Citizens Petition 1
A public filing requesting FDA review of research questions concerning whether opioid exposure may be associated with measurable biological markers.
Administration
Petition Summary
What this petition says in plain language
Poses a research question
before the FDA
Formally requests FDA review of whether opioid exposure may be associated with measurable biological markers.
Summarizes why the question merits review
Explains the public health importance and the need for further investigation based on existing evidence.
Draws on published and archival sources
Cites peer-reviewed research, government reports, and other relevant materials to support the request.
Asks for review and consideration
Requests that the FDA consider the evidence and determine whether additional research or guidance are appropriate.
View the Petition
Evidence cited in this petition
Sun, E. C. et al. (2017).
Association of prescription opioid use with adverse health outcomes: a systematic review. AMA, 118(9), 1564–1571.
Zhou, Z. et al. (2020).
Opioid exposure and epigenetic modifications: a systematic review. Neuroscience & Biobehavioral Reviews, 118, 182–197.
Takahashi, M. et al. (2019).
DNA methylation changes in individuals with opioid use disorder, Translational Psychiatry, 9, 129.
U.S. Food and Drug Administration. (2022).
Opioids: Regulatory history and future considerations. FDA Drug Safety Communication.
Volkow, N. D. (2021).
The lasting biological effects of opioids: A call for further research. Nature Medicine, 27, 523–525.
Regulatory Timeline
Research question identified
Mar 10, 2025
Petition drafted
Nov 3, 2025
Petition filed
Jan 14, 2026
Acknowledgement received
Jan 28, 2026
Review pending
Jan 28, 2026 – Present
Public updates
Ongoing
What happens next
The FDA citizen petition process
The FDA reviews citizen petitions to determine whether the request is actionable and whether further study or guidance is appropriate.
Expected timeframes
The FDA does not have a fixed timeline for responding to citizen petitions. Timing may vary, and in some cases a response timeframe may be unknown.
How updates will be published
Updates will be posted on our Updates page, if the petition is acknowledged. Any relevant information becomes available.
Related Documents and Resources
Citizens Petition 2
View our second citizen petition, which addresses additional research questions related to opioid exposure.
View Citizens Petition 2 →Resources Library
Explore the scientific literature, regulatory documents, and other materials referenced in our petition.
Visit the Resources Library →
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