A huge state-owned Chinese pharmaceutical company that exports to dozens of countries, including the United States, is at the center of a nationwide drug scandal after nearly 200 Chinese cancer patients were paralyzed or otherwise harmed last summer by contaminated leukemia drugs.
Chinese drug regulators have accused the manufacturer of the tainted drugs of a cover-up and have closed the factory that produced them. In December, China’s Food and Drug Administration said that the Shanghai police had begun a criminal investigation and that two officials, including the head of the plant, had been detained.
The drug maker, Shanghai Hualian, is the sole supplier to the United States of the abortion pill, mifepristone, known as RU-486. It is made at a factory different from the one that produced the tainted cancer drugs, about an hour’s drive away.
The United States Food and Drug Administration declined to answer questions about Shanghai Hualian, because of security concerns stemming from the sometimes violent opposition to abortion. But in a statement, the agency said the RU-486 plant had passed an F.D.A. inspection in May. “F.D.A. is not aware of any evidence to suggest the issue that occurred at the leukemia drug facility is linked in any way with the facility that manufactures the mifepristone,” the statement said.
When told of Shanghai Hualian’s troubles, Dr. Sidney M. Wolfe, a leading consumer advocate and frequent F.D.A. critic, said American regulators ought to be concerned because of accusations that serious health risks had been covered up there. “Every one of these plants should be immediately inspected,” he said.
The director of the Chinese F.D.A.’s drug safety control unit in Shanghai, Zhou Qun, said her agency had inspected the factory that produced mifepristone three times in recent months and found it in compliance. “It is natural to worry,” Ms. Zhou said, “but these two plants are in two different places and have different quality-assurance people.”
The investigation of the contaminated cancer drugs comes as China is trying to restore confidence in its tattered regulatory system. In the last two years, scores of people around the world have died after ingesting contaminated drugs and drug ingredients produced in China. Last year, China executed its top drug safety official for accepting bribes to approve drugs.
Shanghai Hualian is a division of one of China’s largest pharmaceutical companies, the Shanghai Pharmaceutical Group, which owns dozens of factories. Neither Shanghai Hualian nor its parent company would comment on the tainted medicine.
Last week, The New York Times asked the F.D.A. whether the Shanghai Pharmaceutical Group exported to the United States any drugs or pharmaceutical ingredients other than the abortion pill. But after repeated requests, the agency declined to provide that information; it did not cite a reason.
On at least two occasions in 2002, Shanghai Hualian had shipments of drugs stopped at the United States border, F.D.A. records show. One shipment was an unapproved antibiotic and the other a diuretic that had “false or misleading labeling.” Records also show that another unit of Shanghai Pharmaceutical Group has filed papers declaring its intention to sell at least five active pharmaceutical ingredients to manufacturers for sale in the United States.
One major pharmaceutical company, Pfizer, declined to buy drug ingredients from Shanghai Pharmaceutical Group because of quality-related issues, said Christopher Loder, a Pfizer spokesman. In 2006, Pfizer agreed to evaluate Shanghai Pharmaceutical Group’s “capabilities” as an ingredient supplier, but so far the company “has not met the standards required by Pfizer,” Mr. Loder said in a statement.
Because of opposition from the anti-abortion movement, the F.D.A. has never publicly identified the maker of the abortion pill for the American market. The pill was first manufactured in France, and since its approval by the F.D.A. in 2000 it has been distributed in the United States by Danco Laboratories. Danco, which does not list a street address on its Web site, did not return two telephone calls seeking comment.
Problems with the cancer drugs first surfaced last summer after leukemia patients received injections of one cancer drug, methotrexate. Afterward, patients experienced leg pain and, in some cases, paralysis. At the People’s Liberation Army No. 307 Hospital in Beijing, a 26-year-old patient, Miao Yuguang, was unable to stand up five days after being injected in the spine with the drug. “We were already unlucky to have this illness,” her father, Miao Futian, said of the leukemia. “Then we ran into this fake drug.”
The authorities recalled two batches of the drug, but issued only mild warnings because the cause of the problem was unclear. Officials with Shanghai Pharmaceutical Group stood by their products, saying that drug regulators investigating the plant had found no problems. But when another cancer drug made in the same factory — cytarabin hydrochloride — also began causing adverse reactions, investigators suspected contamination.
In September, health and drug officials announced that they had found that the two drugs were contaminated with vincristine sulfate, a third cancer drug, during production. After issuing a nationwide alert, the government announced a wider recall, and Shanghai’s drug agency sealed manufacturing units at the plant.
“Many people thought there was a problem with the hospitals,” said Zheng Qiang, director of the Center for Pharmaceutical Information and Engineering Research at Peking University. “It wasn’t until later that they discovered the problem was with the medicine.”
Chinese media attention on the case has surged, after a terse statement by China’s drug agency in December, accusing Hualian company officials of a systematic cover-up of violations at the facility that made the drugs.
Family members at the No. 307 hospital have counted 53 victims in Beijing, and say they were told that there were least 193 victims nationwide. It is unclear how many were paralyzed, because the authorities have not released an official figure. Relatives have joined to share information and advocate for the victims. Based on interviews with several families in Beijing and Shanghai, it appears that about half of those injected still cannot walk.
Wu Jianhua said his daughter, Wu Xi, 15, collapsed on her way to school after an injection in August. “We thought she was tired,” Mr. Wu said. Doctors now say she may never walk without a cane, he said.
Last week, on a window near the gate of the closed plant was a notice from the Shanghai Food and Drug Administration, dated Sept. 8, accusing the plant of “producing substandard medicine that poses major risks of causing serious harm to human health.” It identified a company official, Gu Yaoming, as the “person responsible” for the plant.
Records show Mr. Gu also met with the United States F.D.A. inspectors last May as part of the routine inspection of the plant that makes RU-486.
Reached by telephone, Mr. Gu declined to describe his role at the two plants. “I cannot answer your questions,” he said.
A spokeswoman for China’s Food and Drug Administration, Yan Jiangying, said that Shanghai Hualian had been stripped of its license to produce antitumor drugs, but that this action did not affect RU-486.
Hualian is the latest in a string of tainted medicine cases that have undermined confidence in the safety of drugs here. In 2006, at least 18 Chinese died after an intravenous drug used to treat liver disease, Armillarisin A, was laced with diethylene glycol, a toxic chemical used in some antifreeze. Also in 2006, at least 14 Chinese died after taking a Chinese antibiotic, Xinfu, which was not properly sterilized during production. And more than a hundred people died in Panama after taking cold medicine containing a mislabeled and toxic chemical from China.
In each of these cases, the manufacturer failed to follow good manufacturing practices to ensure the final product was safe.
Describing the cover-up at the factory, Ms. Zhou, the regulator who led the investigation, said workers did not tell investigators that vincristine sulfate — a drug too toxic for use in spinal injections — had been stored in a refrigerator with materials for other drugs.
“At the time, we didn’t think they had lied to us,” Ms. Zhou said. The deception sent investigators on a two-month hunt for other possible causes of the adverse reactions. “If they had been open about the vincristine sulfate in the beginning, maybe fewer people would have been harmed,” she added.
While regulators have accused factory employees of a systematic cover-up of violations in production, they have not said whether superiors at Shanghai Pharmaceutical were aware of it. “We’ll have to wait until the police investigation is finished” to make more details public, said Ms. Yan, the drug agency spokeswoman.
Mr. Zheng at Peking University said that producing multiple drugs in a single workshop was risky, but that some Chinese companies saw it as a way to save money. “It was an accident,” he said of the Hualian case. “But it was bound to happen.”
The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Thursday, January 31, 2008
Wednesday, January 30, 2008
Lipz to Hipz
As every dieter knows, a moment on the lips could spell a lifetime on the hips. But now the adage has been turned on its head, with the creation of a lip gloss that claims to help women lose weight.
Sold under the slogan "Always on the lips. Never on the hips", Fuze Slenderize gloss is said to be oozing with ingredients that curb the appetite.If that weren't enough, the "guilt-free lip gloss" also claims to speed up the metabolism, while boosting energy levels. One of the key ingredients is SuperCitrimax, a plant extract said to keep hunger pangs at bay and stop the body turning carbohydrates into fat. Katie Holmes is rumoured to be a fan of drinks with a similar ingredient. Other contents include chromium, a mineral said to boost metabolism, and L-carnitine, an energy-giving amino acid. Similar ingredients are found in Fuze diet drinks, a range of low-calorie fruit juices reputed to be a favourite of actresses Katie Holmes and Jessica Simpson. Costing £9.50 a tube, the brightly-coloured gloss is made by Californian make-up company Too Faced and is available in three flavors.
A spokesman for Too Faced said: "Application of this long-lasting, high-shine formula will actually help suppress one's appetite for food without sacrificing delicious glamour. "With a single swipe of the tube, Fuze Slenderize provides a pretty, plump pout with an added bonus of healthy, energy-boosting, appetite curbing ingredients.
"One delicious dab on the lips will give you a taste of what all the Hollywood starlets are losing it over."
Available by mail order from cosmetics company Sephora, the gloss comes in a trio of flavours - blueberry and raspberry, strawberry and melon and dragon fruit and lime. However, diet experts cautioned there is no quick-fix when it comes to losing weight. Tam Fry, of the National Obesity Forum, said: "People will buy this and it will do nothing for them unless they have already taken steps to lose weight. "There is only one way to lose weight in the long-term and that is by sensible eating, sensible exercise and making sure you know what you are eating and it is not full of fat, sugar and salt.
"People should pay more attention to what goes into their mouth than what goes on their lips."
Too Faced is not the first company to produce a lip gloss with healthy properties. Other glosses already on the market claim to use the scent of vanilla to lift mood and the smells of lemon and geranium to curb smokers' cravings for nicotine.
Tuesday, January 29, 2008
Cheeseburger in a Can
This is a cheeseburger. In a can. It's a cheeseburger in a can.
I honestly can't figure out how I feel about this: is it the greatest achievement of mankind thus far, or is it an abomination of foodstuffs that deserves to be hucked back into the gaping maw of whatever food processing plant it was spewed from? I just don't know what to think anymore. Would you eat a cheeseburger in a can? Keep in mind that it'll look nowhere near as delicious as the example above when you pull it out of the can.
Monday, January 28, 2008
Researchers in Maryland unleash synthetic DNA
Researchers at the J. Craig Venter Institute have created the largest man-made DNA structure to date, putting them one step closer to producing a completely synthetic organism, according to the institute.
The work, published online by Dan Gibson, Ph.D. in the journal Science, raises hopes for benefits like new drugs and pollution scarfing micro-organisms while spooking some with visions of biological warfare and patent wielding corporations controlling all future forms of synthetic life.
The researchers chemically created DNA fragments in the lab then used homologous recombination (a process that cells use to repair damage to their chromosomes) in the yeast Saccharomyces cerevisiae to rapidly build the entire bacterial chromosome from large sub-assemblies, according to the press release. "This extraordinary accomplishment is a technological marvel that was only made possible because of the unique and accomplished JCVI team," said president and founder J. Craig Venter.
Venter dismisses concerns that what JCVI is really creating is the "microbesoft" of synthetic life. His team has long been concerned with the societal issues surrounding its work and has undergone"significant ethical review" by experts who founds no reason why work should cease "as long as the scientists involved continued to engage public discussion," according to the JCVI Web site.
Critics remain unimpressed. "Venter is claiming bragging rights to the world's longest length of synthetic DNA, but size isn't everything. The important question is not 'how long?' but 'how wise?'" said Jim Thomas in a bio-watchdog article castigating Venter.
"While synthetic biology is speeding ahead in the lab and in the marketplace, societal debate and regulatory oversight is stalled and there has been no meaningful or inclusive discussion on how to govern synthetic biology in a safe and just way. In the absence of democratic oversight profiteering industrialists are tinkering with the building blocks of life for their own private gain."
Next step would be to insert the synthetic DNA into living cells and hope it becomes the world's first artificially created, self-replicating organism.
Sunday, January 27, 2008
Finnish patient gets new jaw from own stem cells
Scientists in Finland said they had replaced a 65-year-old patient's upper jaw with a bone transplant cultivated from stem cells isolated from his own fatty tissue and grown inside his abdomen. Researchers said on Friday the breakthrough opened up new ways to treat severe tissue damage and made the prospect of custom-made living spares parts for humans a step closer to reality.
"There have been a couple of similar-sounding procedures before, but these didn't use the patient's own stem cells that were first cultured and expanded in laboratory and differentiated into bone tissue," said Riitta Suuronen of the Regea Institute of Regenerative Medicine, part of the University of Tampere.
She told a news conference the patient was recovering more quickly than he would have if he had received a bone graft from his leg. "From the outside nobody would be able to tell he has been through such a procedure," she said. She added, the team used no materials from animals -- preventing the risk of transmitting viruses than can be hidden in an animal's DNA, and followed European Union guidelines.
Stem cells are the body's master cells and they can be found throughout the blood and tissues. Researchers have recently found that fat contains stem cells which can be directed to form a variety of different tissues. Using a patient's own stem cells provides a tailor-made transplant that the body should not reject. Suuronen and her colleagues isolated stem cells from the patient's fat and grew them for two weeks in a specially formulated nutritious soup that included the patient's own blood serum. In this case they identified and pulled out cells called mesenchymal stem cells or immature cells than can give rise to bone, muscle or blood vessels. When they had enough cells to work with, they attached them to a scaffold made out of a calcium phosphate biomaterial and then put it inside the patient's abdomen to grow for nine months. The cells turned into a variety of tissues and even produced blood vessels, the researchers said. The block was later transplanted into the patient's head and connected to the skull bone using screws and microsurgery to connect arteries and veins to the vessels of the neck.
The patient's upper jaw had previously been removed due to a benign tumor and he was unable to eat or speak without the use of a removable prosthesis. Suuronen said her team had submitted a report on the procedure to a medical journal to be reviewed.
"There have been a couple of similar-sounding procedures before, but these didn't use the patient's own stem cells that were first cultured and expanded in laboratory and differentiated into bone tissue," said Riitta Suuronen of the Regea Institute of Regenerative Medicine, part of the University of Tampere.
She told a news conference the patient was recovering more quickly than he would have if he had received a bone graft from his leg. "From the outside nobody would be able to tell he has been through such a procedure," she said. She added, the team used no materials from animals -- preventing the risk of transmitting viruses than can be hidden in an animal's DNA, and followed European Union guidelines.
Stem cells are the body's master cells and they can be found throughout the blood and tissues. Researchers have recently found that fat contains stem cells which can be directed to form a variety of different tissues. Using a patient's own stem cells provides a tailor-made transplant that the body should not reject. Suuronen and her colleagues isolated stem cells from the patient's fat and grew them for two weeks in a specially formulated nutritious soup that included the patient's own blood serum. In this case they identified and pulled out cells called mesenchymal stem cells or immature cells than can give rise to bone, muscle or blood vessels. When they had enough cells to work with, they attached them to a scaffold made out of a calcium phosphate biomaterial and then put it inside the patient's abdomen to grow for nine months. The cells turned into a variety of tissues and even produced blood vessels, the researchers said. The block was later transplanted into the patient's head and connected to the skull bone using screws and microsurgery to connect arteries and veins to the vessels of the neck.
The patient's upper jaw had previously been removed due to a benign tumor and he was unable to eat or speak without the use of a removable prosthesis. Suuronen said her team had submitted a report on the procedure to a medical journal to be reviewed.
Saturday, January 26, 2008
Friday, January 25, 2008
Subscribe to:
Posts (Atom)