Inspections, Compliance, Enforcement, and Criminal Investigations
Life Enchancement Products, Inc. 22-Oct-02
Department
of Health and Human Services Public
Health Service
Rockville MD 20857
WARNING
LETTER
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Ref. No. 03-HFD-314-01
October
22, 2002
Life Enhancement Products, Inc.
P.O. Box 751390
Petaluma, California 94975-1390
Dear Mr. Block:
This letter concerns your firm?s
marketing and distribution of the product "GalantaMind," labeled as
containing "Galantamine hydrobromide extract 8mg."
The "GalantaMind" label
states that it is "a galantamine dietary supplement." FDA does not believe
that this product is eligible to be classified as a "dietary
supplement" under section 20l(ff)(3)(B)(ii) of the Federal Food, Drug, and
Cosmetic Act [21 USC 321 (ff)(3)(B)(ii)] ("the Act"). That provision
states:
"The term ?dietary supplement?
. . . does not include . . . (ii) an article authorized for investigation as a
new drug . . . for which substantial clinical investigations have been instituted
and for which the existence of such investigations has been made public, which was
not before such approval, certification, licensing, or authorization marketed
as a dietary supplement or as a food ..."
Promotional literature for your
product announced that it was introduced in October 2000. However, the
authorization of galantamine for investigation as a new drug had already been disclosed
in 1997 by several disclosures in "The Pink Sheet" that made public
the clinical trials being done by Janssen Pharmaceutics Products whose product,
Reminyl, is now the subject of an approved NDA. Your article "Fight
Alzheimer?s Disease," also mentions galantamine being used in clinical
trials in 1985. FDA has found no information indicating that galantamine was marketed
as a food or dietary supplement before its authorization for investigation as a
new drug. If, as appears to be the case, galantamine had already been
investigated in clinical trials and those trials made public before October
2000, and galantamine was not marketed as a food or dietary supplement before
its authorization for investigation as a new drug, your product would not be eligible
for treatment as a "dietary supplement."
Statements
found on your Internet website (wwwlife-enhancementcorn), where
"dalantaMind" is offered for sale, indicate that
"GalantaMind" is intended to prevent or treat disease or affect the structure
or function of the body. Examples of the disease and structure/function claims
made for your product on your website include the following:
?
the article entitled "Revive Your Memory" discusses decline in
memory function and the pharmacological activity of galantamine and
"GalantaMind" in preventing or treating memory loss and restoring
memory function; the title of the article ?Fight Alzheimer?s Disease" is a
disease claim because it claims to treat a disease state. The article discusses
Alzheimer?s disease and its treatment using galantamine.
?
the same article claims that galantamine can successfully treat chronic
fatigue syndrome and fibromyalgia, and implies that galantamine reverses
alcohol-induced learning decline;
?
the article "Boost Memory and Keep It" discusses galantamine?s
role in preventing or treating Alzheimer?s disease, comparing its effectiveness
to drugs like Aricept and Tacrine. This article also discusses galantamine?s
use for a variety of neurological, ophthalmological, gastrointestinal,
cardiological, and physiotherapeutic purposes;
?
the article "Galantamine: Food for Mind and Body" claims that
galantamine "prevent[s] Alzheimer?s-related memory loss, "
"combats fatigue syndromes," and "may help overcome impotence";
and
?
the title of the article "Galantamine Beats Prescription Drugs for
Combating Mental Decline" is a disease claim. The article goes on to
discuss galantamine and "GalantaMind"?s effectiveness in treating
dementia and Alzheimer?s disease.
Your
product also has the potential to cause serious and life-threatening adverse
events. The labeling for "GalantaMind" provides virtually no
information about the risks associated with taking galantamine, and the dose
titration regimes suggested in the labeling caused a higher frequency of
potentially serious adverse events in clinical trials involving similar dose
titration regimes for Reminyl.
Based on
the above, "GalantaMind," which contains the ingredient galantamine
hydrobromide is a drug as defined in section 201(g) of the Act. Moreover, it is
also a "new drug" under section 201(p) of the Act because there is no
evidence that this product is generally recognized as safe and effective for
its intended use. As a "new drug, " "GalantaMind" may not
be Iegally marketed in the United States without an approved new drug
application pursuant to section 505(a) of the Act.
The drug
is also misbranded under section 502(f)(l) of the Act because the labeling
fails to bear adequate directions for use for the conditions for which it is
offered. We request your response to the following questions:
1. An
estimate of the quantities of the drug manufactured or received within the past
twelve (12) months.
2. An
estimate of the size and frequency of shipments made in the past twelve (12)
months.
3. An
estimate of the amount of the drug that is in inventory under your control and
your estimate of the amount in distribution channels outside your control.
4. The date of discontinuance in the event you
have already stopped marketing this drug product.
5. Your
intentions with respect to the disposition of your inventories and outstanding
stocks in trade channels.
This
letter is not intended to be an all-inclusive review of all labeling and
products your firm markets. It is your responsibility to ensure that all
products marketed by your firm are in compliance with the Act and its
implementing regulations.
We
request that you take prompt action to correct these violations. Failure to
promptly correct violations may result in enforcement action being initiated by
the Food and Drug Administration without further notice. The Federal Food,
Drug, and Cosmetic Act provides for the seizure of illegal products and for
injunction against the manufacturer and/or distributor of illegal products.
Please
notify this office in writing within fifteen (15) working days of receipt of
this letter as to the specific steps you have taken to correct the stated
violations. You should also include an explanation of each step being taken to
identify and make corrections to assure that similar violations will not recur.
If corrective action cannot be completed within 15 working days, state the
reason for the delay and the time within which the corrections will be
implemented.
Your
reply should be sent to the attention of the undersigned at the above
letterhead address.
Sincerely,
/s/
David J.
Horowitz, Esq.
Director
Office of
Compliance
Center for
Drug Evaluation and Research







