Classification-based Supervision of the Allograft Bone and Case Analysis

  • Mingyu YOU ,
  • Jiazhen ZHANG ,
  • Shan JIANG ,
  • Tian TIAN
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  • 1.Yangtze River Delta Center for Medical Device Evaluation and Inspection of NMPA Shanghai 201210, China
    2.Center for Medical Device Evaluation NMPA Beijing 100076, China

Received date: 2025-06-30

  Revised date: 2025-07-24

  Accepted date: 2025-12-24

  Online published: 2025-12-24

Abstract

Allograft bone as a crucial therapeutic approach in bone repair has drawn regulatory attention due to the specific considerations associated with donor sources and the evaluation of product safety and efficacy. This study systematically reviews and analyzes the US FDA's Food and Drug Administration classification-based regulatory strategies for allograft bone utilizing the public database of the FDA. Through comprehensive retrieval of regulatory information and screening of representative regulatory cases it delves into allograft bone associated public health adverse events and corresponding mitigation measures. The research focuses on dissecting the FDA's tiered regulatory approaches tailored to allograft bone with varying risk levels aiming to elucidate the core regulatory principles and regulatory rationale for such products in the international regulatory landscape.


Cite this article

Mingyu YOU , Jiazhen ZHANG , Shan JIANG , Tian TIAN .

Classification-based Supervision of the Allograft Bone and Case Analysis

[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2025 , 27(11) : 1138 -1138-1142 . DOI: magtech.2025.06.30-00002

References

    [1 裴国献,陆海波.同种异体骨移植[M.北京:科学技术文献出版社,2007.

         2  蔡元庆,刘谟震,李忠海.同种异体骨移植材料在脊柱融合中的应用[J.中国组织工程研究,20232716):2571-2579.

         3  徐子林,李忠海.脱钙骨基质在脊柱融合中的临床应用进展[J.中国矫形外科杂志,20192714):1288-1292.

         4  孙世荃,李宝兴.美国食物药品监督管理局对人类同种异体骨组织的生产管理与登记程序[J.中国骨肿瘤骨病,200431):26-27.

         5  白玉龙,耿广平,陈维明,等.美国组织库及组织修复材料的发展近况[J.国际生物医学工程杂志,2020436):501-507.

         6  Mendicino M Fan Y Griffin D et al. Current state of U.S. Food and Drug Administration regulation for cellular and gene therapy products potential cures on the horizonJ.Cytotherapy 2019217):699-724.

         7  陈亮,奚廷斐,王春仁.用于移植的人体组织:管理规定和组织库标准、指南简介[J.中国医药生物技术,200945):384-386.

         8  Food and Drug Administration. Tissue & Tissue ProductsEB/OL.2024-03-01)[2025-06-08.https//www.fda.gov/vaccines-blood-biologics/tissue-tissue-products.

         9  Food and Drug Administration. Regulatory considerations for human cells tissues and cellular and tissue-based products minimal manipulation and homologous UseEB/OL.2020-07-21)[2025-06-08.https//www.fda.gov/regulatory-information/search-fda-guidance-documents/regulatory-considerations-human-cells-tissues-and-cellular-and-tissue-based-products-minimal.

         10 Food and Drug Administration. Tissue establishment registrationEB/OL.2021-03-09)[2025-06-08.https//www.fda.gov/vaccines-blood-biologics/biologics-establishment-registration/tissue-establishment-registration.

         11 Food and Drug Administration. Jurisdictional update human demineralized bone matrixEB/OL.2018-02-16)[2025-06-08.https//www.fda.gov/combination-products/jurisdictional-updates/jurisdictional-update-human-demineralized-bone-matrix.

         12 Klyushnenkova E Mosca JD Zernetkina V et al. T cell responses to allogeneic human mesenchymal stem cells immunogenicity tolerance and suppressionJ.J Biomed Sci 2005121):47-57.

         13 Chen XD. A roadmap to non-hematopoietic stem cell-based therapeutics. Chapter-17M.The USA Academic Press 2019 419-441.

         14 Food and Drug Administration. 7342.007 Addendum Imported human cells tissues and cellular and tissue-based products HCT/Ps)[EB/OL.2017-12-31)[2025-06-08.https//www.fda.gov/media/73960/download.

         15 Food and Drug Administration. Human cell and tissue establishment registration-public Query Enter Query CriteriaDB/OL.2024-07-29)[2025-06-08.https//www.accessdata.fda.gov/scripts/cber/CFAppsPub/tiss/index.cfm.

         16 Food and Drug Administration. Untitled letters regarding advertising & promotional labeling for approved biologicsEB/OL.2022-05-06)[2025-06-08.https//www.fda.gov/vaccines-blood-biologics/enforcement-actions-cber/untitled-letters-regarding-advertising-promotional-labeling-approved-biologics.

         17 Feuerstein A. FDA slaps osiris for misleading medical claims about stem-cell bandage N.TheStreet 2013-10-23.

         18 Skovrlj B Guzman JZ Maaieh MA et al. Cellular bone matrices viable stem cell-containing bone graft substitutesJ.Spine J 2014 1411):2763-2772.

         19 Food and Drug Administration. 510k Premarket NotificationDB/OL.2025-05-31)[2025-06-08.https//www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm.

         20 ASTM. Standard guide for  in vivo evaluation of osteoinductive potential for materials containing demineralized bone DBM): ASTM F2529-132021)[EB/OL.2021-08-10) [2025-06-08.https//store.astm.org/f2529-13r21.html.

         21 Schwartz NG Hernandez-Romieu AC Annambhotla P et al. Nationwide tuberculosis outbreak in the USA linked to a bone graft product an outbreak reportJ.Lancet Infect Dis 2022 2211):1617-1625.

         22 Wortham JM Haddad MB Stewart RJ et al. Second nationwide tuberculosis outbreak caused by bone allografts containing live cellsUnited States 2023J.MMWR Morb Mortal Wkly Rep 2024 725253):1385-1389.

         23 Food and Drug Administration. Recommendations to reduce the risk of transmission of disease agents associated with sepsis by human cells tissues and cellular and tissue-based products HCT/Ps)[EB/OL.2025-05-02)[2025-06-08.https//www.fda.gov/regulatory-information/search-fda-guidance-documents/recommendations-reduce-risk-transmission-disease-agents-associated-sepsis-human-cells-tissues-and.

         24 Food and Drug Administration. Recommendations to reduce the risk of transmission of mycobacterium tuberculosis Mtb by human cells tissues and cellular and tissue-based products HCT/Ps)[EB/OL.2025-05-02)[2025-06-08.https//www.fda.gov/regulatory-information/search-fda-guidance-documents/recommendations-reduce-risk-transmission-mycobacterium-tuberculosis-mtb-human-cells-tissues-and.

Outlines

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