Schedules of Controlled Substances: Placement of 2-Methyl AP-237 in Schedule I

Published date15 March 2024
Record Number2024-05543
Citation89 FR 18793
CourtDrug Enforcement Administration
SectionRules and Regulations
Federal Register, Volume 89 Issue 52 (Friday, March 15, 2024)
[Federal Register Volume 89, Number 52 (Friday, March 15, 2024)]
                [Rules and Regulations]
                [Pages 18793-18796]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2024-05543]
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                DEPARTMENT OF JUSTICE
                Drug Enforcement Administration
                21 CFR Part 1308
                [Docket No. DEA-1245]
                Schedules of Controlled Substances: Placement of 2-Methyl AP-237
                in Schedule I
                AGENCY: Drug Enforcement Administration, Department of Justice.
                ACTION: Final amendment; final order.
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                SUMMARY: With the issuance of this final order, the Administrator of
                the Drug Enforcement Administration is permanently placing 1-(2-methyl-
                4-(3-phenylprop-2-en-1-yl)piperazin-1-yl)butan-1-one (commonly known as
                2-methyl AP-237), including its optical and geometric isomers, esters,
                ethers, salts, and salts of isomers, esters, and ethers whenever the
                existence of such isomers, esters, ethers, and salts is possible within
                the specific chemical designation, in schedule I of the Controlled
                Substances Act. This scheduling action discharges the United States'
                obligations under the Single Convention on Narcotic Drugs (1961). This
                action imposes the regulatory controls and administrative, civil, and
                criminal sanctions applicable to schedule I controlled substances on
                persons who handle (manufacture, distribute, import, export, engage in
                research or conduct instructional activities with, or possess), or
                propose to handle 2-methyl AP-237.
                DATES: Effective April 15, 2024.
                FOR FURTHER INFORMATION CONTACT: Dr. Terrence L. Boos, Drug and
                Chemical Evaluation Section, Diversion Control Division, Drug
                Enforcement Administration; Telephone: (571) 362-3249.
                SUPPLEMENTARY INFORMATION:
                Legal Authority
                 The United States is a party to the 1961 United Nations Single
                Convention on Narcotic Drugs, March 30, 1961, 18 U.S.T. 1407, 570
                U.N.T.S. 151 (Single Convention), as amended by the 1972 Protocol.
                Article 3, paragraph 7 of the Single Convention requires that if the
                Commission on Narcotic Drugs (Commission) adds a substance to one of
                the schedules of such Convention, and the United States receives
                notification of such scheduling decision from the Secretary-General of
                the United Nations (Secretary-General), the United States, as a
                signatory Member State, is obligated to control the substance under its
                national drug control legislation. Under 21 U.S.C. 811(d)(1) of the
                Controlled Substances Act (CSA), if control of a substance is required
                ``by United States obligations under international treaties,
                conventions, or protocols in effect on October 27, 1970,'' the Attorney
                General must issue an order controlling such drug under the schedule he
                deems most appropriate to carry out such obligations, without regard to
                the findings required by 21 U.S.C. 811(a) or 812(b), and without regard
                to the procedures prescribed by 21 U.S.C. 811(a) and (b). The Attorney
                General has delegated scheduling authority under 21 U.S.C. 811 to the
                Administrator of the Drug Enforcement Administration (Administrator of
                DEA or Administrator). 28 CFR 0.100.
                Background
                 In a letter dated November 24, 2022, the Director-General of the
                World Health Organization recommended to the Secretary-General of the
                United Nations that 2-methyl AP-237 be placed in Schedule I of the
                Single Convention, as this substance has an opioid mechanism of action
                and similarity to drugs that are controlled in Schedule I of the Single
                Convention (i.e., 2-methyl AP-237 is similar to drugs such as
                isotonitazene) and has dependence and abuse potential. On May 17, 2023,
                the United States Government was informed by the Secretariat of the
                United Nations, by letter, that during its 66th session in March 2023,
                the Commission voted to place 2-methyl AP-237 in Schedule I of the
                Single Convention (CND Mar/66/1).
                2-Methyl AP-237
                 2-Methyl AP-237 has a pharmacological profile similar to other
                classical opioids such as fentanyl (schedule II), morphine (schedule
                II) and heroin (schedule I), which act as mu-opioid receptor agonists.
                Because of the pharmacological similarities of 2-methyl AP-237 to the
                aforementioned opioids, 2-methyl AP-237 presents a high risk of abuse
                and has negatively affected users and communities. According to the DEA
                Toxicology Testing Program (DEA TOX) \1\ and a recent publication,\2\
                the abuse of 2-methyl AP-237 has been associated with at least seven
                fatalities in the United States between February 2020 and July 2023.
                The identification of this substance in post-mortem cases is a serious
                concern to public safety.
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                 \1\ The DEA Toxicology Testing Program (DEA TOX) was initiated
                in response to the ongoing novel synthetic drug abuse epidemic. This
                program provides toxicology data on synthetic drugs from biological
                samples that may not be routinely identified, which are generated
                from drug overdose victims. Data queried on 8/7/2023.
                 \2\ Fogarty, MF, Vandeputte, MM, Krotulski, AJ, Walton, SE,
                Stove, CP, and Logan, BK (2022). Toxicological and pharmacological
                characterization of novel cinnamylpiperazine synthetic opioids in
                humans and in vitro including 2-methyl AP-237 and AP-238. Archives
                of Toxicology 96:1701-1710.
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                 In June 2019, 2-methyl AP-237 emerged on the United States illicit
                drug market as evidenced by its identification in drug seizures.\3\ Law
                enforcement
                [[Page 18794]]
                reports demonstrate that 2-methyl AP-237 is being illicitly distributed
                and abused. The illicit use and distribution of this substance is
                similar to that of heroin (schedule I) and prescription opioid
                analgesics. According to the National Forensic Laboratory Information
                System (NFLIS-Drug) database, which collects drug identification
                results from drug cases submitted to and analyzed by Federal, State,
                and local forensic laboratories, there have been 92 reports of 2-methyl
                AP-237 in the United States since 2019 (data queried July 17, 2023).
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                 \3\ NFLIS represents an important resource in monitoring illicit
                drug trafficking, including the diversion of legally manufactured
                pharmaceuticals into illegal markets. NFLIS-Drug is a comprehensive
                information system that includes data from forensic laboratories
                that handle the nation's drug analysis cases. NFLIS-Drug
                participation rate, defined as the percentage of the national drug
                caseload represented by laboratories that have joined NFLIS, is
                currently 98.5 percent. NFLIS includes drug chemistry results from
                completed analyses only. While NFLIS data is not direct evidence of
                abuse, it can lead to an inference that a drug has been diverted and
                abused. See Schedules of Controlled Substances: Placement of
                Carisoprodol Into Schedule IV; 76 FR 77330, 77332, December 12,
                2011. NFLIS data was queried on July 17, 2023. Reports to NFLIS-Drug
                are still pending for 2023.
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                 DEA is not aware of any claims or any medical or scientific
                literature suggesting that 2-methyl AP-237 has a currently accepted
                medical use in treatment in the United States. In addition, the
                Assistant Secretary for Health of the U.S. Department of Health and
                Human Services, by a letter to DEA dated December 22, 2022, stated that
                there are no investigational new drug applications or approved new drug
                applications for 2-methyl AP-237 in the United States; hence, there are
                no legitimate channels for this substance as a marketed drug product in
                the United States. Because 2-methyl AP-237 is not formulated or
                available for clinical use as an approved medicinal product, all
                current use of this substance by individuals is based on their own
                initiative, rather than on the basis of medical advice from a
                practitioner licensed by law to administer such a drug.
                 Therefore, consistent with 21 U.S.C. 811(d)(1), DEA concludes that
                2-methyl AP-237 has no currently accepted medical use in treatment in
                the United States \4\ and is most appropriately placed in schedule I of
                the CSA. Because control is required under the Single Convention, DEA
                will not be initiating regular rulemaking proceedings to permanently
                schedule 2-methyl AP-237 pursuant to 21 U.S.C. 811(a).
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                 \4\ Although, as discussed above, there is no evidence
                suggesting that 2-methyl AP-237 has a currently accepted medical use
                in treatment in the United States, it bears noting that a drug
                cannot be found to have such medical use unless DEA concludes that
                it satisfies a five-part test. Specifically, with respect to a drug
                that has not been approved by the Food and Drug Administration, to
                have a currently accepted medical use in treatment in the United
                States, all of the following must be demonstrated: i. the drug's
                chemistry must be known and reproducible; ii. there must be adequate
                safety studies; iii. there must be adequate and well-controlled
                studies proving efficacy; iv. the drug must be accepted by qualified
                experts; and v. the scientific evidence must be widely available. 57
                FR 10499 (Mar 26,1992), pet. for rev. denied, Alliance for Cannabis
                Therapeutics v. Drug Enforcement Admin., 15 F.3d 1131, 1135 (D.C.
                Cir. 1994).
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                Conclusion
                 In order to meet the United States' obligations under the Single
                Convention and because 2-methyl AP-237 has no currently accepted
                medical use in treatment in the United States, the Administrator has
                determined that 2-methyl AP-237, including its optical and geometric
                isomers, esters, ethers, salts, and salts of isomers, esters, and
                ethers, whenever the existence of such isomers, esters, ethers, and
                salts is possible within the specific chemical designation, should be
                placed in schedule I of the CSA.
                Requirements for Handling
                 Upon the effective date of the final order contained in this
                document, 2-methyl AP-237 will be permanently subject to the CSA's
                schedule I regulatory controls and administrative, civil, and criminal
                sanctions applicable to the manufacture of, distribution of,
                importation of, exportation of, engagement in research or conduct of
                instructional activities with, and possession of, schedule I controlled
                substances, including the following:
                 1. Registration. Any person who handles (manufactures, distributes,
                imports, exports, engages in research or conducts instructional
                activities with, or possesses), or who desires to handle, 2-methyl AP-
                237 must be registered with DEA to conduct such activities pursuant to
                21 U.S.C. 822, 823, 957, and 958, and in accordance with 21 CFR parts
                1301 and 1312. Retail sales of schedule I controlled substances to the
                general public are not allowed under the CSA. Possession of any
                quantity of this substance in a manner not authorized by the CSA is
                unlawful and those in possession of any quantity of this substance may
                be subject to prosecution pursuant to the CSA.
                 2. Disposal of stocks. 2-Methyl AP-237 must be disposed of in
                accordance with 21 CFR part 1317, in addition to all other applicable
                Federal, state, local, and tribal laws.
                 3. Security. 2-Methyl AP-237 is subject to schedule I security
                requirements and must be handled and stored pursuant to 21 U.S.C. 823,
                and in accordance with 21 CFR 1301.71-1301.76. Non-practitioners
                handling 2-methyl AP-237 must comply with the employee screening
                requirements of 21 CFR 1301.90-1301.93.
                 4. Labeling and packaging. All labels, labeling, and packaging for
                commercial containers of 2-methyl AP-237 must comply with 21 U.S.C.
                825, and be in accordance with 21 CFR part 1302.
                 5. Quota. Only registered manufacturers are permitted to
                manufacture 2-methyl AP-237 in accordance with a quota assigned
                pursuant to 21 U.S.C. 826, and in accordance with 21 CFR part 1303.
                 6. Inventory. Any person registered with DEA to handle 2-methyl AP-
                237 must have an initial inventory of all stocks of controlled
                substances (including this substance) on hand on the date the
                registrant first engages in the handling of controlled substances
                pursuant to 21 U.S.C. 827 and in accordance with 21 CFR 1304.03,
                1304.04, and 1304.11.
                 After the initial inventory, every DEA registrant must take a new
                inventory of all stocks of controlled substances (including 2-methyl
                AP-237) on hand every two years pursuant to 21 U.S.C. 827 and in
                accordance with 21 CFR 1304.03, 1304.04, and 1304.11.
                 7. Records and Reports. DEA registrants must maintain records and
                submit reports with respect to 2-methyl AP-237 pursuant to 21 U.S.C.
                827, and in accordance with 21 CFR 1301.74(b) and (c), 1301.76(b), and
                1307.11 and parts 1304, 1312, and 1317. Manufacturers and distributors
                must submit reports regarding 2-methyl AP-237 to the Automation of
                Reports and Consolidated Order System pursuant to 21 U.S.C. 827 and in
                accordance with 21 CFR parts 1304 and 1312.
                 8. Order Forms. All DEA registrants who distribute 2-methyl AP-237
                must comply with the order form requirements pursuant to 21 U.S.C. 828
                and in accordance with 21 CFR part 1305.
                 9. Importation and Exportation. All importation and exportation of
                2-methyl AP-237 must comply with 21 U.S.C. 952, 953, 957, and 958, and
                in accordance with 21 CFR part 1312.
                 10. Liability. Any activity involving 2-methyl AP-237 not
                authorized by, or in violation of the CSA, is unlawful, and may subject
                the person to administrative, civil, and/or criminal sanctions.
                [[Page 18795]]
                Regulatory Analyses
                Executive Orders 12866 (Regulatory Planning and Review) and 13563
                (Improving Regulation and Regulatory Review) and 14094 (Modernizing
                Regulatory Review)
                 This action is not a significant regulatory action as defined by
                Executive Order (E.O.) 12866 (Regulatory Planning and Review), section
                3(f), as amended by E.O. 14094, section 1(b), and the principles
                reaffirmed in E.O. 13563 (Improving Regulation and Regulatory Review);
                and, accordingly, this action has not been reviewed by the Office of
                Management and Budget (OMB).
                Executive Order 12988, Civil Justice Reform
                 This action meets the applicable standards set forth in sections
                3(a) and 3(b)(2) of E.O. 12988 to eliminate drafting errors and
                ambiguity, minimize litigation, provide a clear legal standard for
                affected conduct, and promote simplification and burden reduction.
                Executive Order 13132, Federalism
                 This action does not have federalism implications warranting the
                application of E.O. 13132. This action does not have substantial direct
                effects on the States, on the relationship between the National
                Government and the States, or on the distribution of power and
                responsibilities among the various levels of government.
                Executive Order 13175, Consultation and Coordination With Indian Tribal
                Governments
                 This action does not have tribal implications warranting the
                application of E.O. 13175. The action does not have substantial direct
                effects on one or more Indian tribes, on the relationship between the
                Federal Government and Indian tribes, or on the distribution of power
                and responsibilities between the Federal Government and Indian tribes.
                Administrative Procedure Act
                 The CSA provides for an expedited scheduling action where control
                is required by the United States' obligations under international
                treaties, conventions, or protocols. 21 U.S.C. 811(d)(1). If control is
                required pursuant to such international treaty, convention, or
                protocol, the Attorney General, as delegated to the Administrator, must
                issue an order controlling such drug under the schedule he deems most
                appropriate to carry out such obligations, and ``without regard to''
                the findings and rulemaking procedures otherwise required for
                scheduling actions in 21 U.S.C. 811(a) and (b). Id.
                 In accordance with 21 U.S.C. 811(d)(1), scheduling actions for
                drugs that are required to be controlled by the United States'
                obligations under international treaties, conventions, or protocols in
                effect on October 27, 1970, shall be issued by order (as opposed to
                scheduling by rule pursuant to 21 U.S.C. 811(a)). Therefore, DEA
                believes that the notice and comment requirements of section 553 of the
                Administrative Procedure Act (APA), 5 U.S.C. 553, do not apply to this
                scheduling action.
                Regulatory Flexibility Act
                 The Regulatory Flexibility Act (RFA) (5 U.S.C. 601-612) applies to
                rules that are subject to notice and comment under section 553(b) of
                the APA or any other law. As explained above, the CSA exempts this
                final order from notice and comment. Consequently, the RFA does not
                apply to this action.
                Paperwork Reduction Act of 1995
                 This order would modify an existing collection of information
                requirement under the Paperwork Reduction Act (PRA), 44 U.S.C. 3501-
                3521. Pursuant to section 3507(d) of the PRA of 1995 (44 U.S.C.
                3507(d)), DEA is adding new reporting and recordkeeping requirements
                for 1117-0003. This order also involves existing collection 1117-0004,
                but would not modify the existing collection of information requirement
                under the PRA. An agency may not conduct or sponsor, and a person is
                not required to respond to a collection of information, unless it
                displays a valid OMB control number. Copies of existing information
                collections approved by OMB may be obtained at http://www.reginfo.gov/public/do/PRAMain.
                Unfunded Mandates Reform Act of 1995
                 In accordance with the Unfunded Mandates Reform Act (UMRA) of 1995,
                2 U.S.C. 1501 et seq., DEA has determined and certifies that this
                action would not result in any Federal mandate that may result ``in the
                expenditure by State, local, and tribal governments, in the aggregate,
                or by the private sector, of $100,000,000 or more (adjusted annually
                for inflation) in any 1 year * * *.'' Therefore, neither a Small
                Government Agency Plan nor any other action is required under UMRA of
                1995.
                Congressional Review Act
                 This order is not a major rule as defined by the Congressional
                Review Act (CRA), 5 U.S.C. 804. However, DEA is submitting reports
                under the CRA to both Houses of Congress and to the Comptroller
                General.
                List of Subjects in 21 CFR Part 1308
                 Administrative practice and procedure, Drug traffic control,
                Reporting and recordkeeping requirements.
                 For the reasons set out above, DEA amends 21 CFR part 1308 as
                follows:
                PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES
                0
                1. The authority citation for part 1308 continues to read as follows:
                 Authority: 21 U.S.C. 811, 812, 871(b), 956(b), unless otherwise
                noted.
                0
                2. In Sec. 1308.11:
                0
                a. Redesignate paragraphs (b)(59) through (b)(103) as follows:
                ------------------------------------------------------------------------
                 Old paragraph New paragraph
                ------------------------------------------------------------------------
                (b)(59) through (103)..................... (b)(60) through (104).
                ------------------------------------------------------------------------
                0
                b. Add new paragraph (b)(59).
                 The addition reads as follows:
                Sec. 1308.11 Schedule I.
                * * * * *
                 (b) * * *
                
                 * * * * * * *
                (59) 2-Methyl AP-237 (1-(2-methyl-4-(3-phenylprop-2-en-1- 9664
                 yl)piperazin-1-yl)butan-1-one)..............................
                
                 * * * * * * *
                
                * * * * *
                Signing Authority
                 This document of the Drug Enforcement Administration was signed on
                March 8, 2024, by Administrator Anne Milgram. That document with the
                original signature and date is maintained by DEA. For administrative
                purposes only, and in compliance with requirements of the Office of the
                Federal Register, the undersigned DEA Federal Register Liaison Officer
                has been authorized to sign and submit the document in electronic
                format for
                [[Page 18796]]
                publication, as an official document of DEA. This administrative
                process in no way alters the legal effect of this document upon
                publication in the Federal Register.
                Heather Achbach,
                Federal Register Liaison Officer, Drug Enforcement Administration.
                [FR Doc. 2024-05543 Filed 3-14-24; 8:45 am]
                BILLING CODE 4410-09-P
                

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