A Fine Point

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EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan

  When an internal report shows that the world's third largest generic drug maker routinely violated standard operating procedures, a lot of people should be concerned -- not just its employees and stockholders.

That's why prescription drug consumers and the general public should welcome the Food and Drug Administration's investigation of Mylan Inc. for possible violation of government-mandated quality controls.

Post-Gazette staff writers Patricia Sabatini and Len Boselovic reported Sunday that a confidential report by the Cecil-based company described how Mylan workers routinely overrode computer-generated warnings about potential problems with medications being produced at its Morgantown, W.Va., plant. The drugs made there are used to treat diabetes, cancer, epilepsy, depression, high blood pressure and other conditions.

The violations of procedure meant to ensure the safety and effectiveness of prescription drugs were uncovered in May and deemed "very serious" by the report. It said the actions occurred during all three shifts at the plant and involved "falsifying information" and "altering product."

After declining requests for interviews last week, Mylan released a statement Sunday night that said its investigation of "the issue" showed that its quality-control systems are actually working. "Our customers and stakeholders can rest assured that whenever there is even the slightest departure from an SOP [standard operating procedure], it will be dealt with immediately and effectively. This issue had no impact on the quality of our product," according to the statement.

Former FDA inspectors and industry consultants contacted by the Post-Gazette were not so assured. They reviewed Mylan's internal report and were left with concerns about the integrity of the plant's quality control.

Halfway around the globe, Mylan's Matrix Laboratories plant in India came under fire last week by the World Health Organization for "major deviations" from standard manufacturing practices during an inspection two months ago. In a letter to the company, WHO said that despite Matrix's planned or actual corrective action "issues of concern" remained.

While that plant may be beyond the FDA's reach, Morgantown is not. With 19 billion doses of medication produced there annually, the health of many people rests with the quality of Mylan's output and its ability to adhere to government standards.

No doubt eager to put this episode behind it, Mylan released a statement yesterday saying the FDA, after visiting the West Virginia plant Monday, "agreed that this was a minor standard operating procedures deviation" and that "all corrective actions were fully implemented." Two hours later a spokesman for the FDA told a different story: "The investigation is ongoing and the agency has formed no conclusions at this time. Statements to the contrary are untrue."

This investigation will go a long way to gauging the extent of the breaches of quality control. The millions of people who use drugs made by Mylan can be glad the FDA is on the case.

  


Posted Jul 29 2009, 06:00 AM by Susan Mannella

Comments

myreply wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 9:57 AM

We all ought to be up in arms over this.  That this kind of violation could have been going on for such a long period is indefensible!  

And if it's going on at Mylan I'm sure it's going on at most pharmaceuticals.  It's just too easy for these companies to turn a deaf ear and a blind eye to these violations.  It costs them money to do the right thing.

Let's make sure they don't have the audacity to think they can get away with it ever again.  Let us ask for strong oversight at all pharm. plants here and abroad.  Let us not accept any excuses.  Remember, it is our very lives we are talking about here.

swaybar wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 11:18 AM

It's not like they can't afford to do it right.

regis wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 11:51 AM

Of course, the "strong oversight" will be decried as "government interference" in some quarters.

myreply wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 12:20 PM

Greed !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 12:40 PM

How corrupt is the corporate environment at Mylan?  Well, Breaking News: Mylan's just elevated Heather "I didn't earn my EMBA, I just play one" Bresch -- who should've been fired once her scam was confirmed -- to President.  Utterly disgraceful.

GBRetired wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 2:57 PM

...and the government warned us about buying pharmaceuticals from Canada! What hypocrasy.

Titan Lee wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 3:28 PM

Welcome to "upside down world".

If Minx is correct saying that Bresch was promoted to Pres at the same time the FHA says there has been fake quality control issues, someone has a warped sense of humor at that company.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 4:09 PM

TItan Lee, Good one!

swaybar wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 4:40 PM

And all it took was a right click!  Oh, and of course the supervisors didn't know a thing about it.  The janitor taught everybody how.

swaybar wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Wed, Jul 29 2009 4:42 PM

And all it took was a right click!  Of course the supervisors had no ideA This has been going on for a couple of years.

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 9:41 AM

Heather Bresch !?

She's like the "George Costanza" of local corporations!

(Remember when George passed himself off as a "Risk Management" expert?)

Remind me where NOT to score my generic fluoxetine!

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 11:14 AM

thescarletpumpernickel, How DARE you insult George Costanza that way ;-)

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 12:14 PM

Thx. , little_minx.

Glad to see you back in the mix.

(Seriously. You're careful about your facts.)

regis wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 1:22 PM

Actually, the Bresch promotion is one more example of how you can't trust companies to police themselves.  The myth of the efficiency of private industry takes another one on the chin.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 3:26 PM

Titan Lee, thescarletpumpernickel and regis,

Astonishing, Mylan's decision in promoting Bresch, in that they don't seem to think it will damage the already-existing public perception of them as monumentally arrogant.  One can only assume they figure it'll show everyone just how confident they are -- especially at the same time they're announcing 2nd quarter profits!  See:

http://www.post-gazette.com/

pg/09211/987496-100.stm

Excellent point, scarlet, re "Remind me where NOT to score my generic fluoxetine!"  Is there any systematic way to figure out which products are Mylan's?

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 4:21 PM

As requested:

Mylan's pharmaceutical product line (yes, they manufacture fluoxetine):

www.mylanpharms.com/.../productList.aspx

And, presumably, the folks who promoted Ms. Bresch:

www.mylan.com/.../board_directors.aspx

I owe you, minx, if only because you kicked my *ss on another thread. ;)

As to how to determine whether the generic you get at trhe drug store is manufactured by Mylan, well, I'm sure there's some way of getting that information.

(Trouble is, I don't know if one can request a generic manufactured by a specific company, withoutr running afoul of one's insurance plan.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Thu, Jul 30 2009 6:57 PM

thescarletpumpernickel et al., do you know some way we can make sure that the P-G editorial board as well as reporters Patty Sabatini and Len Boselovic see -- and take seriously -- our dismay?  Vox populi, and all that jazz...

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Fri, Jul 31 2009 1:22 PM

little_minx -

I don't know how often (if at all) the P-G's editorial staff reads these posts, nor do I know how they "pick their fights".

(My knowledge of the workings of a newspaper is limited to what I remember about "The Daily Planet" in the Superman comics. (Cigar-smoking "Chief", freckle-faced cub reporter Jimmy Olsen, Lois Lane, etc.))

However, it appears that someone there at trhe P-G has heard you, or is on the same wavelength.

See today's P-G homepage, and the Mylan links.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Fri, Jul 31 2009 5:20 PM

thescarletpumpernickel et al.,  Yup, it sure looks like Mylan's trying desperately to spin this fiasco somehow to their advantage, or at least to minimize the PR damage.  Having a newly-promoted corrupt President is hardly the place to start, however.  Talk about tone-deaf!

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Fri, Jul 31 2009 8:03 PM

Alas.

Such "errors in judgement" are all too common, I'm afraid.

Stroll w. me down memory lane:

www.post-gazette.com/.../905293-298.stm

and

www.nytimes.com/.../27mit.html

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Sat, Aug 1 2009 8:54 AM

thescarletpumpernickel, thanks for the links.  One of the big issues I have with Heather Bresch is that she cost several major academics and administrators at WVU their jobs (if not careers), because I assume they felt pressured to cover up for her lie re the EMBA she didn't actually earn.  Meanwhile, Bresch not only got to keep her own promotion to VP despite her moral turpitude in having lied re the EMBA, but now she gets rewarded with yet another promotion to President as well???  Gimme a break!  As if further evidence were needed that several somethings are rotten in the State of Mylan...

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Sat, Aug 1 2009 12:00 PM

Absolutely, minx.

*Most* places, you lie on your c.v. and it's grounds for dismissal.

Where is Mylan's sense of integrity?

And could you imagine being a grunt employee at Mylan, knowing who's in charge?

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Sun, Aug 2 2009 12:55 PM

Yet further damage that Heather Bresch has wrought is the inevitably devalued public perception of degrees earned by other MBAs (especially those from WVU) who fulfilled all their requirements the old-fashioned -- i.e., by dint of hard work and study.  If I were an alum of WVU or an MBA I'd be mightily [euphemism alert!] ticked off at Bresch nowadays.

thescarletpumpernickel wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Sun, Aug 2 2009 2:44 PM

Yepper.

And to belabor the point, imagine what it must be like for those who have earned a bona-fide MBA and who are working hard to claw their way up through the ranks.

Surely there are some at Mylan.

For shame.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Mon, Aug 3 2009 5:03 PM

Ah but, thescarletpumpernickel, none of those bona fide MBAs has the WV (or PA or OH) Governor for their daddy.

little_minx wrote re: EDITORIAL - Adverse reaction: The FDA probes quality control at Mylan
on Mon, Aug 3 2009 5:07 PM

Ah but, thescarletpumpernickel, I bet none of those bona fide MBAs has the WV (or PA or OH) Governor for their daddy.