FDA Pushing EG, DEG Testing

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A Reuters analysis of FDA regulatory alerts found that the agency is “cracking down on lax testing practices by dozens of makers of healthcare products following hundreds of deaths overseas from contaminated cough syrups.” The news service says FDA has flagged more manufacturers for failing to test raw materials susceptible to ethylene glycol (EG) and diethylene glycol (DEG) contamination in 2023 than in the previous five years combined. An agency spokesperson told Reuters there is no indication that products contaminated with EG and DEG have entered the U.S. supply chain, and further said that the number of Warning Letters issued in a given period “is not a comprehensive marker of our oversight.”

Attorney Peter Lindsay (Paul Hastings) told Reuters the agency is now requiring manufacturers to check individual containers of ingredients rather than just sampling raw materials. “They’re upping the bar a little bit and trying to get industry to understand and recognize some of the risks in these areas,” he said.

Enforcement actions have involved companies based in the U.S. and those that export from South Korea, Switzerland, Canada, and Egypt, the article says.

It reports that cough syrups made in India and Indonesia have been linked to the deaths of more than 300 children globally. The products were found to contain high levels of DEG and EG, leading to acute kidney injury and death. The cases have led to criminal probes, lawsuits, and a surge in regulatory scrutiny worldwide, Reuters says. The news service reported earlier this month that some Indian companies could not prove that they had purchased pharmaceutical-grade ingredients or tested their medicines for the toxins.

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