FDA工作人员反对拟议的多肽审批
FDA Staffers Oppose Proposed Clearance Of Peptides

原始链接: https://www.zerohedge.com/medical/fda-staffers-oppose-proposed-clearance-peptides

FDA官员已正式表示反对允许配药药房生产包括BPC-157和TB-500在内的七种热门肽类物质。官员们援引了重大的安全隐忧,警告称这些物质可能会引发危及生命的免疫反应。 肽类物质是由短链氨基酸组成的,在健身圈中日益流行,并获得了卫生部长小罗伯特·F·肯尼迪的支持,他曾对FDA过去禁止这些物质的合法性提出过质疑。尽管该机构此前曾暗示可能会行使执法裁量权,但目前正在审查是否要正式将这些肽类物质列入获准配制的物质清单。 该决定权归属于FDA的药物配制咨询委员会,该委员会包括几名与肽疗法行业有联系的新任命成员。行业倡导者,如药物配制联盟,正敦促FDA寻求一条允许受监管使用的“中间道路”,而非彻底禁止。这场辩论凸显了患者获取定制化、趋势性疗法与联邦安全监管之间日益增长的冲突。

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原文

Authored by Zachary Stieber via The Epoch Times,

Food and Drug Administration staffers said in newly released documents that they do not support letting compound pharmacies manufacture seven popular peptides.

The Food and Drug Administration in White Oak, Md., on June 5, 2023. Madalina Vasiliu/The Epoch Times

FDA personnel said in documents posted online on June 29 that there are safety concerns with the peptides, including the possibility of triggering immune responses that could lead to "life-threatening and catastrophic reactions."

They do not favor classifying BPC-157, KPV, TB-500, MOTS-c, Emideltide, Epitalon, or Semax in a way that would let pharmacies use them in compounded medicines.

Peptides are short chains of amino acids that act as building blocks of proteins and perform essential biological functions in the body. If permitted, compounding pharmacies can manufacture them for personalized medications tailored to patients' unique needs.

They have become popular among some fitness influencers and have received endorsement from Health Secretary Robert F. Kennedy Jr.

Compounding refers to doctors and pharmacists creating customized medicine by combining, mixing, or altering ingredients.

The documents were posed ahead of a scheduled meeting of the FDA's Pharmacy Compounding Advisory Committee, which will consider whether to support or oppose loosening restrictions on the peptides.

The FDA in April said it would not take action against compounding pharmacies that use some of the peptides, and is now considering whether to add them to a list of approved substances.

The FDA could create some guard rails within which peptides could be prepared by legitimate pharmacies, according to Scott Brunner, CEO of Alliance for Pharmacy Compounding, a trade association for pharmacies.

"We would urge the agency to look at this not as an up or down vote, but to consider a middle path that does address a very real public health concern," Brunner said.

Ban

The FDA in 2023 labeled more than a dozen peptides, including BPC-157 and KPC, as substances banned for compounding.

Officials at the time said there was a lack of information on the peptides. The available data indicated "significant safety risks," they said.

Kennedy has said the ban was illegal. Such bans should only happen if there is a safety signal, he has said.

No such safety signal was identified.

Rep. Diana Harshbarger (R-Tenn.), a pharmacist, wrote to officials in 2025 in support of allowing the compounding of six peptides, including BPC-157.

New Members

The FDA appointed multiple new members to the compounding panel, including seven who have links to businesses or clinics involved in peptide therapies.

That includes Robert Harshbarger, a Tennessee senator, pharmacist, and son of Rep. Harshbarger.

"All committee members underwent the same ethics review and vetting process required of all FDA advisory committee members," a Department of Health and Human Services spokesperson said.

"Candidates that could not meet existing ethics requirements were removed from consideration."

Reuters contributed to this report.

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