Increased Enforcement on Violative Cell/Tissue Products
FDA appears to be stepping up its enforcement efforts against violative cell/tissue products. On 12/6, the agency warned Liveyon Labs Inc. (Liveyon Labs) and Liveyon LLC (Yorba Linda, CA) for processing and distributing unapproved products derived from umbilical cord blood. They were warned also on current good tissue practice and GMP requirements, including deficient donor eligibility practices, inadequate aseptic practices to prevent contamination and deficient environmental monitoring, the agency says. “These deviations create potential significant safety concerns that put patients at risk,” it adds.
Earlier this month, FDA sent untitled letters to RichSource Stem Cells, Inc., and Chara Biologics over unapproved stem cell products being offered to patients. The agency says it also recently sent 20 letters to manufacturers and health care providers about offering unapproved stem cell products.
In addition, FDA recently issued a safety alert about exosome products. “Certain clinics across the country, including some that also manufacture or market violative ‘stem cell’ products, are now also offering exosome products to patients,” the agency says. “FDA’s safety alert informs the public, especially patients, health care practitioners and clinics, of multiple recent reports of serious adverse events experienced by patients in Nebraska who were treated with unapproved products marketed as containing exosomes. These reports were brought to the FDA's attention by the Centers for Disease Control and Prevention, among others, and the agencies worked with the Nebraska Department of Health and Human Services.”
FDA has reiterated its enforcement discretion policy under its regenerative medicine policy framework that runs until 11/2020 for products that do not raise safety concerns. Based on the recent Warning Letter and other correspondence, the agency says it “does not intend to exercise such enforcement discretion for those products that pose a reported safety concern.”