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IA #57-11, 11/16/98 - IMPORT ALERT #57-11 "DETENTION WITHOUT PHYSICAL
           EXAMINATION OF UNLICENSED IMMUNE GLOBULIN INTRAVENOUS (HUMAN) FROM
           THE UNITED KINGDOM"

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.)

PRODUCT   :    IMMUNE GLOBULIN INTRAVENOUS (HUMAN), (IGIV)

PRODUCT
CODE      :    57YY99; 57DE14; 57DBI4; 57DY14; 57DY49.

               NOTE: Some filers have used other product codes, such as
               64TIP99 and 66VDK99.  When you encounter entries of IGIV
               with the wrong product code, change it to the correct code
               before recording a detention recommendation.

PROBLEM   :    No U.S. License, Misbranding
               (OASIS Charge Codes: NO LICENSE and DIRSEXMPT)

PAC       :    42R800

PAF       :    REG, LBL

COUNTRY   :    United Kingdom, (GB)

MANUFACTURER/
SHIPPERS  :    A.D. Allen Pharmaceutical Wholesaler
               Unit D Slangston Road
               Loughton, England
               United Kingdom
               FEI #3001206859

               and

               B & S Durbin Ltd
               240 Northolt Road
               South Harrow
               Middlesex, England
               United Kingdom
               FEI #1000615179
IMPORTER
I.D. #    :    ^





                              ^



Reference :    Import Bulletin IB #57-BO9, "Shortage of Immune Globulin
               Intravenous (Human)" reissued on September 28, 1998.

CHARGES   :    "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 3 5 1 (a) [PHS
               Act, Section 351(a)]."

               And

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

RECOMMENDED
BY        :    CBER, Office of Compliance and Biologics Quality
               Division of Case Management, HFM-61O

REASON FOR
ALERT     :    In January of 1998, FDA issued an import bulletin regarding the
               shortage of the product Immune Globulin Intravenous, (Human)
               (IGIV). There are only three U.S. licensed foreign manufacturers
               of IGIV who may legally export the product to the United States
               for commercial distribution: Central Laboratory Blood Transfusion
               Service Swiss Red Cross located in Switzerland (U.S. License No.
               0647); Osterreichisches Institut fuer Haemoderivate Ges.m.b.H
               located in Austria (U.S. License No. 0258); and Baxter Healthcare
               Corporation, Hyland located in Belgium (U.S. License No. 0140).

          Although these three foreign establishments have an U.S. license
          for the manufacture of IGIV, these firms also manufacture
          unlicensed versions of IGIV for other countries, such as the
          United Kingdom and Germany.  Only IGIV manufactured under the U.S.
          license and bearing the U.S. license number on its labeling may be
          imported into the United States unless the unlicensed version of
          IGIV has an Investigational New Drug (IND) application accepted by
          the Center for Biologics Evaluation and Research.

          In August 1998, unlicensed versions of IGIV under the name
          Sandoglobulin, manufactured by Central Laboratory Swiss Red Cross
          in Switzerland but labeled for Germany and the United Kingdom were
          offered for import by A.D. Allen Pharmaceutical Wholesaler and B &
          S Durbin Ltd. and were subsequently detained and refused entry.
          The unlicensed versions of Sandoglobulin were not manufactured
          under the conditions of the U.S. license issued to Central
          Laboratory Swiss Red Cross and the labeling did not bear a U.S.
          License number.

          In addition, an unlicensed version of IGIV under the name
          Gammagard, manufactured by Baxter Healthcare Corporation, Hyland
          in Belgium, was offered for import by A.D. Allen Pharmaceutical
          Wholesaler and was subsequently detained and refused entry.  The
          unlicensed version of Ganmagard was not manufactured under the
          conditions of the U.S. license issued to Baxter Healthcare
          Corporation, Hyland and the labeling did not bear an U.S. License
          number.

GUIDANCE: Districts may detain without physical examination all foreign
          manufactured unlicensed versions of Immune Globulin Intravenous
          (Human), IGIV, shipped by A.D. Allen Pharmaceutical Wholesalers
          and B & S Durbin Ltd., United Kingdom.

          Districts should determine whether the IGIV is covered by an
          unrevoked and unsuspended U.S. license or an accepted
          Investigational New Drug (IND) application.  Districts
          encountering a shipment of foreign manufactured unlicensed IGIV
          should contact the Center for Biologics Evaluation and Research,
          Office of Compliance and Biologics Quality, Import/Export Team at
          (301) 827-6201 to verify if an IND is in effect for that IGIV
          product.

          In addition, FDA personnel may use their enforcement discretion to
          release shipments of IGIV from unlicensed foreign sources that are
          not covered by an IND when the purpose and quantity are clearly
          for personal use.

FOI  :    Purging is required between ^      ^.


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

KEY WORDS:     Immune Globulin Intravenous, IGIV, license,
               biologic,Sandoglobulin, Gammagard, Investigational New Drug, IND.


Date Loaded
into FIARS: November 16, 1998