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Chris Buck's avatar

Andrew and I are still wrestling with what I call the "only-possible-intent" problem. A funny thing about the law is that it defines drugs based on manufacturer *intent*, rather than claims. The specific language is:

"articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease"

A regulator might try to argue that the only conceivable intent for adding a vaccine antigen to yeast is the prevention and treatment of disease caused by the virus from which the antigen was derived. It's essentially the argument my scientific colleagues are making - everybody knows what I'm doing when I add a viral antigen to yeast. My intent - whether spoken or not - is obviously to prevent or treat disease.

Fortunately, a judge would laugh this argument out of court for BK polyomavirus (BKV), because the manufacturer has no idea which diseases might or might not be prevented (see footnote [1]). The BKV yeast are truly just pursuing a possible general health effect - which is allowed for foods. Unfortunately, the only-possible-intent argument starts to become more plausible for something like influenza - where there's obviously one specific disease in the crosshairs.

My sense is that legal precedents would make an only-possible-intent argument a nonstarter in court. Historically, marketing claims are the only thing regulatory agencies have ever used as evidence of manufacturer intent. In the case of Activia yogurt, a court ruled that the manufacturer couldn't have a label claim saying that eating the added Bifidobacterium animalis DN-173 010 ingredient is clinically proven to relieve temporary irregularity (i.e., constipation). Activia complied with the court ruling by changing the label to the general health claim "helps regulate your digestive system."

In the Activia case, the manufacturer essentially announced on its original label that the only-possible-intent for adding Bifidobacterium animalis DN-173 010 is relieving constipation. The point is that the court didn't attempt to psychoanalyze the manufacturer to infer an only-possible-intent - the ruling only used the text of the label claims to infer disease-treatment intent. We all know what Activia is trying to do when they add Bifidobacterium animalis DN-173 010 to the yogurt - but it doesn't matter, so long as it's not in the sales pitch.

With the Activia case in mind, it seems to me that yeast with influenza antigens would be just fine, so long as the label doesn't state an intent to foil the flu. The label could, on the other hand, lawfully have a general health claim along the lines of "promotes healthy immune function."

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