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Contamination at NIH’s clinical pharmacy center halts operations

WASHINGTON — The National Institutes of Health has halted all production at its clinical pharmacy center after the discovery of two vials contaminated with fungus.

 

Six patients are being monitored for any sign of infection after being administered vials from the same batch found in the two vials. It’s not known if those vials were contaminated.

 

“To date these patients show no sign of any difficulty,” says Dr. Larry Tabak, Deputy Director, NIH. “All of the patients that have received products produced in this facility have been contacted.” 

 

A Food and Drug Administration inspection detected the contamination in mid-May, and the pharmacy’s operations were suspended on Thursday.

 

Outside investigators, including microbiologists and experts in sterile manufacturing, will conduct a review of operations at the clinical center pharmacy, after the FDA cited the facility for not following standard operating procedures for maintaining a sterile environment.

 

It’s unclear how long the shutdown could last.

 

“This is a case where being thorough is more important than being quick,” Tabak says.

 

 The NIH’s clinical pharmacy center produces drugs used in an estimated 46 NIH clinical trials. Without the compounds, Tabak says some trials may have to be put on hold.

 

“We are in the process of attempting to find alternate sources of medications for the patients that are in our clinical studies,” Tabak says.  

 

The fungus was found in two vials of albumin, which is used for administering the anti-cancer drug, Interleukin. Tabak says one vial contained an airborne fungus not harmful to humans, but the second vial contained Aspergillus fungus, which is potentially harmful to humans.

 

“Safety of our patients is the absolutely number one priority for us,” Tabak says.

States seek to lower drug prices by targeting the companies that manage them for health plans

TOPEKA, Kan. (AP) — As consumers worry about medication costs, states are trying to lower drug prices by reining in big companies that oversee prescription coverage for health insurers. Some of those companies, called pharmacy benefit managers, also own pharmacies, and one of them, CVS, has spent millions of dollars fighting the regulations. Affordability is a key issue ahead of this year’s midterm elections. Legislators in at least a dozen states passed laws this year to limit compensation to the companies, set minimum payments from the companies to pharmacists and require the companies to disclose more information to their clients, states and the public. A Tennessee law will bar pharmacy benefit managers from operating retail pharmacies as of July 1, 2028, though CVS Health Corp. has filed a federal lawsuit to avoid having to close its 136 pharmacies there.
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