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IA #66-49, REVISED 1/5/07, "DETENTION WITHOUT PHYSICAL EXAMINATION OF ALL
POLIDOCANOL FINISHED DOSAGE FORM PRODUCTS AND ACTIVE PHARMACEUTICAL
INGREDIENTS (APIS) FROM ALL SOURCES UNDER ALL BRAND NAMES INCLUDING
AETOXISCLEROL, AETHOXYSKLEROL, AND SCLEROVEIN"

TYPE OF ALERT: Detain Without Physical Examination (DWPE)

               NOTE: *** This revision updates the charges which apply to
               this import alert. It also broadens the scope of the alert
               to include importations from all countries and
               manufacturers. Changes appear between asterisks. ***

               (This import alert represents the agency's current guidance
               to FDA field personnel regarding the manufacturer(s) and/or
               product(s) 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.)

PRODUCT:       Polidocanol - also known as

               *    Aetoxisclerol 0.5%
               *    Aethoxysklerol injection 1% and 3%
               *    Sclerovein 5%

PRODUCT CODE:  65U[][]04, 65U[][]99

PROBLEM:       Unapproved New Drug (DNRD), *** Misbranded Drug ***

PAC FOR:       56008H

COUNTRY:       *** All ***

MANUFACTURER/
SHIPPER:       *** All ***

CHARGES:       For finished drug products:

               "The article is subject to refusal of admission pursuant to
               Section 801(a)(3) in that it appears to be a new drug within
               the meaning of 201(p), without an approved new drug
               application (NDA). [Unapproved new drug, section 505(a)]"
               CHARGE CODE: UNAPPROVED

               *** For active pharmaceutical ingredient intended for
               pharmacy compounding:

               "The article is subject to refusal of admission pursuant to
               section 801(a)(3) in that it appears to be misbranded
               because it lacks adequate directions for its intended use.
               [Misbranding, Section 502(f)(1)]."  CHARGE CODE: DIRECTIONS

               For products labeled in language other than English:

               "The article is subject to refusal of admission pursuant to
               section 801(a)(3) in that it appears to be misbranded
               because it lacks an English language label. [Misbranding,
               Section 502(c]." *** CHARGE CODE: NO ENGLISH

RECOMMENDING
OFFICE:        CDER, Office of Compliance

REASON FOR
ALERT:         Drugs containing polidocanol are brought into the U.S. by
               private physicians for the treatment of spider veins. No
               products containing polidocanol are currently approved for
               marketing in the United States.  Aetoxisclerol, manufactured
               by Laboratoires Parmacetiques, has been identified as
               labeled solely in French.

               *** CDER has new information that polidocanol finished
               dosage form products are being imported from additional
               countries, and that the API is being imported for use in
               pharmacy compounding.  Polidocanol is not an active
               ingredient contained in any FDA-approved drug product, and
               FDA does not sanction its use in pharmacy compounding. ***

GUIDANCE:      *** Districts may detain without physical examination, all
               shipments of polidocanol finished dosage products and APIs
               from all sources. [Note: Shipments of polidocanol that are
               covered under existing active INDs are not subject to this
               IA.] ***

PRIORITIZATION
GUIDANCE:      N/A

FOI:           No purging required

KEYWORDS:      Polidocanol, Aetoxisclerol, Aethoxysklerol, Sclerovein,
               Unapproved New Drug, NDA, Misbranded

CDER contact:  Ada Irizarry, HFD-310, 301-827-8930

PREPARED BY:   William G. Nychis, CDER, HFD-310, 301-827-8959
               Anthony W. Lee, DIOP, HFC-170, 301-443-6553

Date Loaded
                    Into FIARS:         January 5, 2007