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IA #57-10 - 4/17/98, IMPORT ALERT #57-10, "DETENTION WITHOUT PHYSICAL
                   EXAMINATION OF HTLV BLOT 2.4 AND HIV-1 BLOT 1.3 FROM
                   GENELABS DIAGNOSTICS PTE, LTD, SINGAPORE"

TYPE OF ALERT: Detention Without Physical Examination.

(Note: This import alert represents the Agency's current guidance to FDA field personnel
regarding the manufacturer and products at issue.  It does not create or confer any rights for or on
any person and does not operate to bind FDA or the public.)

PRODUCTS           :     HTLV Blot 2.4 and HIV-1 Blot 1.3.

PRODUCT CODE  :     57YY99

PROBLEM             :    No U.S. license, misbranding.
                         (OASIS Charge Codes = DIRECTIONS & NO LICENSE)

PAC                        :  42R825

PAF                        :  LBL & REG

COUNTRY            :     Singapore, (SG), 795

MANUFACTURER/
SHIPPER               :  Genelabs Diagnostics PTE LTD
                         85 Science Park Drive, #04-01,
                         The Cavendish
                         Singapore Science Park
                         Singapore

MANUFACTURER/
SHIPPER ID #       :     FEI #1000436598

IMPORTER'S        :      N/A
I.D.#

CHARGE               :   "The article is subject to refusal of admission pursuant to Section 801
                         (a)(3) in that the article appears to be a biological product  manufactured at
                         an establishment that does not hold an unsuspended and unrevoked license
                         issued under the Public Health Service Act, section 351, Section 351(a)
                         [Misbranding, Section 502(f)(1) & PHS Act Section 351(a)]."

               "The article is subject to refusal of admission pursuant to Section 801(a)(3)
               in that the labeling of the article does not appear to contain adequate
               directions for use, and the article does not appear to be exempt from such
               requirements [Misbranding, 502(f)(1)]."

                                   and

               "The article is subject to refusal of admission pursuant to Section 801(a)(3)
               in that the labeling for the article appears to be false or misleading
               [Misbranding, Section 502(a)]."

RECOMMENDING
OFFICE                   :    SAN-DO Import Operations Branch, HFR-PA152.

REASON FOR
ALERT                   :     In May of 1996, the Center for Biologics Evaluation and Research (CBER)
                              responded to a request from Genelabs Diagnostics (Genelabs) for guidance
                              as to regulatory requirements associated with the sale of an in vitro
                              diagnostic (IVD) device, HTLV Blot 2.4, for research use.  CBER
                              informed Genelabs that the labeling for the HTLV Blot 2.4 they provided
                              did not meet the definition of a research use only or investigational use
                              IVD device, in part because the indicated end users of the device would be
                              hospitals and blood banks, facilities which do not routinely perform IVD
                              research.  Therefore, the article was not exempt from IVD labeling
                              requirements under 21 CFR 809.10(c)(2)(i).  In addition, CBER advised
                              the firm that the importation of the IVD device into the U.S. for sale,
                              barter, or exchange would require that the product be licensed in
                              accordance with Section 351(a) of the Public Health Service Act.  CBER
                              also advised the firm that, as an alternative, the IVD device could be legally
                              imported into the U.S. for a clinical investigation if an Investigational New
                              Drug (IND) application was filed by the sponsor and the filing was
                              accepted by CBER.  Genelabs does not hold an unsuspended and
                              unrevoked  U.S. license for its Singapore establishment or for the IVD
                              device products and does not have an accepted IND for these products.

               In July 1997, HTLV Blot 2.4 and HIV-1 Blot 1.3 IVD devices
               manufactured by Genelabs were offered for import and subsequently
               refused.  The IVD devices were invoiced as being for research use only;
               however, the labeling, i.e., container labeling and package inserts, did not
               follow the requirements of 21 CFR 809.10(c)(2)(i) regarding the intent of
               "research use."  Therefore, the IVD devices were not exempt from IVD
               labeling requirements of 21 CFR 809.1 making them misbranded under
               Section 502(a).

               Note also that the IVD devices do not contain adequate directions for use,
               causing them to be misbranded under Section 502(f).  In addition, the IVD
               devices are not exempt from such requirements, because they do not hold
               an IND accepted by CBER, and Genelabs does not hold an unsuspended
               and

               unrevoked U.S. license for its Singapore establishment or for the IVD
               devices.  In addition, the IVDs are not exempt from complying with the
               requirements, because their labeling does not comply with 21 CFR 809.10
               (see 21 CFR 801.119).

GUIDANCE            :    Districts may detain without physical examination HTLV Blot 2.4, and
                         HIV-1 Blot 1.3 manufactured by Genelabs Diagnostics PTE LTD,
                         Singapore.

               For questions or issues concerning science, science policy, sample
               collection, analysis, preparation, or analytical methodology, contact the
               Division of Field Science at (301) 443-3320 or 3007.

FOI                         :  No purging required

PREPARED BY     :  Alwin W. Collins, Operations & Policy SDWG, DIOP, (301) 443-6553

KEYWORDS         :  HIV-1 Blot 1.3, HTLV Blot 2.4, IVD, IVD device, Genelabs, Singapore.

Date Loaded
into FIARS             : April 17, 1998