FDA Update on Bone Matrix TB Issue
FDA says it is working closely with the Centers for Disease Control and Prevention to investigate reports of a tuberculosis (TB) outbreak caused by Mycobacterium tuberculosis that appears to be linked to a bone matrix product. An agency online post outlines risk mitigation strategies for human cell, tissue, and cellular and tissue-based product (HCT/P) establishments.
The post says the HCT/P establishment’s responsible person under regulations must determine and document the eligibility of a cell or tissue donor.
Although tuberculosis may be undiagnosed due to the lack of clinical suspicion, inherent diagnostic difficulty, and/or attribution of a group of symptoms to alternate causes, FDA lists factors it says establishments may want to consider regarding HCT/P donors.
The agency also says that although there are currently no FDA-licensed, cleared, or approved donor screening tests available with an indication to screen HCT/P donors for evidence of active TB or latent tuberculosis infection, FDA is evaluating the risks and appropriate mitigation strategies, including testing.