Thanks to member Jennifer for the head's up on this. I contacted a doctor in Colorado months ago about his advertised stem cell treatments for COPD. He said he used this product. The treatment was quite pricey in my opinion. When I asked how many patients saw improvements after treatment, he replied that he had only treated one patient and because she drank alcohol post treatment, her therapy resulted in no changes to her condition. I would never pay a huge price to be a guinea pig for an off the shelf product like this, so I crossed that clinic off the list pronto. It was apparent the doctor knew very little about the product either except for what a sales rep had told him. Off the shelf products are concerning in that it's just not one patient involved if something goes wrong.

Dr. Centeno's blog was about this today as well.

Iíve written now for years about the amniotic and umbilical cord stem cells scams. These FDA regulated dead tissues are often called ďstem cellĒ products by unethical distributors, sales reps, and physicians. Now thereís a new twist in that the FDA has just recalled a n umbilical cord product. Let me explain.

Amniotic and Umbilical Cord Products
These are products derived from either the amniotic sac/fluid or the umbilical cord blood/Whartonís jelly. These tissues have some stem cell content when alive, but by the time theyíre collected, transported, processed, frozen, shipped, and shock thawed by a doctor, itís all dead. This, of course, hasnít prevented distributors, sales reps, and physicians from stretching the truth a bit and claiming that there are live stem cells, all to make a sale.

One of the things that these companies do to try and sell this stuff is to use simple live/dead stains to report a viability number without doing the more expensive and time-consuming tests required to actually determine if there are live and functional stem cells. To learn more, see my video below:

What is Liveyon?
As I hinted above, the FDA has two classifications for cell-based products that come from a donor. One requires that the cells be dead (no metabolic activity) and is called a 361 tissue registration. This is a quickie FDA form that gets filled out by the manufacturer of the tissue and not an FDA approval. In fact, the FDA doesnít review the information at all other than noting an address where it may inspect the lab for the right type of processing techniques and cleanliness. The other is a cell drug, which is called a 351 designation and this would require full FDA approval with clinical trials. Here the cells are viable. No birth tissues product to date has a 351 cell drug FDA approval for orthopedic use. See my video below for more details:

Why are Amniotic or Cord Stem Cell Products Illegal Drugs?
Liveyon is a company that has a quickie 45-minute 361 registration on its products and no FDA approval but claims that they have live stem cells anyway. Not only is this a regulatory problem, but I have never seen any convincing data that itís remotely true. In fact, Iíve blogged before on why the data that Liveyon provides to physicians as ďproofĒ that itís product has live mesenchymal stem cells, from a scientific standpoint, isnít worth the paper itís written on.

Despite this, the company has been known for very sexy and splashy advertising. Iím sure that alone has convinced quite a few doctors to use the products. Now itís known for something newÖhaving a product pulled off the market.

The FDA Liveyon Recall
The FDA has recalled a Liveyon product called itís Regen Series vials. If this is due to bacterial contamination, this has some very real risks. If this stuff is injected into a knee, the knee will likely develop septic arthritis (loss of cartilage due to the infection eating away at the joint). However, more concerning is that we have seen chiropractic and acupuncture clinics buying this stuff and injecting it IV. If one of these products ends up being given that way, this would lead to sepsis and possible death.

What the Recall Tells Us About The Liveyon Product
The FDA recall states that Liveyon is not the manufacturer of its own products (thatís Genetech in San Diego). This is common in this space. Most of these companies that sell these tissues donít manufacture them or do any science, but rather are just marketing outfits.

The FDA Bubble is Burst
Most physicians that buy this stuff and patients who fall for the ruse that this is a ďyoung stem cell productĒ rather than dead tissue believe that itís carefully FDA regulated. Nothing could be further from the truth. In fact, as youíve learned above, all it takes is filling out a free 45-minute form online to register your product. While FDA reserves the right to inspect the premises, in reality, for many of these companies that may not occur for years, by which time most may be out of business and on to the next money making venture.

In this case, based on the language used by FDA on the recall, the problem seems to have been identified through the MedWatch system. Meaning a complaint was logged and FDA acted. However, realize that outside of that free online registration form, FDA may or may not have ever inspected or reviewed how Liveyon was being manufactured. This is the bright line difference between a voluntary registration and a 351 cell drug approval. In the latter scenario, FDA carefully reviews all aspects of how the cells are handled, processed, tested, and shipped.

Another concern is that all such products that are made in lots or batches carry much greater risk than autologous procedures using the patientís own cells. For example, if autologous cells become contaminated, they impact one patient, identical to the risk of a surgery causing an infection. The scope of the disaster is limited. However, in products that are shipped around the country from a single manufacturing site, if a batch becomes contaminated, many, many people can be harmed with one error.

The Risks of Frozen vs. Irradiated Tissue
In the never-ending push to convince providers that dead tissue is really millions of young stem cells, many of these birth tissue vendors have left the safety of ďterminally sterilizedĒ tissue. To do this, they have moved to shipping cells that are frozen. Letís explore this further.

Most companies in the birth tissues space terminally sterilize tissues usually through gamma irradiation. This means that they sterilize the cells by killing every living thing before shipping it to providers. In that way, the doctor can rest assured that he or she wonít get a contaminated sample.

However, in the push to convince providers that these dead products have live cells, a few companies have moved away from the safer terminal sterilization and instead ship frozen tissue without sterilization. While these frozen products are tested as a batch for communicable diseases in the donor, they arenít tested sample by sample for contamination in the same way that cell drugs are required to be tested. In fact, they rely on a sterile processing technique to reduce the risk of contamination, which as we see in the case of Liveyon, failed.

The upshot? This FDA Liveyon recall exposes the risk that providers and patients take in using these products that claim to have live stem cells. These products skip terminal sterilization and are not tested product by product for bacteria or viruses, instead relying on donor testing for communicable diseases and sterile processing to protect patients. In addition, unlike a surgical procedure that risks one patient, with these products, many more patients can be placed at risk all over the country.