May 17, 2001
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Company warns of counterfeit drug

By Michael O'Leary

SEATTLE -- May 17, 2001 (Cancer Digest) -- In a potentially life-threatening case of counterfeiting, someone is distributing a fake version of a drug commonly used by cancer patients undergoing chemotherapy.

The drug called Neupogen® is manufactured by Amgen, of Thousand Oaks, Calif. and is primarily used to prevent infections caused by the loss of white blood cells killed by chemotherapy agents. The counterfeit has been packaged carefully in 10-pack boxes of vials that look much like the real thing.

In a letter to physicians, on May 10, Amgen warned that the counterfeit product, which is definitely not Neupogen (filgrastim), was neither manufactured nor distributed by Amgen and may pose a serious health risk to patients.

David Kaye, Amgen's associate director of corporate communications says that there is no active drug in the vials.

"In the vials we've tested, all we've found is a normal saline, almost like a placebo in a clinical trial," Kaye told cancerfacts.com. "There's nothing harmful in them, but there is nothing helpful either, which can be serious for patients whose white blood cells counts are very low."

How widespread the distribution of the fake vials has been, Kaye wouldn't say. "We're cooperating with the FDA investigators and they have asked that we not divulge where or how much of the counterfeit product has been found."

Earlier this year, however, in a similar instance, Amgen issued a letter to physicians regarding another of its products called Epogen®, which is used primarily by kidney dialysis patients. In that letter, the company stated that three incidences of product tampering had occurred involving eight vials.

In that case, Amgen vials had been opened and the contents replaced with various amounts of a solution in an apparent attempt to conceal product theft.

In the new case, commercial vials not used by Amgen have been filled with saline, labeled and packaged in boxes to look like Amgen's product. Whether the two cases are related is unknown.

The company has posted detailed lists of ways to distinguish the genuine Neupogen product from the counterfeit along with side-by-side photos on their Web site.

Anyone suspecting that they have received a batch of bogus vials are urged to seperate the product and contact the FDA immediately at 1 800 835 4709.


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