Close Look at Unproven, Unapproved Regenerative Products
FDA commissioner Stephen Hahn and CBER director Peter Marks say it is time that unproven and unapproved regenerative medicine products be identified and recognized as uncontrolled experimental procedures that can cost patients both physically and financially. Writing in the Journal of the American Medical Association, Hahn and Marks say that despite assertions by some individuals to the contrary, the products, whether autologous or allogenic, are not inherently safe and may be associated with serious adverse consequences.
“This is particularly true for those products that are not manufactured consistent with current good manufacturing practice,” they write. “Lapses in good manufacturing practice are likely responsible for numerous serious bacterial infections requiring hospitalization. Such lapses also may be responsible for noninfectious complications due to substances introduced during the manufacturing process…. The increasing number of adverse events being reported following the widespread use of unapproved regenerative medicine therapies at hundreds of clinics across the country make it necessary for FDA to act to prevent harm to individuals receiving them.”
The article discusses the compliance and enforcement actions the agency has taken over the past several years.