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IA #54-07 - Revised 9/13/95, "GERMANIUM PRODUCTS"

****NOTE:   Import Alert #62-02, "Germanium Products" dated 06/28/88, is
            cancelled simultaneously with the issuance of this alert.  The alert
            is revised to remove the food additive charge in accordance with the
            requirements of the Dietary Supplement, Health, and Education Act
            (DSHEA) of 1994.****


TYPE OF ALERT:    AUTOMATIC DETENTION

      Note:       This import alert contains guidance to FDA field personnel
                  only.  It does not establish any requirements, or create any
                  rights or obligations on FDA or on regulated entities.

PRODUCT      :    Germanium products

PRODUCT CODE :    54YY-09
                  66V--99

PROBLEM      :    Poisonous and deleterious substance (PSNC) or
                  Unapproved new drug (DRND)

PAC          :    21008
                  56008H

COUNTRY       :   All

MANUFACTURER
or SHIPPER    :   All

CHARGES       :   "The article is subject to refusal of admission pursuant to
                  Section 801(a)(3) in that it appears to contain a poisonous
                  and deleterious substance which may render it injurious to
                  health [Adulteration, 402(a)(1)]."

                                  or

                  "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 [Unapproved new drug, Section 505(a)]."

RECOMMENDING
OFFICE       :    CFSAN: Division of Program and Enforcement Policy, Regulatory
                  Branch (HFS-456); Division of Field Program Planning and
                  Evaluation, Import Programs Branch (HFS-637).

REASON FOR
ALERT       :     Germanium is a nonessential trace element that has caused
                  nephrotoxicity (kidney injury) and death when used chronically
                  by humans, even at recommended levels of use.  Germanium
                  containing products have been labeled for drug use (e.g., with
                  claims that they are intended for use in the diagnosis, cure,

                      IMPORT ALERT #54-07, 7/26/95 PAGE 2


                  mitigation, treatment, or prevention of diseases such as AIDS
                  or cancer), although there are no approved new drug
                  applications (NDAs) or current investigational new drug
                  applications (INDs) on file.  Germanium containing products
                  also have been offered for entry as food products such as
                  dietary supplements.

GUIDANCE   :      Districts may detain all Germanium products offered for entry,
                  without physical examination, including unlabeled bulk
                  entries, except for semiconductor use as discussed below.  If
                  the product claims to be useful in the diagnosis, cure,
                  mitigation, treatment, or prevention of disease, use the drug
                  charge; otherwise use the "poisonous and deleterious" charge.

                  There are legitimate uses for germanium in the semiconductor
                  industry.  If an importer shows that the intended use of the
                  product is other than for human consumption, the entry should
                  be released with comment.  If possible, appropriate follow up
                  should be made to assure the ultimate disposition is as
                  indicated by the importer.

                  Germanium may be offered for entry under a variety of names
                  including:

                  Germanium Sesquioxide
                  GE-132
                  GE-OXY-132
                  Vitamin "O"
                  Pro-Oxygen
                  Nutrigel 132
                  Immune Multiple
                  Germax

PRIORITIZATION
GUIDANCE   :      I

FOI        :      No purging required.

KEYWORDS   :      Germanium, Germax, Immune Multiple, Nutrigel 132, Pro-Oxygen,
                  Vitamin "O", GE-OXY-132, GE-132.

PREPARED BY:      The Drugs, Devices, & Biologics SDWG, DIOP, HFC-170,
                  (301) 443-6553.