5 ms·
If you look at the FDA's website, it's littered with dozens of communications begging 23andme to submit some documentation about their product so that the FDA c
by jxf 13y ago
If you look at the FDA's website, it's littered with dozens of communications begging 23andme to submit some documentation about their product so that the FDA can evaluate the medical claims they're making.
See, e.g., this one from June 10, 2010:
[0] http://www.fda.gov/downloads/MedicalDevices/ResourcesforYou/Industry/UCM215240.pdf http://www.fda.gov/downloads/MedicalDevices/ResourcesforYou/...
All the FDA wants in this letter is some kind of understanding that their genetic tests are actually valid and correct, since they are making medical claims regarding their accuracy:
> 23andMe has never submitted information on the analytical or clinical validity of its tests to FDA for clearance or approval. However, your website states that the 23andMe Personal Genome Service™ is intended to tell patients in advance how they will respond to certain medications including warfarin and clopidogrel. It also states that the data generated from the 23andMe Odds Calculator, a feature ofthe 23andMe Personal Genome Service™, includes the contribution of single-nucleotide polymorphisms (SNPs) to disease risk. Consumers may make medical decisions in reliance on this information.
The FDA then establishes its ability to regulate this (remember, it's legally required to do this):
> During a meeting between 23andMe and FDA on July 29, 2009, you described the 23andMe Personal Genome Service™ as consisting of a software program that analyzes genetic test results that are generated by an external laboratory in order to generate a patient specific test report. Thus, the 23andMe Personal Genome Service™ is a diagnostic device and subject to all applicable requirements of the Act.
They then very helpfully point them to all the forms, documents, etc., necessary to satisfy the legal requirements:
> For a device requiring premarket approval, the notification required by section 510(k)of the Act, 21 U.S.C. 360(k), is deemed satisfied when a PMA is pending before the agency. 21 C.F.R. 807.81(b).
There's even a helpful mailing address and fax number:
> Please direct your questions and response to: James L. Woods, Food and Drug Administration, 10903 New Hampshire Avenue, W066-5688, Silver Spring, MD 20993
Honestly, this sounds like 23andme has been getting away with something for a while and the FDA is tired of giving them leeway.
- tptacek 13y agoThe bio on the guy who sent the letter you linked is interesting; not the "career civil servant maybe with a JD" you'd expect from an enforcement action: http://oba.od.nih.gov/oba/sacghs/roster/bio/2010/Alberto%20Gutierrez.pdf http://oba.od.nih.gov/oba/sacghs/roster/bio/2010/Alberto%20G...
- eli 13y agoAs an aside, I think this is not as uncommon as one might think. It's a big government and obviously not perfect at hiring and promotion, but in my experience the upper-middle tier of employees generally know their shit.
- cbsmith 13y agoI suspect 23andMe didn't provide documentation because they very much want to avoid being treated as a medical service, and fear submitting this documentation would serve to further put them on this path. There is a bit of a contradiction here that "natural supplements" get this huge pass from the FDA, but applying some math to very, very natural genetic data doesn't.
- EpicEng 13y agoSince when do "natural supplements" make medical diagnosis? Not even in the same ballpark.
- esrauch 13y agoNatural supplements are effectively marketed as medication (despite a label indicating the FDA has not evaluated the claims). Many people I have spoken to genuinely believe natural supplements to be actual medicine based on the way they are marketed. The issue with incorrect diagnosis is might lead to incorrect or ineffective treatments. "Natural supplements" are the incorrect or ineffective treatments themselves: the unregulated claims they make is very similar in substance and effect to the quasiregulated claims that 23andme is making.
- cbsmith 13y agoAnd which ballpark would you say is closer to the area of a "food" or "drug"? If you look at the FDA's mandate, it is pretty strongly oriented to products for treatment, not medical diagnosis. The medical diagnosis angle is mostly there due to certain forms of quackery.
- EpicEng 13y agoI develop medical devices use for diagnosis for a living. Some organization has to watch over this stuff, it just so happens to fall to the FDA. What's your proposal? Do you believe that these devices should not be regulated?
- 13y ago