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WORLD TRADE G/TBT/N/CAN/211 25 September 2007 ORGANIZATION (07-4029) Committee on Technical Barriers to Trade Original: English/ French NOTIFICATION The following notification is being circulated in accordance with Article 10.6. 1. Member to Agreement notifying: CANADA If applicable, name of local government involved (Articles 3.2 and 7.2): 2. Agency responsible: Department of Health Name and address (including telephone and fax numbers, e-mail and web-site addresses, if available) of agency or authority designated to handle comments regarding the notification shall be indicated if different from above: Canadian Enquiry Point 200-270 Albert Street Ottawa, Ontario, Canada, K1P 6N7 Tel.: +(613) 238 3222 Fax.: +(613) 569 7808 E-mail: [email protected] 3. Notified under Article 2.9.2 [ X ], 2.10.1 [ ], 5.6.2 [ ], 5.7.1 [ ], other: 4. Products covered (HS or CCCN where applicable, otherwise national tariff heading. ICS numbers may be provided in addition, where applicable): Prescription status of medicinal ingredients for human use (ICS : 11.120). 5. Title, number of pages and language(s) of the notified document: Proposed Amendment to the Food and Drug Regulations (Project No. 1536 — Schedule F) (4 pages, in English and French). 6. Description of content: This notification announces the availability of a letter that provides an opportunity to comment on the proposed addition of two medicinal ingredients to Part I of Schedule F to the Food and Drug Regulations. Description of the medicinal ingredients: 1. Micafungin and its salts is an antifungal drug that is indicated for the treatment and prevention of fungal infections of the esophagus in patients undergoing stem cell transplantation. Direct supervision by a practitioner is required. Micafungin and its salts is known to have undesirable or severe side effects at normal therapeutic dosage levels. Frequent laboratory monitoring is required while using micafungin and its salts. 2. Sitaxentan and its salts is indicated for the treatment of pulmonary arterial hypertension (PAH), a rare progressive disease that is characterized by high blood pressure in the blood vessels leading to the lungs. Diagnosis by a specialist in the . /. G/TBT/N/CAN/211 Page 2 area of PAH is required. Close medical supervision and routine laboratory monitoring are required due to the potential for adverse effects involving the liver. Sitaxentan and its salts may have undesirable side effects at normal therapeutic dosage levels. The degree of regulatory control afforded by Schedule F (prescription drug) status coincides with the risk factors associated with each medicinal ingredient. Oversight by a practitioner is necessary to ensure that adequate risk/benefit information is available before the drug containing the medicinal ingredient is administered and that the drug therapy is properly monitored. Schedule F is a list of medicinal ingredients, the sale of which is controlled under sections C.01.041 to C.01.049 of the Food and Drug Regulations. Part I of Schedule F lists ingredients that require a prescription for human use and for veterinary use. Part II of Schedule F lists ingredients that require a prescription for human use, but do not require a prescription for veterinary use if so labelled or if in a form unsuitable for human use. 7. Objective and rationale, including the nature of urgent problems where applicable: Protection of human health 8. Relevant documents: Therapeutic Products Directorate (TPD) website: http://www.hc-sc.gc.ca/dhp-mps/prodpharma/legislation/acts-lois/notice-avis/index_e.html, Project No. 1536, letter posted: 14 September 2007 9. Proposed date of adoption: Normally within 6 to 8 months from the posting of the letter on the TPD website Proposed date of entry into force: On the date the measure is adopted 10. Final date for comments: 28 November 2007 11. Texts available from: National enquiry point [ X ] or address, telephone and fax numbers, e-mail and web-site addresses, if available of the other body: The electronic version of Project No. 1536 can be downloaded at: http://www.hc-sc.gc.ca/dhp-mps/prodpharma/legislation/acts-lois/noticeavis/project_projet_1536_e.html