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IA#66-63,  --- 8/31/92


TYPE OF ALERT:      Automatic Detention

PRODUCT      :      a. Carnivora N-DMP, injection, 50 ml
(injectable)
                    b. Carnivora N-DMP, 100 ml (drops)

PRODUCT CODE :      66VBP99

HARMONIZED
CODE         :      a. 2009.80.60908
                    b. 3004.50.50400

PROBLEM      :      New drug without an Approved New Drug
Application (NDA)                  (DRND)

PAC FOR
COLLECTION   :      56008H

COUNTRY      :      Germany (DD, 394)

MANUFACTURER/
SHIPPER      :      Carnivora Forschungs GmbH (Dr. Helmut Keller)
                    Lobensteiner Strasse 3 (P.O. Box 8)
                    D-8646 Nordhalben
                    Germany

MANUFACTURER/
SHIPPER I.D.#:      DECARFOR3NOR


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

CHARGE       : "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 Section 201(p)
               without an approved new drug application (NDA)
               [Unapproved New Drug, Section 505(a)]".

RECOMMENDING
OFFICE       :      CIN-DO, HFR-MA440

REASON FOR
ALERT        :      CIN-DO has reported that these unapproved
                    drugs are "double" invoiced in that the
                    external/visible invoice for these items
                    misdeclares them as vitamins, Nectar or juice,
                    but another invoice packed inside the shipping
                    boxes identifies the true nature of the
                    products.  These shipments are of non-
                    commercial size and appear to be for personal
                    use.  Accompanying the drug shipment is a
                    protocol which includes the dosage and
                    treatment schedules.  This document states
                    that the drugs are "proven safe and effective
                    in the treatment of cancer, chronic diseases
                    and HIV infection in man."  Fraudulent
                    promotion by these means is evident.

                    Label indications for both Carnivora N-DMP,
                    injectable and drops, include
                    "immunemodulation in case of malignant
                    diseases, immunestimulation after surgery,
                    pathologic Helper/Suppressor ratio, colitis
                    ulcerosa and Crohn's disease".

                    FDA continues to note an increase in the
                    promotion and importation of unapproved drugs
                    such as Carnivora DMP, injectable and drops,
                    of foreign origins.  Unapproved new drugs,
                    especially injectables, present unreasonable
                    risks and serious safety and effectiveness
                    concerns.

INSTRUCTIONS :      Automatically detain, without physical
                    sampling and analysis, all dosage forms of
                    these unapproved new drugs.

                    Districts with overnight courier operations
                    and foreign mail desks should check flight
                    manifests and incoming packages for shipments
                    of this drug.  Please inform your local U.S.
                    Customs and Postal Service officials of
                    FDA interest in these types of products.

                    If other carnivora products are noted from
                    this manufacturer advise Division of Import
                    Operations and Policy, HFC-170, at 301-443-
                    6553.

                    Carnivora and Carnivora - VF are listed in
                    import alert #66-28 "Automatic Detention of
                    Unapproved New Drugs Promoted by Dr. Hans
                    Nieper, W. Germany", however, the manufacturer
                    is not identified.


PRIORITIZATION
GUIDANCE     : N/A


KEYWORDS     : No purging is required

FOI          : Carnivora, DMP, Cancer, Carnivora N-DMP

PREPARED BY  : Linda Wisniowksi, DIOP, 301-443-6553.