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BAYER THROWS DOWN A GAUNTLET, WHAT WILL FDA DO?

Location: BlogsMarc Ullman FYI Blog    
Posted by: marc 5/20/2008 3:37 PM
On October 16, 2001 FDA sent Warning Letters to two companies marketing combination dietary supplement/OTC drug products, stating that those products were “unapproved new drugs” and requesting “corrective action” within 15 days. Pharmaceutical giant Bayer Healthcare, LLC has recently launched a combination aspirin phytosterol product. Have the rules changed?

This afternoon, my colleague Tony Young (General Counsel for the American Herbal Products Association and Partner in Washington’s Kleinfeld Kaplan & Becker) suggested that I might want to look at the new home page for Bayer Aspirin because it featured a very unusual product.  Because I take Tony seriously, I immediately went to www.bayeraspirin.com and was amazed to see an announcement for Bayer’s newest product, Bayer Aspirin with Heart Advantage:  81 mg aspirin plus cholesterol lowering phytosterols.  The product claims to be both an over-the-counter-drug and a dietary supplement and utilizes both a Drug Facts and a Supplement Facts Box.  While this might seem like a really good, innovative idea for a new product, the problem is that FDA has spent the last 6 and a half years saying that it’s an illegal innovative idea.  Bayer, however, seems not to care.  (Bayer also doesn’t seem to care about the GRAS status of aspirin, which it lists as an “other ingredient” under its supplement facts box).

In October of 2001 FDA issued warning letters to BF Ascher & Company and Omni Nutraceuticals, Inc. objecting to the marketing of similar products.  Ascher was marketing “Melagesic” to promote "Promote natural, restful sleep and relieve pain."  It was a combination of 500 mg of acetaminophen and 1.5 mg of melatonin.  Omni was marketing two combination products; one acetaminophen and glucosamine, and the other acetaminophen with glucosamine and chondroitin.  Both were utilized claims for the temporary relief of “minor pain of arthritis” and “for long term joint health”.  

While the Warning Letters to both companies cited health issues relating to the long-term use of acetaminophen that might not be of such concern with Bayer’s aspirin/phytosterol product, FDA also informed both companies in unequivocal terms that their products were Unapproved New Drugs.  FDA stated that it reached this conclusion because of the presence of an unapproved active ingredient (the supplement) in a drug product.

The question now is, “Will Bayer get the same treatment?”

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Comments (3)  
Re: BAYER THROWS DOWN A GAUNTLET, WHAT WILL FDA DO?    By Keith on 6/2/2008 10:29 AM
Thank you for posting this. I felt the same way when I saw the commercial and I recalled the FDA's action on previous combo products. We will see if the FDA will blatantly shows its colors by not enforcing this. Will they claim it is ok, since the fda has granted approval of the claim for phytosterols ? Does the FDA automatically consider exempt or not consider ingredients "unapproved drugs" if they have approved a claim for it ?

Re: BAYER THROWS DOWN A GAUNTLET, WHAT WILL FDA DO?    By marc on 6/2/2008 11:25 AM
Keith,

There is a formal drug approval process that any substance would have to go through unless it was an "old drug" or subject to an OTC monograph. Plant sterols are neither. While plant sterols do have an approved health claim, such claims are only applicable to dietary supplements or food substances.

While there may be some good logic behind this product, I just don't see how it can be marketed under the law as it exists today. Even if there was some way to justify the sterols in an OTC drug product, how can you legally explain the presence of aspirin in a dietary supplement? If it's OK there, why not in any food?

Re: BAYER THROWS DOWN A GAUNTLET, WHAT WILL FDA DO?    By Cherikoff on 8/18/2008 4:06 PM
It is obvious as to the nature of Bayer as a company. Who else would re-label their left-over WW2 nerve gas as a beverage sterilant? Who cares that it leaves methanol as it degrades in the beverage? Who cares that Velcorin is an extremely toxic gas and an accident waiting to happen. Go Bayer!

Forslean
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