerosol (i.e., chemical reactions in
the product will not change the chemical’s amount) and, therefore, why testing is
not warranted.

In addition to the constituents, FDA recommends that you report the pH of the e-
liquids tested and the resulting aerosol.

FDA also recommends that you submit information regarding any relevant
voluntary standards with which your product complies and why you believe the
standard is relevant, as well as testing data to demonstrate conformance to such
standards.

c) Principles of operation

Consumers may be able to alter an ENDS product’s effects by changing the product
design, the way the product is used, or adding or subtracting other ingredients.
Section 910(b)(1)(B) of the FD&C Act requires you to submit as part of your

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Contains Nonbinding Recommendations

PMTA “a full statement of the… principle or principles of operation” of the new


tobacco product. FDA interprets a full statement of principle or principles of
operation to include a full narrative description of the way in which a consumer will
use the new tobacco product, including a description of how a consumer operates
the product, how the manufacturer reasonably believes a consumer could change
the product characteristics, adjust the performance, or add or subtract ingredients.
This description also should include examples of the other types of ENDS products
with which your product can be used and also show the range of conditions under
which the product may operate.

d) Manufacturing

The manufacturing descriptions in your PMTA show how the product is made to
conform to the product information provided in the PMTA. As required by section
910(b)(1)(C) of the FD&C Act, you must provide “a full description of the methods
used in, and the facilities and controls used for, the manufacture, processing, and,
where relevant, packing and installation of the new tobacco product.”39

To help meet this statutory requirement, FDA recommends that you provide a
listing of all manufacturing, packaging, and control sites for the product, including
the facility names and addresses, the Facility Establishment Identifier number(s) (if
available), and a contact name and telephone number for each facility. Moreover,
we recommend that you provide a narrative description, accompanied by a list and
summary of all standard operating procedures (SOPs) and examples of relevant
forms and records, for the following categories of information, as applicable:

• Manufacturing and production activities at each facility, including a description


of facilities and all production steps;
• Managerial oversight and employee training;
• Manufacturing processes and controls for product design, including a hazard
analysis that details the correlation of the product design attributes with public
health risk, and any mitigations for identified hazards that have been
implemented;
• Activities related to identifying and monitoring suppliers and the products
supplied (including, for example, purchase controls and materials acceptance
activities);
• Validation and verification activities used to ensure that the new tobacco
product matches specifications, including any voluntary standards with which
your product complies;

39
The requirement to provide a full description of methods of manufacturing and processing is separate and distinct
from tobacco product manufacturing practice requirements, which will be the subject of regulations under section
906(e) of the FD&C Act (21 U.S.C. 387f(e)). FDA intends to issue regulations under section 906(e) that will contain
the requirements for tobacco product manufacturing practices. At that time, each PMTA will also be expected to
demonstrate that the methods, facilities, or controls used conform to these regulations (section 910(c)(2)(B)).

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• Test methods and procedures conducted before the new tobacco product is
released for sale and distribution in the United States, including information on
test parameters, such as the concentration of the standard solution, as well as a
description of acceptance activities with protocol and acceptance criteria. If the
product is manufactured without a solution, you should describe its performance
characteristics (e.g., particle size, heating temperature); and
• Handling of complaints, nonconforming products and processes, and corrective
and preventive actions.

FDA may request that you submit copies of selected SOPs if needed to enable FDA
to more fully understand the methods used in, and the facilities and controls used
for, the manufacturing and processing of the new tobacco product.

2. Nonclinical and Human Subject Studies

Section 910(b)(1)(A) of the FD&C Act requires that a PMTA contain “full reports
of all information, published or known to, or which should reasonably be known to,
the applicant, concerning investigations which have been made to show the health
risks of such tobacco product and whether such tobacco product presents less risk
than other tobacco products.” FDA interprets the information required under this
provision to include not only investigations that support the PMTA, but also any
investigations that do not support, or are adverse to, the PMTA. Information on
both nonclinical and clinical investigations that must be provided, including, but not
limited to, any studies assessing constituents of tobacco, aerosol, toxicology,
consumer exposure, consumer use profiles, and consumer risk perception.
Furthermore, information on investigations concerning products with novel
components, ingredients, additives, or design features that are similar or related to
those of the new tobacco product and investigations concerning products that share
novel components, ingredients, additives, or design features with the new tobacco
product should also be provided so that FDA may adequately assess the product’s
health risks. To the extent the information is available, you should indicate the
source of funding for all studies and provide a statement regarding any potential
financial or other conflicts of interest on the part of the investigator(s). Due to the
emerging nature of ENDS products within the general tobacco market, FDA
acknowledges that there may be limited nonclinical or clinical research conducted
on specific ENDS products. Thus, it is likely that applicants will conduct certain
investigations themselves and submit their own research findings as a part of their
PMTA. However, in general, FDA does not expect that applicants will have to
conduct long-term studies to support an application.

FDA interprets “full reports of all information, published or known to, or which
should reasonably be known to, the applicant” to include all information from
investigations conducted both within and outside the United States. While all
clinical investigations (both within and outside the United States) submitted with
your PMTA should be conducted to protect the rights, safety, and welfare of human
subjects, you must (under section 910(b)(1)(A) of the FD&C Act) submit full

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Contains Nonbinding Recommendations

reports of all information concerning relevant clinical investigations. Lack of


adequate human subject protection procedures is not a justification for failing to
include information on a relevant clinical investigation in your PMTA.

Where an applicant chooses to conduct studies, one way to protect the rights, safety,
and welfare of human subjects is to ensure that clinical studies included in a PMTA
are conducted in accordance with ethical principles acceptable to the international
community (e.g., ICH E6 Good Clinical Practice standards).40 Special attention
should be paid to trials that may include vulnerable subjects.41 Adequate procedures
for human subject protection help protect the rights, safety, and welfare of human
subjects in accordance with ethical principles acceptable to the research and health
care communities and ensure that the data are scientifically valid.

Section 910(g) of the FD&C Act gives FDA the authority to issue regulations to
exempt tobacco products intended for investigational use from the requirements of
Chapter IX of the FD&C Act, including premarket submission requirements. To
date, FDA has not issued such regulations, and consequently investigational
tobacco products are not exempt from FD&C Act requirements, including
premarket submission requirements. Until regulations governing the use of
investigational tobacco products are issued and finalized, FDA intends to evaluate
specific uses of investigational tobacco products on a case-by-case basis to make
decisions about enforcing premarket review requirements with respect to such
products.42 FDA encourages persons who would like to study their new tobacco
product to meet with the Office of Science in CTP to discuss their investigational
plan. The request for a meeting should be sent in writing to the Director of CTP’s
Office of Science and should include adequate information for FDA to assess the
potential utility of the meeting and to identify FDA staff necessary to discuss
agenda items.43 Additional information related to meetings with FDA can be found
in section XII of this document.

For published studies concerning investigations that have been conducted to show
the health risks of your new tobacco product, you should provide a bibliography of
the studies and a full copy of all articles stemming from each study in order to
facilitate FDA’s review. You should also provide an explanation of the scope of the
literature review you conducted to discover the relevant published studies, including
how you identified, collected, and reviewed the studies. In addition, for studies that

40
For information on how good clinical practice standards have been used in other contexts, see FDA’s guidance for
industry E6 Good Clinical Practice: Consolidated Guidance, available on the Internet at
https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm (under ICH–
Efficacy).
41
For information on considerations on clinical trials with vulnerable subjects, see 21 CFR part 56.
42
When finalized, the guidance for industry and investigators Use of Investigational Tobacco Products will
represent FDA’s current thinking on this topic. For the most recent version of a guidance, check the FDA Tobacco
Products Guidance Web page at https://www.fda.gov/tobacco-products/rules-regulations-and-guidance/guidance.
43
See the R&D meetings guidance.

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Contains Nonbinding Recommendations

you conducted or that were conducted on your behalf, you should submit full study
reports and data.

Your PMTA should include a summary of the results and methods of each study
you submit. Information about studies’ methodology and procedures help FDA
assess the strength of the study. The summary should include, where available or
reasonably obtainable:

• A description of the study objective;


• A description of the study design (or hypothesis tested);
• A description of any statistical analysis plan, including how data were collected
and analyzed; and
• A brief description of the findings and conclusions (positive, negative, or
inconclusive).

In addition, for each study regarding the health risks of the new tobacco product, we
recommend that you include the following information, to the extent available or
reasonably obtainable. Where information isn’t available (e.g., it was never
created) or reasonably obtainable (e.g., the expense or effort to obtain it far
outweighs its usefulness), FDA recommends the applicant include an explanation of
such in its application. It is important to note that failure to submit study report
documents may affect the extent to which FDA is able to rely upon an
investigation’s findings during substantive application review.

• Copies of all study protocols and amendments that were used in the study;
• Copies of all investigator instructions;
• The statistical analysis plan, including a detailed description of the statistical
analyses employed (i.e., all variables, confounders, and subgroup analyses and
any amendments);
• A list of the sites where the study was conducted, including contact information
and physical address(es);
• Line data or study data, consisting of an analyzable dataset of individual-level
observations for each study participant (or laboratory animal or test
replicate). FDA does not generally need case report forms other than those
associated with participant deaths, other serious and unexpected adverse
experiences, or discontinuations from the study. To facilitate our review, we
request data in SAS-transport file in XPT format, created by a procedure that
allows the files to be readily read by JMP software. We also request that you
provide data definition files that include the names of the variables, codes, and
formats used in each dataset, and copies of SAS programs and necessary macro
programs used to create derived datasets and the results reported in the study
reports. Such data are important for FDA to replicate applicant findings or
conduct alternative statistical analyses;

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Contains Nonbinding Recommendations

• The location of all data, if kept at the study site or elsewhere. As stated in the
previous bullet, FDA is recommending the applicant submit only line data or
study data for this section of their PMTA. FDA suggests the applicant retain all
raw or source data, such as original records on a study’s finding and all
individual case report forms, rather than include it in the initial submission;
FDA may want to inspect and review this data as necessary during the
application’s review;
• The format of the records and data (e.g., electronic, hard copy);
• A list of all contractors who participated in the study, the role of each
contractor, and the initiation and termination dates of the participation of each
contractor; and
• A signed full report of the findings.

For nonclinical studies, we recommend you also include documentation of all


actions taken to ensure the reliability of the study, such as appropriate good
laboratory practices found in 21 CFR part 58.

For clinical studies, we recommend that you include, to the extent available or
reasonably obtainable:

• Documentation of the protection of human subjects44 (e.g., documentation of


study oversight by an Investigational Review Board duly constituted and
operating under 21 CFR part 56; description of informed consent procedures,
such as appropriate procedures found in 21 CFR part 50);
• All versions of questionnaires used;
• All versions of case report forms used; and
• All versions of informed consent forms.

Please note that individual subject case report forms and informed consent forms do
not need to be submitted in the PMTA, but may be requested by FDA for further
review if necessary to determine that permitting the marketing of the product would
be APPH.

a) Nonclinical health risk information

Although nonclinical studies alone are generally not sufficient to support a


determination that permitting the marketing of the product would be APPH
(PMTAs would generally need clinical data), information from these nonclinical
studies provides insight into the mechanisms of disease incidence caused by a
tobacco product and, more generally, provides context for the data obtained from
human studies regarding health risks, including addiction. Information on how

44
If you are unable to provide information explaining how the rights, safety, and welfare of human subjects were
protected, you should explain why (e.g., because you were not the sponsor of those studies the information is not
reasonably available).

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Contains Nonbinding Recommendations

manufacturers may want to address human study (clinical) information with new
studies or existing studies, data, and literature is discussed in this guidance later in
this section and in section X.

To help understand the health risks of a tobacco product, FDA recommends


providing a full assessment of the toxicological and pharmacological profile
associated with the new tobacco product including, if available:

• Toxicology data from the literature (i.e., all relevant publications);


• Analysis of constituents, including HPHCs and other toxicants, under both
intense and non-intense use conditions as described in section VI.H.1.a;
• In vitro toxicology studies (e.g., genotoxicity studies, cytotoxicity studies);
• Computational modeling of the toxicants in the product (to estimate the toxicity
of the product); and
• In vivo toxicology studies (to address unique toxicology issues that cannot be
addressed by alternative approaches).

A thorough literature review, including publicly available toxicology databases, can


provide valuable information on the toxicity of the ingredients in the e-liquid and
aerosol by the expected route of exposure and level of exposure. We recommend
that this section include:

• A description of the search methodology;


• All publications related to the toxicological evaluation of each of the ingredients
(e.g., nicotine, glycerol, propylene glycol, flavors, metals) and the mixture of
the ingredients in the e-liquid and aerosol produced from the ENDS;
• Particular attention to information regarding oral, inhalation, dermal, and ocular
routes of exposure;
• Information concerning substances that may be solvent extractable from the
container closure system or leachable into the e-liquid when the e-liquid is in
contact with the container closure system (e.g., information on whether toxic
substances present in the container closure system can potentially transfer into
the e-liquid or aerosol);
• Toxicological endpoints such as cytotoxicity, genotoxicity, carcinogenicity, and
respiratory, cardiac, reproductive, and developmental toxicity;
• Exposure kinetics, metabolism, and deposition and elimination profile of the
ingredients, when available;
• A conclusion as to whether there is a toxicological concern with respect to the
ingredients, constituents, flavors, humectants, and mixtures of humectants
(glycerin, propylene glycol, and other ingredients) that will be delivered in the
aerosol from the use of the new tobacco product; and
• Information on physiochemical changes of the mixture of ingredients in your
product due to temperature, wattage, and/or voltage changes, if available.

38
Contains Nonbinding Recommendations

Where a thorough literature review does not address these points, these topics may
need to be addressed in separate studies conducted by the applicant.

Information generated from the new tobacco product itself also provides valuable
insight into the toxicity profile of the product. This information may include
analysis of constituents and other toxic compounds in the ENDS aerosol. It can also
include in vitro studies, in vivo studies, or both with the ENDS product itself. These
studies might be conducted if an applicant is unable to acquire publicly available
toxicology information for specific aerosol ingredients. For any toxicity studies
conducted prospectively, the following points should be considered:

• Studies should be based on the potential human exposure of the product.


Exposures that mimic the highest consumer use scenario and one lower
exposure level should be evaluated in the toxicology studies based on the results
determined as described in section VI.H.1.a. Analysis of constituents and
toxicant levels at the exposures tested should be included.
• If the consumer can change the voltage and/or temperature of the heating
element, we recommend that you provide any available data on the subsequent
changes in the aerosol ingredients. Please also include any toxicity information
relevant to these changes.
• We recommend that you provide aerosolization properties of each of the
ingredients (e.g., constituents, humectants, metals, flavors included), particle
size of these ingredients in the product, and deposition of these particles through
inhalation. We also recommend that you discuss how these properties could
affect the product’s toxicity profile.
• In vitro assays can be used to evaluate the genotoxic potential of the ENDS in
comparison to other tobacco products. We suggest using the ICH S2(R1)
guidance45 and Organization for Economic Cooperation and Development
protocols as a guide for genotoxicity assessment. We also recommend that you
conduct these assays with multiple concentrations of your final product for
validating your results. For appropriate hazard identification comparison, you
should include the comparator products (e.g., products in the same category) in
your in vitro assay.

FDA supports reducing, replacing, and/or refining the use of animal testing in
research where adequate and scientifically valid non-animal alternatives can be
substituted. FDA encourages sponsors to meet with CTP early in the development
process to discuss the suitability and acceptability of non-animal tests for their
particular new tobacco product. When animal-based nonclinical laboratory studies
are conducted, investigators should use appropriate animal models, adhering to the

45
FDA guidance for industry ICH S2(R1) Genotoxicity Testing and Data Interpretation for Pharmaceuticals
Intended for Human Use, available on the Internet at
https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm under ICH - Safety.

39
Contains Nonbinding Recommendations

best practices of refinement, reduction, and replacement of animals in research and


following the applicable laws and regulations governing animal testing.

In addition to the available literature and any data generated on the specific product,
a strong scientific justification for the potential daily exposure levels of users to an
aerosol from an ENDS product should be included. This information is important to
enable FDA to conduct a thorough evaluation of the toxicity potential of the new
tobacco product. The aerosol exposure levels should reflect the best available
science on how exposures will occur in consumers based on the intended use of the
ENDS product. In addition, we recommend that you provide the scientific rationale
for the selection of the daily exposure to any other tobacco products used as
comparators. The assumptions used to determine the exposure levels from the
ENDS product (including aerosol) versus other tobacco products should be clearly
articulated. Your nonclinical information section should then use this exposure
information to inform the comparisons of all ingredients (including constituents,
flavors, metals, and other e-liquid additives such as propylene glycol and glycerol)
between the ENDS product and the product used as a comparator in your PMTA
submission.

FDA recommends that you identify the key features in the new tobacco product that
affect the levels of toxicants contained in the aerosol and provide evidence that key
parameters in the product are stable with batch-to-batch testing.

In the absence of toxicological data for a particular toxicant of concern, we


recommend that you consider computational modeling using surrogate chemical
structures. If computational modeling is used, detailed modeling information should
be provided including equations, assumptions, parameters (and data used to
generate the parameters if such data were used), outputs, and references, as well a
validation of the model. When you are using the model to evaluate the risk of a new
tobacco product, we recommend that you utilize assumptions, equations, and
parameters appropriate to the characteristics of the product and appropriate for the
selected population of product users. If you plan to conduct any computational
modeling, we suggest that you meet with CTP to specifically address this issue.
Finally, we recommend that you provide an integrated summary discussing how
permitting the marketing of the new tobacco product would be APPH from a
toxicology perspective relative to any similar comparator tobacco products (when
those products are used in the same manner, under similar conditions, and for the
same duration and frequency).

b) Human health impact information

Your PMTA should provide data that adequately characterizes the potential impact
of the new tobacco product on the health of both users and nonusers of tobacco
products in order to support that permitting the marketing the new tobacco product
would be APPH. This information can be gathered through your own studies or
through alternatives, discussed in section X of this guidance. To evaluate the acute
and chronic health effects associated with the product, FDA recommends including

40
Contains Nonbinding Recommendations

studies, other scientific evidence, or both, that identify biomarkers of exposure,


biomarkers of harm, and health outcome measurements or endpoints. For example,
biomarkers of toxicant exposure may include compounds such as cotinine, NNAL,
and NNN. While long term studies are most useful for identifying chronic effects
associated with use of a product, such studies are not routinely expected.

Considerations in addressing the human health impact of a new tobacco product


may include, but are not limited to:

• Tobacco users who may switch from other tobacco products to the new tobacco
product;
• Tobacco users and nonusers who, after adopting use of the new tobacco
product, may switch to or switch back to other tobacco products that may
present higher levels of individual health risk;
• Tobacco users who may opt to use the new tobacco product rather than cease
tobacco use altogether;
• Tobacco users who may opt to use the new tobacco product rather than an FDA-
approved tobacco cessation medication;
• Tobacco users who may use the new tobacco product in conjunction with other
tobacco products;
• Nonusers, such as youth, never users, and former users, who may initiate or
relapse tobacco use with the new tobacco product;
• The health effects in users of the new tobacco product; and
• Nonusers who experience adverse health effects from the new tobacco product.

Addressing these considerations in a full assessment of the health effects associated


with your ENDS product may include evaluation of the following:

i. Consumer perceptions and intentions

Consumer perception evaluations should address how consumers perceive product


harms and include consideration of packaging and labeling. These evaluations
should also address interest in and intentions to use the product, including among
populations of non-users of tobacco products (e.g., vulnerable populations such as
youth and young adults). Examples of information that may be considered in this
analysis include published reports and data on consumer perceptions of the new
tobacco product and its packaging and consumer intentions to use the product, and
data you collect on consumer perceptions of the harms of the new tobacco product
and of its proposed labeling or advertising and intentions to use the product,
including among populations of non-users of tobacco products. If you are collecting
data on consumer perceptions or intentions, we recommend evaluating perceptions
of the product, both absolute and in comparison to other categories of tobacco
products and to quitting all tobacco use. This evaluation should include the use
intentions among current ENDS users, nonusers, and other tobacco product users,

41
Contains Nonbinding Recommendations

as well as reasons for use (e.g., complete substitution, use in environments where
smoking is not allowed, fun and enjoyment).

ii. Likelihood of initiation and cessation by both users and nonusers of tobacco
products

Evaluations of the likelihood of initiation among never-users and former users of


tobacco products and cessation among current tobacco users should cover a range
of tobacco use behaviors related to your new tobacco product. Examples of
information that FDA recommends considering in these evaluations include:

• Published literature or applicant-initiated studies evaluating the effects of the


ENDS on users, including effects on initiation, switching behavior, cessation,
and dual use; and on nonusers’ initiation of the product. Published literature or
studies should be of the same or similar ENDS product. Where the ENDS
product studied is similar to the new tobacco product, the applicant should
explain why making such a comparison is appropriate; and
• Scientific information (e.g., information collected from peer-reviewed literature
or data you collect on your product) on the likelihood of tobacco product use by
nonusers, specifically youth and young adults, pregnant women, and other
vulnerable populations.

Although randomized clinical trials could address cessation behavior of users of


tobacco products, FDA believes this would also be true for observational studies
(perception, actual use, or both) examining cessation behaviors.46

iii. Product use patterns

Evaluation of product use patterns should consider the topography of how


individual users consume the product (e.g., the number of puffs, puff duration, puff
intensity, duration of use), the frequency with which consumers use the product,
and the trends by which users consume the product over time. FDA recommends
that information and data on product use, including use in conjunction with other
tobacco products, be assessed, when possible, by factors that may be expected to
influence such patterns, such as age group (including youth and young adults), sex,
race, ethnicity, and education.

• If the product has not been previously marketed, such information could be
collected from actual use studies.
• For previously marketed products, marketing data or company research
conducted to understand the use patterns could be used as well. In addition,

46
FDA recognizes that some clinical investigations examining cessation may require an investigational new drug
application (IND). FDA encourages applicants to contact FDA with questions about whether the IND requirements
apply to a particular clinical investigation.

42
Contains Nonbinding Recommendations

applicants may incorporate information from national surveys or the results of


other published studies.
• Although most studies in the published scientific literature typically focus on
general ENDS products and are not usually product-specific or type-specific,
data from these studies can still be informative to assess overall ENDS product
use information. Applicants using published studies of ENDS use to support
their application should provide a scientific rationale and bridging information
to allow FDA to assess whether the findings of such studies would be relevant
to the product that is the subject of the application.
• In addition, applicants may need to supplement information from existing
studies and surveys with applicant-specific perception surveys or actual use
studies.

Section IV discusses FDA’s current thinking on alternatives for obtaining study


information and using bridging studies to apply existing studies to your product.

FDA also recommends sharing your marketing plan to enable FDA to better
understand the potential consumer demographic. In addition, and if the product is
currently marketed,47 FDA recommends sharing sales data broken down by
population demographics and tobacco use status. Sales data, if available, should be
analyzed in regular (preferably 4-week or monthly) intervals and should include:

• The Universal Product Code that corresponds to the product(s) identified in the
PMTA;
• Total U.S. sales reported in dollars, units, and volume with breakdowns by U.S.
census region, major retail markets, and channels in which the product is sold
(e.g., convenience stores, food and drug markets, big box retailers,
internet/online sales, tobacco specialty shops) promotional discounts (e.g., buy-
one-get-one free or percentage discount);
• Demographic characteristics of product(s) purchasers, such as age, gender, and
tobacco use status; and
• Information on top selling brands as a comparison for all recommended
information, if available, so FDA can assess the market for the PMTA product
to better estimate the potential impact on public health.

iv. Labeling comprehension and actual use

FDA recommends that you include studies demonstrating that users and nonusers
understand the product’s labeling and instructions for use, and use the product
according to its labeled instructions, including studies such as labeling

47
FDA recognizes that some products covered by this guidance were on the market before FDA deemed all tobacco
products subject to the FD&C Act and would expect that some would continue to be on the market during the final
deeming rule’s compliance period. These currently marketed products should provide data on current U.S. sales.

43
Contains Nonbinding Recommendations

comprehension studies, focus group studies, and surveys. FDA also recommends
that you provide a description of how the product is actually used by the consumer,
including both use as intended and use as not intended.

v. Human factors

Analyses to evaluate the impact of human factors may be helpful to identify risks
associated with “real world” use of a new tobacco product and demonstrate that
potential risks associated with use for both users and nonusers have been mitigated.

Human factors considerations and analyses should include studies, such as actual
use studies, labeling comprehension studies, focus group studies, and surveys, that
identify:

• Normal use and foreseeable misuse conditions (e.g., dripping);


• Product users and nonusers;
• Use environment, such as home, community settings, and mobile environments
(e.g., cars, planes, other public forms of transportation);
• Use-related hazards and estimated use error risk (including misuse);
• Risk controls to ensure that harms and unintended consequences are minimized;
and
• Adverse experiences.

vi. Abuse liability

Abuse liability evaluations, including pharmacokinetic evaluations, should consider


the addictiveness and abuse and misuse potential of the new product and the
exposure to nicotine during product use. These evaluations should consider:

• Published reports and data describing the abuse potential of the e-liquid or e-
cigarette when used as an ENDS, as well as the abuse potential in comparison to
other relevant tobacco products (such as cigarettes or other ENDS products);
and
• Published reports and pharmacokinetic data (including published reports)
examining the exposure to nicotine during use.

vii. Biomarkers of harm and biomarkers of exposure

Biomarkers of harm and biomarkers of exposure may include published reports or


data on biomarkers of harm, biomarkers of exposure, and/or other intermediate
health measures to users and nonusers. For example, biomarkers of toxicant
exposure may include compounds such as cotinine, NNAL, and NNN. Section X
discusses FDA’s current thinking on alternatives for obtaining study information.

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viii. Health outcomes

Data to support the impact of the new tobacco product on the health of users and
nonusers may include health effects related to specific constituents that have been
identified in the aerosol delivered to the user. These constituents will vary
depending on the product and may include glycerin, propylene glycol, nicotine,
flavorings, and metals. These data should include health effects of aerosol
exposures, including changes in physiological measurements, such as heart rate and
blood pressure; changes in lung, cardiac, and metabolic function; adverse
experiences, such as throat irritation and cough; and changes in laboratory values,
such as mediators of inflammation and complete blood count indices.

FDA recommends that when you conduct studies, you ensure, to the extent
possible, that the study findings are generalizable to the population of U.S. users
and nonusers of your new tobacco product. If you are relying on published reports
to support your PMTA, you should justify why the data from those reports can be
bridged to your product and are appropriate for determining the impact of the new
tobacco product on the U.S. population.

VII. ADDITIONAL RECOMMENDATIONS FOR PREMARKET TOBACCO


PRODUCT APPLICATIONS FOR E-LIQUID PRODUCTS

Because e-liquids have different properties and characteristics than other e-cigarette components,
there are additional health considerations that should be addressed in a PMTA for an e-liquid. In
addition to the recommendations above for ENDS PMTAs in general, FDA recommends that
you address the following additional information in the Product Analysis and Manufacturing
section of a PMTA for an e-liquid.

A. Components, Ingredients, and Additives

In addition to the test analysis stated above in section VI.H.1.a, FDA recommends
that you provide adequate information in the PMTA to characterize the ingredients
(e.g., menthol, glycerol) in the e-liquid and identify characteristics of the e-liquid
that may impact the constituents in the aerosol. FDA also recommends that you
provide the e-liquid design parameters that would be affected by, and that would
affect, e-cigarette performance, such as the e-liquid viscosity and boiling point.

B. Flavors

Because of the potential impact of flavors on product toxicity and appeal to youth
and young adults, scientific reviews of flavors (e.g., toxicological analyses of flavor
additives, chemistry analyses, clinical studies, literature reviews), should be
included in a PMTA for an e-liquid. There may be significant differences in the
health risk of flavors depending on their route of exposure as well as the formation
of additional chemicals due to heating or burning of the flavors. Substances that are
generally recognized as safe (GRAS) under sections 201(s) and 409 of the FD&C
Act (21 U.S.C. 348) are defined as substances that are intentionally added to food

45
Contains Nonbinding Recommendations

and intended for oral ingestion. E-liquid is not food or intended for oral ingestion;
therefore, the fact that some substances have been designated GRAS for food does
not mean that they are safe for inhalation.

Under section 910(b)(1)(A) of the FD&C Act, you must include in your PMTA full
reports of all information, published or known to, or which should be reasonably
known to you (the applicant) concerning investigations that have been made to
show the health risks of the new tobacco product and whether the new tobacco
product presents less risk than other tobacco products. FDA considers the appeal
and use of ENDS product flavors important in ascertaining the health risks of these
products. In this regard, FDA recommends that you describe research on flavor
development including, but not limited to, market segmentation analysis or sensory
testing. You should describe consumer perceptions among current ENDS users and
other tobacco users for appeal and use intentions based on labeling and actual use of
flavors, and product design. In addition to the recommended information contained
throughout this guidance, it is also important for PMTAs for flavored products to
examine the impact of the flavoring on consumer perception (see section VI.H.2.b.i,
above, for a discussion of consumer perception evaluations), especially given the
attractiveness of flavors to youth and young adults. Additionally, to provide a better
understanding of the appeal of flavors to adults, FDA recommends examining adult
appeal of such flavors in their decisions to initiate use, cease use of more harmful
products, or dual use.

VIII. ADDITIONAL RECOMMENDATIONS FOR PREMARKET TOBACCO


PRODUCT APPLICATIONS FOR E-CIGARETTES

E-cigarettes have different properties and characteristics than e-liquids and, consequently,
present additional health considerations that are important for you to address in a PMTA for an
e-cigarette. In addition to the general recommendations above for ENDS PMTAs, FDA
recommends that you address the following additional information in a PMTA for an e-cigarette.

A. E-cigarette Design Factors to Consider

Section 910(b)(1)(B) of the FD&C Act requires that a PMTA include a full
statement of the components, ingredients, additives, and properties, and the
principle(s) of operation, of the new tobacco product. In addition, FDA
recommends that in PMTAs for e-cigarettes and their components sold separately,
you address both the items listed in this section of the guidance and the
characteristics listed specifically for the batteries, atomizers, and software, as
applicable.

ENDS users and nonusers are exposed to aerosols produced by the e-cigarette.
Therefore, to understand the health impact of an ENDS product, it is important to
understand how the e-liquid is heated as well as how the aerosol is generated and
transmitted to the user. Information about the properties and principles of operation
of an ENDS product will help FDA in determining the impact of the aerosol on

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health. FDA recommends that you provide a precise description of the e-cigarette,
including detailed discussions of the following, if applicable:

• E-cigarette features;
• Material and/or ingredient functions;
• Capabilities to monitor product performance (e.g., temperature sensing, voltage
sensing, battery life detection);
• Instructions and method of operation;
• Materials of all e-cigarette components;
• Operating ranges (e.g., lower and upper wattage, voltage limits that users can
adjust);
• Power supply, such as batteries (including whether it is rechargeable or
replaceable);
• Charging source and the safety of using different charging sources; and
• Heating source (e.g., heating coil, chemical reaction).

FDA also recommends that your PMTA contain detailed e-cigarette schematics
(e.g., CAD drawings) with dimensions, pictures, and labeling, accompanied by
engineering design parameters.

Finally, electrical safety should be discussed, and applicable standards to which


conformance have been demonstrated should be identified. This discussion should
include appropriate data (e.g., test protocol, data, results). Additionally, you should
provide a description of all built-in electrical safety features. Specific
recommendations for batteries are listed in section VIII.B.1. If the product contains
a controller, you should list and discuss the power management techniques used,
such as pulse width modulation or direct current.

B. Possible Design Parameters for Subcategories of E-cigarette Components and


Parts

FDA recognizes that there is no single set of engineering parameters that will
characterize all e-cigarettes and that each subcategory may have additional design
parameter information that is important in fully characterizing the health risk of the
product. For example, battery characteristics such as alarm capabilities, voltage
range, and battery type may affect the risk associated with using an ENDS product.
The following sections provide examples of the information that FDA recommends
you include for batteries, atomizers, and software. FDA recommends that this
information be addressed in a PMTA for an e-cigarette that includes the
components discussed below and in a PMTA for the component, if sold separately.
In situations where a PMTA is for an e-cigarette that is not sold with other
components (e.g., an e-cigarette sold without the battery included), FDA
recommends discussing specifications for the components that can be used in the e-
cigarette. As noted, FDA recognizes that there are many more subcategories of e-
cigarette components than the three mentioned here, but we have included examples
for these three components to help guide applicants in submitting the general

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information FDA recommends including for e-cigarette components. FDA


recommends that a PMTA for an individual component (e.g., coil) that is a finished
tobacco product identify the ENDS in which the applicant intends the component to
be used, as well as provide information on how the component interacts with the
intended product(s). For example, FDA recommends the data submitted for an
individual coil reflect the coil’s use in the ENDS in which the coil is intended to
be used.

1. Batteries

FDA is concerned about the risk of harm related to batteries in ENDS. Many
different aspects of batteries can cause health risks, such as leaching of battery
materials into the product, battery explosion, or other defects. To enable FDA to
assess the risks of a battery to be used in your tobacco product, we recommend that
your PMTA include the following information:

• Plans for addressing the likelihood of use and foreseeable misuse leading to
overheating, fire, and explosion during operation, charging, storage, and
transportation for distribution. For example, one approach would be to use a
battery management system to monitor and control safety aspects of battery
operation including charging and discharging. Then, in the application, you can
explain how any battery management system incorporated into the product
would function to reduce or mitigate any battery-related hazards. Battery
management systems may reduce risks by ensuring: the battery only charges
within manufacturer-specified operating regions for voltage, current, and
ambient temperatures; the battery is only allowed to discharge within
manufacturer-specified operating regions for voltage, current, duration, and
ambient temperature limits; the battery voltage does not increase above the
maximum voltage specified for the battery; the product cannot be used when a
battery reaches specified end-of-life conditions; and the product cannot be used
if the battery temperatures exceed safe operating limits due to other conditions.

• If the e-cigarette includes the battery:


o Amperage rating (i.e., the maximum suggested amperage draw and duration
for the battery and the maximum amperage draw and duration of the e-
cigarette);
o Battery mAh rating (i.e., the milliamps per hour of the battery and its
correlation to battery life);
o Battery type (including battery chemistry);
o Voltage output (at full charge and at low charge); and
o Testing certificates for any voluntary battery standards for the power supply.
Examples of voluntary battery standards for non-rechargeable batteries
include: (1) The series of standards from the International Electrotechnical
Commission (IEC) (60086-1 12th Edition, 60086-2 13th Edition, 60086-4

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4th Edition, and 60086-5 4th Edition,48 and IEC 62133-1 and 2 Edition 1.0
2017-0249) (2) Underwriters Laboratories Inc. (UL) Standard 2054 2nd
Edition;50 (3) UL Standard 1642 5th Edition.51 Examples of voluntary
battery standards for rechargeable batteries include: (1) IEC 62133 Edition
2.0 2012-12;52 (2) UL 2054 2nd Edition;53 or (3) UL’s Standard 1642 5th
Edition.54 An additional example of a voluntary standard is the joint
Canada-United States National Standards ANSI/CAN/UL 8139 – Electrical
Systems of Electronic Systems and Vaping Devices --1st Edition 2018.

• If the e-cigarette uses a consumer-replaceable battery:


o Battery specifications required by the e-cigarette; and
o Voltage range and wattage range, if the e-cigarette alters or regulates the
voltage.

• If the e-cigarette has alarm capabilities, indicate whether the product includes:
o Reverse polarity protection (i.e., does it protect the battery from being
placed in the e-cigarette backwards);
o Under-voltage lock-out protection (i.e., does the power lock out in the event
of the voltage dropping below the operational value);
o Over-voltage lock out protection (i.e., does the power lock out when the
voltage in the circuit is raised above the design limit);
o Low resistance protection (i.e., does the e-cigarette lock out if the wire
resistance is too low and, if so, what is the low resistance limit);
o High controller temperature protection (i.e., does the e-cigarette detect the
temperature of the controller and shut off when the temperature is too high);
and
o Unintended activation protection such as a maximum activation time limit,
on/off capability, and locking capabilities.

2. Atomizers and other similar parts (e.g., cartomizers)

An atomizer is a component that uses a coil to electronically heat nicotine-


containing e-liquid to produce an aerosol. FDA recommends that for PMTAs for e-

48
IEC International Standards for primary batteries: Part 1: General (60086-1 12th Ed., 2015); Part 2: Physical and
electrical specifications (60086-2 13th Ed., 2015); Part 4: Safety of lithium batteries (60086-4 4th Ed., 2014); and
Part 5: Safety of batteries with aqueous electrolyte (60086-5 4th Ed., 2016).
49
IEC International Standards for Secondary Cells And Batteries Containing Alkaline Or Other Non-Acid
Electrolytes – Safety Requirements For Portable Sealed Secondary Cells, And For Batteries Made From Them, For
Use In Portable Applications – Nickel Systems and Lithium Systems (62133-1 and 2, Edition 1.0 2017-02)
50
UL Standard for Household and Commercial Batteries (2054 2nd Ed., 2004).
51
UL Standard for Lithium Batteries (1642 5th Ed., 2012).
52
IEC International Standard for secondary cells and batteries containing alkaline or other non-acid electrolytes:
Safety Requirements for Portable Sealed Secondary Cells, and for Batteries Made From Them, for Use in Portable
Applications (62133 2nd Ed., 2012, including Corrigendum 1, 2013).
53
UL Standard for Household and Commercial Batteries (2054 2nd Ed., 2004).
54
UL Standard for Lithium Batteries (1642 5th Ed., 2012).

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cigarettes with atomizers and atomizers sold separately, you address the properties
for each of the components of the product subject to the PMTA listed below.

• Atomizer:
o Draw resistance (and operable range, if adjustable);
o E-liquid capacity; and
o Aerosol particle size across operable range.

• Coil:
o Number of coils (either a set number or capability range, depending on e-
cigarette design);
o Coil gauge and material;
o Coil resistance; and
o Coil failure testing (i.e., cycles to failure).

• Wick:
o Ignition temperature; and
o Wicking absorbency (if refillable, we recommend that the absorbency be
tested with low viscosity and high viscosity e-liquids).

3. Software

If the e-cigarette is software-driven, FDA recommends that you include the


following:

• A software description, including a summary of the features, personal electronic


devices with which it may be used (e.g., phones, tablets), and software operating
environment;
• The function(s) for which the software is used (e.g., controlling temperature,
nicotine content, flavor delivery);
• A hazard analysis of identified hardware/software hazards, including severity
assessment and mitigations;
• A software requirements specification, including a summary of functional
requirements;
• A traceability analysis, including traceability among requirements,
specifications, identified hazards and mitigations, and verification and
validation testing;
• Verification and validation documentation, including software functional test
plan, pass/fail criteria, and results; and
• A revision level history, including revision history log with release version
number and date.

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IX. ADDITIONAL RECOMMENDATIONS FOR ENDS PRODUCTS THAT


PACKAGE E-LIQUIDS AND E-CIGARETTES TOGETHER

FDA recognizes that many ENDS products will be packaged and sold together. For example, an
open e-cigarette that does not contain e-liquids may be packaged and sold with separately
contained e-liquids. Similarly, a closed e-cigarette will contain the e-liquid in the apparatus. In
both cases, FDA recommends that, in addition to the information discussed in section VI, you
address those items discussed in section VII for e-liquids and section VIII for e-cigarettes.
Additionally, FDA recommends that product testing, such as testing aerosol particle size across
the operable range, also be completed using the e-liquid solution and e-cigarette provided in the
product package.

X. ADDITIONAL CONSIDERATIONS FOR SCIENTIFIC STUDIES AND


ANALYSES

This guidance discusses FDA’s current thinking on the types of information an applicant should
include in a PMTA to help show that permitting the new tobacco product to be marketed would
be APPH. Throughout this guidance, we reference suggestions for scientific studies and analyses
to support this showing. FDA believes that in some cases, it may be possible to support a
marketing order for an ENDS product without conducting new nonclinical or clinical studies. For
example, if there is an established body of evidence regarding the health impact (individual or
population) of your product or a similar product that can be adequately bridged to your product,
such as data from the published literature or government-sponsored databases, these data may be
sufficient to support a PMTA, as mentioned in the sections below.

In cases where a product has not yet been sufficiently reviewed, new nonclinical and clinical
studies may be necessary to support a marketing order. The applicability of certain studies
depends on what aspect of the statutory requirements of a PMTA the applicant intends to
address. For example, to bridge to a completed study, if the PMTA product has been studied only
in a certain demographic, the applicant would need to provide a scientific rationale for why the
results of the study can be generalized to other demographic groups that are representative of the
U.S. population as whole. This could include a discussion of the factors that would be expected
to influence study findings and whether they vary significantly across the U.S. population. The
applicant should also clearly describe any reasons why study findings may not generalize to the
broader U.S. population. Similarly, to use existing literature, if a product with similar
characteristics (e.g., materials, ingredients, design, composition, heating source, other features)
has been studied in a special population, this information may be used to support whether and
how permitting the marketing of the product may be APPH by providing data relevant to the
special population, which we would not otherwise have absent a new clinical trial. In these cases,
you should explain why the study is relevant to use for the PMTA product (e.g., the similarities
between the product, product use, or product market).

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A. Alternatives to U.S.-Conducted Randomized Controlled Clinical Trials

Alternatives to U.S.-conducted randomized controlled clinical trials may be


appropriate when potential bias associated with alternative controls can be
addressed, including:

• Valid non-U.S. randomized controlled clinical trials data (when data can be
generalized to the U.S. population);
• Study designs employing non-concurrent controls such as historical controls
(e.g., literature, subject records) or objective performance criteria (i.e.,
performance criteria based on broad sets of data from historical databases (e.g.,
literature, registries) that are generally recognized as acceptable values (these
criteria may be used for surrogate or clinical endpoints in demonstrating the
risks or harm reduction for a tobacco product); or
• Observational studies.

Similarly, an effective use of incorporating by reference other PMTA submissions


that have been previously authorized for the same applicant and similar product
(rather than resubmitting duplicative information) may be done with cross-
referencing. Alternatively, for information on master files, see section X.D.

B. Literature Reviews

Published literature reviews (including meta-analysis) or reports may be acceptable


to support a PMTA, but are considered a less robust form of support for a PMTA.
Additionally, applicants may conduct their own meta-analysis as appropriate. If a
literature review is used to support a PMTA, FDA recommends that the PMTA:

• Describe the methodologies used in the literature review in detail and include
the databases searched and the date of searches, search terms, reasons for
inclusion/exclusion of documents, and the strategy for study quality assessment
(systematic review is preferred);
• Identify the specific question(s) and issue(s) addressed by the literature review;
• Clearly identify the documents or manuscripts that address a specific question
or issue;
• Identify the funding source for included studies;
• Identify study design and methods;
• Identify characterization of study participants;
• Identify the year and geographical location of studies;
• Identify strengths and limitations of studies (e.g., study design elements
including randomization details, potential biases, validity, variability, statistical
models, and heterogeneity);
• Provide an interpretation of study findings;

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• Provide adequate justification for bridging data from the product studied to your
new tobacco product;
• Provide a summary of the evidence from the literature review;
• Document how the literature review findings support or do not support that
permitting the marketing of your new tobacco product would be APPH;
• Include a bibliography and an appendix with the referenced publications; and
• Include comparative assessments of the health risks associated with use of your
new tobacco product compared to the risks associated with quitting tobacco
product use, using other tobacco products, and never using tobacco products.

In addition, when you submit a literature review to support an ENDS PMTA, FDA
recommends that you consider the relevancy of the literature and adequacy of the
study design in order to determine the likelihood that a particular body of literature
will support a marketing order for the new tobacco product. For example, the
following questions may be considered:

• Is the tobacco product in the literature comparable in terms of technology to the


new tobacco product?
• Are there data (e.g., range of possible use, emissions under conditions of use,
biomarkers of exposure) that can be used to adequately demonstrate
comparability?
• Was the product in the literature used in a population that adequately represents
the target population for the new tobacco product?
• Is the information in the literature sufficient to determine how the tobacco
product was used?

We recommend that to strengthen the likelihood that the literature review will
support your PMTA, you obtain additional information, such as full study methods,
including randomization details.

C. Analysis of Published Literature and Public Datasets

You may consider conducting independent analyses of published studies. In these


cases, FDA may review your analyses or publicly available analyses (for which
there may be limited access to data, limited access to detailed study reports, or
limited access to both) to partially or entirely support a PMTA. Please note,
however, that if critical study details are not submitted, the studies may not be
useful in FDA’s review of your PMTA.

If you cannot obtain the primary line or study data55 from the publicly available
literature, we recommend that, to the extent possible, you obtain other information,
such as the protocol, records of trial conduct and procedures, subject data listings

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Please see Section IV.H.2 for FDA’s current thinking on line and study data.

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for key variables, and documentation of the statistical analysis. If adverse or


unintended experiences are being monitored, we recommend that, to the extent
possible, you capture and document complete information for all serious adverse
experiences (including deaths) and subject withdrawal related to adverse
experiences, toxicity, or both.

D. Master Files

To reduce research burdens on manufacturers and increase efficiency of PMTA


preparation and submissions, we encourage you to use tobacco product master files
(TPMFs) whenever possible. TPMFs can be very useful when an applicant uses
another company’s component, part, or facility in the manufacturing, processing, or
packaging of its ENDS product. Using a TPMF allows a company to submit trade
secret or confidential commercial information to FDA without disclosing that
information to an applicant that needs to include it as part of a regulatory
submission. For example, a TPMF could be created by the company that sells liquid
nicotine to downstream e-liquid manufacturers, then a variety of manufacturers that
use that same supplier can be granted a right of reference to the supplier’s master
file for use in their applications. Another example where a TPMF could be useful
includes an e-liquid manufacturer who establishes a TPMF for e-cigarette
manufacturers to use in their PMTA. An e-cigarette manufacturer that purchases e-
liquid could request that the e-liquid manufacturer establish a TPMF with CTP that
contains information on the e-liquid to be used in PMTAs such as, but not limited
to: components, ingredients, additives; properties; principles of operation; design
parameters; manufacturing, controls, and quality processes; packaging; and
stability. As long as the e-cigarette manufacturer has a letter from the TPMF owner
with right to reference the file, CTP will consider the e-liquid specific information
contained in the TPMF on behalf of the applicant as part of the applicant’s PMTA.
When an applicant submits a right of reference to a TPMF, CTP can access and
review the confidential information in the TPMF as part of the PMTA, but the
applicant relying on this information to support its submission does not see or have
access to the proprietary information. This information will help applicants of
deemed products prepare premarket and other regulatory submissions because they
can reference information in TPMFs rather than develop the information on their
own.

Given the anticipated availability and use of TPMFs, which allows manufacturers to
rely on the data and analysis submitted to FDA by separate entities, FDA
anticipates that manufacturers will, over time, benefit from significantly increased
efficiencies and reduced costs for complying with the statute. Such a system
prevents and reduces duplication and allows for manufacturer reliance on
confidential or sensitive nonpublic information while maintaining its
confidentiality, thus saving time and reducing burdens for multiple manufacturers.
Because of the nature of upstream supply of many components for ENDS products,
especially e-liquids, FDA anticipates that commercial incentives will be sufficient
to drive manufacturer reliance on the system of master files.

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For more information on using TPMFs, refer to FDA’s guidance for industry,
Tobacco Product Master Files.56

E. Bridging

Ideally, a PMTA will include studies conducted using the new tobacco product;
however, bridging of data from one product to another may be feasible for a subset
of products or for certain types of studies. For example, “X-flavor” e-liquids with
nicotine concentrations ranging from 1 milligram per milliliter (mg/mL) to 24
mg/mL may not require unique studies for each nicotine concentration of the “X-
flavor” product if data from a subset of nicotine concentrations (e.g., low, middle,
high) of “X-flavor” products may be bridged to other concentrations of “X-flavor”
products. If you choose to bridge data from a studied tobacco product to your new
tobacco product, you should provide the rationale and justification to support
bridging (e.g., why the data used are applicable to your new tobacco product).

In addition, information that is available from earlier versions of an ENDS product


or similar tobacco products may be used to bridge studies and analyses for the
purposes of an ENDS PMTA. Earlier generations of a product line may provide
important information that can reduce the need for large amounts of additional data.

While bridging your new tobacco product to existing data is a viable option, there
may be circumstances when a bridging study may need to be conducted, such as
when the product is sensitive to intrinsic factors (e.g., gender, race, age, pathology)
and extrinsic factors (e.g., environmental, cultural). If the product is insensitive to
these factors, a new bridging study may not be necessary. Another example of when
a bridging study may be needed is when the location or region of a study differs
from the intended locations or regions where the product will be used.

XI. POSTMARKET REQUIREMENTS

A marketing order under section 910(c)(1)(A)(i) of the FD&C Act may require that the sale and
distribution of the tobacco product be restricted, but only to the extent that the sale and
distribution of a tobacco product may be restricted under a regulation under section 906(d). In
addition, under section 910(f) of the FD&C Act, FDA may require that you establish and
maintain certain postmarket records and make certain postmarket reports to FDA. Also, to the
extent that your PMTA proposes specific restrictions on sale and distribution to help support a
showing that permitting the marketing of the product would be APPH (e.g., a restriction that
decreases the likelihood that those who do not use tobacco products will start using tobacco
products), FDA may include such restrictions in a marketing order in addition to any other
restrictions that FDA may require.

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XII. REQUESTING MEETINGS WITH FDA

Tobacco manufacturers and importers intending to market products under the premarket tobacco
application pathway may request meetings with FDA regarding the research and investigation of
tobacco products by submitting a formal meeting request to CTP. A formal industry meeting
with FDA is a forum for the Agency to provide general assistance and guidance to applicants
regarding their questions and challenges pertaining to compliance with regulations and
requirements regarding the scientific data, information, and discussion needed for FDA to make
a final decision on an application. Because these meetings often represent significant
opportunities for assistance during the regulatory process, it is important for there to be efficient,
consistent procedures for the timely and effective conduct of such meetings. In May 2012, CTP
issued a guidance entitled Meetings with Industry and Investigators on the Research and
Development of Tobacco Products57 to assist persons in determining what to include in a meeting
request; how and when to submit a meeting request; and what information is requested prior to
the meeting. This guidance, updated in July 2016, focuses on tobacco product research and
development and is therefore utilized by CTP for application-related meetings.

CTP has received meeting requests, from 2011 to present, for various topics such as questions
related to study protocols for consumer perception, nonclinical studies, abuse liability evaluation,
and models used to estimate population health impact related to a proposed marketing
application. Many of these meetings have resulted in the submission of more complete
applications that contain the scientific data, information, and discussion needed in premarket
applications. FDA recommends that a meeting be held well in advance of the planned premarket
submission so that the applicant has the opportunity to consider CTP feedback prior to preparing
the application and to help ensure the application will be complete at the time of submission and
likely to provide the data and information required for the Agency to make a final authorization
decision. Considering the large number of anticipated applications and presubmission meetings
for newly regulated tobacco products, in general, CTP intends to grant no more than one or two
meetings per applicant. This will provide an opportunity for each applicant to receive feedback
on its general approach for a complete application that addresses the scientific requirements for a
PMTA.

To ensure a successful presubmission meeting for an application, before the meeting with FDA,
the meeting requestor is expected to have a fully developed approach to meet the regulatory
requirements for its planned application(s). There are many resources available to each applicant
to aid in the development of a successful submission. Examples include, but are not limited to:
FDA guidance related to applications, FDA Webinars, and documents posted on CTP’s Web site
regarding past FDA actions and the basis for those actions. Where it is considered appropriate,
applicants may benefit from consulting with experts outside FDA prior to meeting with the
Agency. These consultants may advise and/or assist applicants in developing the plan to address
the regulatory requirements and preparing well-organized submissions. Once an applicant has
developed a complete plan/approach, a meeting request should be submitted that focuses on: (1)
the approach to the application; (2) its completeness; and (3) any significant challenges

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identified. During the meeting, FDA intends to discuss a general path forward on these three
topics. The meeting request should include questions that have not been addressed through other
avenues and for which the applicant needs a discussion with FDA in order to submit a well-
developed and complete application. The presubmission meetings are not intended as a substitute
for a full application review, nor are they intended to provide the level of detail that FDA would
consider during the course of scientific review. For example, in a presubmission meeting, FDA
does not intend to address the adequacy of data (i.e., whether the data and information developed
by the applicant are adequate to answer the regulatory standard “appropriate for the protection of
the public health”). However, the presubmission meeting may provide helpful information to an
applicant regarding the planned application so that it appears complete and well organized, and
contains an approach that appears capable of addressing scientific requirements.

XIII. OFFICE OF SMALL BUSINESS ASSISTANCE

CTP’s Office of Small Business Assistance (OSBA) is available to assist manufacturers with
general questions regarding statutory and regulatory requirements and will continue to provide
support with respect to all deemed products, including ENDS. Questions about a specific
premarket tobacco application should reference your STN and may be directed to CTP’s Office
of Science.

FDA intends to expand the staffing for the OSBA to provide support for manufacturers who are
newly regulated by FDA.

Small businesses may contact CTP by email at smallbiz.tobacco@fda.hhs.gov or by phone at 1-


877-CTP-1373 to discuss questions regarding PMTA content, such as information necessary to
satisfy the filing criteria under section 910(b) of the FD&C Act or ways to reduce burden by
reference to another submission via the TPMF process. Additional information on Small
Business Assistance can be found at https://www.fda.gov/tobacco-products/compliance-
enforcement-training/small-business-assistance-tobacco-product-industry.

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DOCUMENT HISTORY

June 2019 – First edition of the guidance issued

March 2023 - Updated to reflect the amendments made by the Consolidated Appropriations Act,
2022 (Pub. L. 117-103). Among other things, the legislation amends the definition of “tobacco
product” in section 201(rr) of FD&C Act to include products “containing nicotine from any
source.”

• Section II—Added footnote to reflect amendments to 201(rr) and 901(b).

• Section III.F. – Updated the definition of “e-liquids” to ensure it reflects that an e-liquid
containing nicotine from any source, not just tobacco, meets the definition of tobacco
product.

• Section III.I. – Updated the definition of “tobacco product.”

• Section IV.A.—Guidance is revised to include references to deemed tobacco products to


avoid confusion about the scope of products that are subject to the Deeming Rule.

• Section IV.D.5.—Gudiance is revised to reflect warning statements regarding the


addictiveness of nicotine does not apply to NTN products at this time.

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