United States of America v. Vivaceuticals, Inc. et al

Filing 29

CONSENT DECREE by Judge Josephine L. Staton ( MD JS-6. Case Terminated ) (mt)

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Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 1 of 22 Page ID #:160 JS-6 1 2 3 4 5 6 7 8 IN THE UNITED STATES DISTRICT COURT 9 FOR THE CENTRAL DISTRICT OF CALIFORNIA 10 11 UNITED STATES OF AMERICA, ) 12 13 Plaintiff, ) ) 14 15 v. ) VIVACEUTICALS, INC., et al., 20 CONSENT DECREE ) ) 18 19 Civil No. 8:15-cv-01893-JLS-KES ) 16 17 ) Defendants. ) _______________________________) 21 22 23 24 25 26 27 28 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 2 of 22 Page ID #:161 CONSENT DECREE OF PERMANENT INJUNCTION 1 2 Plaintiff, the United States of America, by its undersigned counsel, having 3 filed a Complaint for Permanent Injunction against VivaCeuticals, Inc., doing 4 business as Regeneca Worldwide, a corporation, and Matthew A. Nicosia, an 5 individual (collectively, “Defendants”), and Defendants having appeared and 6 consented to entry of this Decree without contest, without admitting or denying the 7 allegations in the Complaint, and before any testimony has been taken, and the 8 United States of America having consented to this Decree; 9 10 10 11 11 12 12 13 13 14 14 IT IS HEREBY ORDERED, ADJUDGED, AND DECREED as follows: 1. This Court has jurisdiction over the subject matter and all parties to this action. 2. The Complaint states a cause of action against Defendants under the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §§ 301 et seq. (the “Act”). 3. The Complaint alleges that Defendants violate 21 U.S.C. § 331(a) by 15 15 introducing or delivering for introduction, or causing to be introduced or delivered 16 16 for introduction, into interstate commerce articles of food (dietary supplements), as 17 17 defined by 21 U.S.C. § 321(ff), that are: 18 18 A. Adulterated within the meaning of 21 U.S.C. § 342(g)(1) in that 19 19 they have been prepared, packed, or held in violation of current good 20 20 manufacturing practice regulations for dietary supplements (“Dietary Supplement 21 21 CGMP”), set forth in 21 C.F.R. Part 111; 22 22 B. Adulterated within the meaning of 21 U.S.C. § 342(a)(2)(C)(i) 23 23 in that they contain a food additive that is unsafe within the meaning of 21 U.S.C. 24 24 § 348(a); and/or 25 25 26 26 C. Misbranded within the meaning of 21 U.S.C. § 343(a)(1) because their labeling is false or misleading. 27 27 28 28 2 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 3 of 22 Page ID #:162 4. 1 The Complaint alleges that Defendants violate 21 U.S.C. § 331(k) by 2 causing articles of food (dietary supplements) that are held for sale after shipment 3 of one or more components in interstate commerce to become: 4 A. Adulterated within the meaning of 21 U.S.C. § 342(g)(1); 5 B. Adulterated within the meaning of 21 U.S.C. § 342(a)(2)(C)(i); C. Misbranded within the meaning of 21 U.S.C. § 343(a)(1). 6 and/or 7 8 9 5. The Complaint alleges that Defendants violate 21 U.S.C. § 331(d) by introducing or delivering for introduction, or causing to be introduced or delivered 10 10 for introduction, into interstate commerce a new drug, as defined by 21 U.S.C. 11 11 § 321(p), that is neither approved pursuant to 21 U.S.C. § 355(a) nor exempt from 12 12 approval pursuant to 21 U.S.C. § 355(i). 13 13 6. The Complaint alleges that Defendants violate 21 U.S.C. § 331(k) by 14 14 causing an article of drug that is held for sale after shipment of one or more 15 15 components in interstate commerce to become misbranded within the meaning of 16 16 21 U.S.C. § 352(f)(1) because its labeling fails to bear adequate directions for use. 17 17 7. Upon entry of this Decree, Defendants and each and all of their 18 18 directors, officers, agents, representatives, employees, attorneys, successors and 19 19 assigns, and any and all persons or entities in active concert or participation with 20 20 any of them (including parent companies, holding companies, subsidiaries, 21 21 affiliates, franchisees, “doing business as” entities, “consultants,” “independent 22 22 contractors,” “independent business owners,” and any other persons engaged in 23 23 any part of the manufacture, preparing, packing, labeling, holding, and/or 24 24 distribution of Defendants’ products) (hereinafter, collectively referred to as 25 25 “Associated Persons”), who have received actual notice of this Decree by personal 26 26 service or otherwise, are permanently restrained and enjoined under 21 U.S.C. 27 27 § 332(a), and the inherent equitable authority of this Court, from directly or 28 28 indirectly receiving, manufacturing, preparing, packing, repacking, labeling, 3 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 4 of 22 Page ID #:163 1 holding, or distributing any articles of food (including but not limited to dietary 2 supplements and their components) and/or articles of drug, at or from 2 Park Plaza, 3 Suite 1200, Irvine, California 92614, or 16 Technology Drive, Suite 124, Irvine, 4 California 92618, or at or from any other location(s) at which Defendants now or 5 in the future directly or indirectly receive, manufacture, prepare, pack, repack, 6 label, hold, or distribute any articles of food (including but not limited to dietary 7 supplements and their components) and/or articles of drug (referred to as 8 “Defendants’ Facility” or “the Facility”) unless and until: 9 A. Defendants retain, at Defendants’ expense, an independent 10 10 person (the “CGMP Expert”) who is without any personal or financial ties (other 11 11 than a retention agreement) to Defendants and/or their families, and who, by 12 12 reason of background, training, education, or experience, is qualified to inspect the 13 13 Facility to determine whether Defendants’ methods, processes, and controls are: 14 14 (1) operated and administered in conformity with Dietary Supplement CGMP (21 15 15 C.F.R. Part 111); (2) adequate to ensure that none of the dietary supplements that 16 16 Defendants receive, manufacture, prepare, pack, repack, label, hold, or distribute 17 17 contain a food additive that is unsafe within the meaning of 21 U.S.C. § 348(a); 18 18 and (3) adequate to ensure that none of the products that Defendants receive, 19 19 manufacture, prepare, pack, repack, label, hold, or distribute, and that Defendants 20 20 market as, or intend to market as, dietary supplements, contain an article “approved 21 21 as a new drug” or “authorized for investigation as a new drug” within the meaning 22 22 of 21 U.S.C. § 321(ff)(3)(B); 23 23 B. Defendants notify FDA in writing of the identity and 24 24 qualifications of the CGMP Expert within three (3) business days of retaining such 25 25 expert, and the CGMP Expert: 26 26 1. Performs a comprehensive inspection of the Facility and 27 27 the methods, processes, and controls used to receive, manufacture, prepare, pack, 28 28 repack, label, hold, and distribute dietary supplements; 4 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 5 of 22 Page ID #:164 1 2. (a) He or she has inspected the Facility, methods, (b) 2 3 Certifies in writing to FDA that: All deviations from Dietary Supplement CGMP, processes, and controls; 4 5 the requirements in 21 U.S.C. § 348(a), and the provisions in 21 U.S.C. 6 § 321(ff)(3)(B), that have been brought to Defendants’ attention by FDA, the 7 CGMP Expert, and any other source since April 2011, have been corrected; and (c) Defendants’ Facility and the methods, processes, 8 9 and controls used to receive, manufacture, prepare, pack, repack, label, hold, or 10 10 distribute dietary supplements are, in the CGMP Expert’s opinion, in compliance 11 11 with this Decree, the Act, and its implementing regulations; and 12 12 3. Prepares a detailed report, which shall be submitted to 13 13 FDA as part of the certification described in paragraph 7(B)(2), of the CGMP 14 14 Expert’s inspection that shall include, but not be limited to, a determination that: 15 15 (a) Defendants have implemented corrections to their 16 16 facilities, methods, processes, and controls that are adequate to ensure that they 17 17 comply with Dietary Supplement CGMP and at a minimum: 18 18 (i) Establish an identity specification for each 19 19 component as well as component specifications to ensure that specifications for the 20 20 purity, strength, and composition of the finished batch of dietary supplements 21 21 manufactured using the component are met, as required by 21 C.F.R. § 111.70(b); 22 22 (ii) Establish product specifications for the 23 23 identity, purity, strength, and composition of the finished batch of dietary 24 24 supplements, and for limits on the types of contamination that may adulterate, or 25 25 may lead to adulteration of, the finished batch of the dietary supplements to ensure 26 26 its quality, as required by 21 C.F.R. § 111.70(e); 27 27 28 28 5 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 6 of 22 Page ID #:165 (iii) 1 Conduct at least one appropriate test or 2 examination to verify the identity of every component that is a dietary ingredient 3 before using such component, as required by 21 C.F.R. § 111.75(a)(1)(i); (iv) 4 Determine whether component 5 specifications that must be established in accordance with 21 C.F.R. § 111.70(b) 6 are met before using such component, as required by 21 C.F.R. § 111.75(a)(2); (v) 7 Prepare and follow a complete written 8 master manufacturing record for each unique formulation of dietary supplements, 9 and for each batch size, to ensure uniformity in the finished product from batch to 10 10 batch, as required by 21 C.F.R. § 111.205; (vi) 11 11 Prepare a batch production record every 12 12 time a batch of dietary supplements is manufactured, as required by 21 C.F.R. 13 13 § 111.255; (vii) 14 14 Establish and follow written procedures for 15 15 the responsibilities of the quality control operations set forth in 21 C.F.R. 16 16 § 111.105, as required by 21 C.F.R. § 111.103; (viii) Establish and follow written procedures for 17 17 18 18 holding and distribution operations, as required by 21 C.F.R. § 111.453, and make 19 19 and keep written procedures for holding and distribution operations and records of 20 20 product distribution, as required by 21 C.F.R. § 111.475(b); (ix) 21 21 22 22 Establish and follow written procedures for returned dietary supplements, as required by 21 C.F.R. § 111.503; and (x) Establish and follow written procedures for the 23 23 24 24 review and investigation of product complaints, as required by 21 C.F.R. § 25 25 111.553. 26 26 (b) Defendants have methods, processes, and controls 27 27 that are adequate to ensure that none of the dietary supplements that Defendants 28 28 receive, manufacture, prepare, pack, repack, label, hold, or distribute contain a 6 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 7 of 22 Page ID #:166 1 food additive that is unsafe within the meaning of 21 U.S.C. § 348(a), and that 2 none of the products that Defendants receive, manufacture, prepare, pack, repack, 3 label, hold, or distribute, and that Defendants market as, or intend to market as, 4 dietary supplements, contain an article “approved as a new drug” or “authorized 5 for investigation as a new drug” within the meaning of 21 U.S.C. § 321(ff)(3)(B). 6 Such methods, processes, and controls shall include but not be limited to: (i) 7 Establishing and maintaining written 8 requirements, including quality requirements, that must be met by independent 9 contractors and consultants who are engaged in manufacturing, packing, and/or 10 10 labeling products for Defendants; (ii) 11 11 Documenting in writing that independent 12 12 contractors and consultants who engage in manufacturing, packing, and/or labeling 13 13 products for Defendants meet the requirements established under this 14 14 subparagraph, and retaining records of such documentation; (iii) 15 15 Conducting periodic evaluations of 16 16 independent contractors and consultants who engage in manufacturing, packing, 17 17 and/or labeling products for Defendants to ensure that the independent contractors 18 18 and consultants continuously meet the requirements established under this 19 19 subparagraph, and maintaining records of such evaluations; and (iv) 20 20 21 21 22 22 Establishing and implementing the laboratory testing program described in paragraph 9.A; C. Defendants retain, at Defendants’ expense, an independent 23 23 person (the “Labeling Expert”) who is without any personal or financial ties (other 24 24 than a retention agreement) to Defendants and/or their families, except that this 25 25 person may be the same as the CGMP Expert described in paragraph 7(A), and 26 26 who, by reason of background, training, education, or experience, is qualified to 27 27 review Defendants’ dietary supplement labeling (including but not limited to 28 28 labels, catalogs, and websites) and other promotional/informational material to 7 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 8 of 22 Page ID #:167 1 determine whether: (1) the labeling complies with 21 U.S.C. § 343(a)(1) and 2 applicable regulations; and (2) Defendants’ claims cause any dietary supplement 3 that they receive, manufacture, prepare, pack, repack, label, hold, or distribute to 4 be a drug within the meaning of 21 U.S.C. § 321(g)(1); 5 D. Defendants notify FDA in writing of the identity and 6 qualifications of the Labeling Expert within three (3) business days of retaining 7 such expert, and the Labeling Expert: 8 9 10 10 11 11 1. supplement labeling (including but not limited to labels, catalogs, and websites) and other promotional/informational material; 2. Certifies in writing to FDA that: (a) 12 12 13 13 Conducts a comprehensive review of Defendants’ dietary He or she has reviewed Defendants’ dietary supplement labeling and other promotional/informational material; (b) All labeling violations brought to Defendants’ 14 14 15 15 attention by FDA, the Labeling Expert, or any other source since April 2011, have 16 16 been corrected; and (c) Defendants’ dietary supplement claims are, in the 17 17 18 18 Labeling Expert’s opinion, in compliance with this Decree, the Act, and its 19 19 implementing regulations; and 20 20 3. Prepares a detailed report, which shall be submitted to 21 21 FDA as part of the certification described in paragraph 7(D)(2), of the Labeling 22 22 Expert’s review that shall include, but not be limited to, a determination that: 23 23 (a) Defendants have implemented procedures that are 24 24 adequate to ensure that their dietary supplement labeling complies with 21 U.S.C. 25 25 § 343(a)(1) and applicable regulations; and 26 26 (b) Defendants have implemented procedures that are 27 27 adequate to ensure that their claims do not cause any dietary supplement that they 28 28 receive, manufacture, prepare, pack, repack, label, hold, or distribute to be a drug 8 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 9 of 22 Page ID #:168 1 within the meaning of 21 U.S.C. § 321(g)(1) unless and until the product is the 2 subject of an approved new drug application or abbreviated new drug application, 3 or is exempt from approval under an investigational new drug application, 21 4 U.S.C. §§ 355(a), (b), (i), (j); 5 E. Defendants recall and destroy, under FDA’s supervision and in 6 accordance with the procedures provided in paragraph 8, all dietary supplements 7 and/or articles of drug that were received, manufactured, prepared, packed, 8 repacked, labeled, held, or distributed between June 1, 2011, and the date of entry 9 of this Decree; 10 10 F. 11 11 12 12 Defendants report to FDA in writing the actions they have taken to: 1. Correct the Dietary Supplement CGMP and labeling 13 13 deviations brought to Defendants’ attention by FDA, the CGMP Expert, the 14 14 Labeling Expert, and any other source; 15 15 2. Ensure that the facilities, methods, processes, and 16 16 controls used to receive, manufacture, prepare, pack, repack, label, hold, and 17 17 distribute dietary supplements are and will be continuously operated in conformity 18 18 with Dietary Supplement CGMP; 19 19 3. Ensure that none of the dietary supplements that 20 20 Defendants receive, manufacture, prepare, pack, repack, label, hold, or distribute 21 21 contain a food additive that is unsafe within the meaning of 21 U.S.C. § 348(a); 22 22 23 23 24 24 4. Ensure that Defendants’ dietary supplement labeling complies with 21 U.S.C. § 343(a)(1) and applicable regulations; 5. Ensure that none of the products that Defendants receive, 25 25 manufacture, prepare, pack, repack, label, hold, or distribute, and that Defendants 26 26 market as, or intend to market as, dietary supplements, contain an article “approved 27 27 as a new drug” or “authorized for investigation as a new drug” within the meaning 28 28 of 21 U.S.C. § 321(ff)(3)(B); and 9 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 10 of 22 Page ID #:169 6. 1 Ensure that Defendants’ claims do not cause any dietary 2 supplement that they receive, manufacture, prepare, pack, repack, label, hold, or 3 distribute to be a drug within the meaning of 21 U.S.C. § 321(g)(1) unless and until 4 the product is the subject of an approved new drug application or abbreviated new 5 drug application, or is exempt from approval under an investigational new drug 6 application, 21 U.S.C. §§ 355(a), (b), (i), and (j); G. 7 As and when FDA deems necessary, FDA representatives 8 inspect Defendants’ Facility, including the buildings, equipment, products, 9 labeling, and all relevant records contained therein, to determine whether the 10 10 requirements of this Decree have been met and whether Defendants are operating 11 11 in conformity with the Act, its implementing regulations, and this Decree; H. 12 12 Defendants have paid all costs of FDA’s inspections, 13 13 investigations, supervision, analyses, examinations, and reviews with respect to 14 14 paragraph 7, at the rates set forth in paragraph 15; and I. 15 15 FDA notifies Defendants in writing that they appear to be in 16 16 compliance with the requirements set forth in paragraphs 7(A)-(F) and (H) of this 17 17 Decree. In no circumstance shall FDA’s silence be construed as a substitute for 18 18 written notification. 19 19 8. Within twenty (20) business days after entry of this Decree, 20 20 Defendants, under FDA’s supervision, shall destroy all dietary supplements and/or 21 21 articles of drug that are in Defendants’ possession, custody, or control. Defendants 22 22 shall bear the costs of destruction and the costs of FDA’s supervision. Defendants 23 23 shall not dispose of any products in a manner contrary to the provisions of the Act, 24 24 any other federal law, or the laws or any state or Territory, as defined in the Act, in 25 25 which the products are disposed. 26 26 9. Upon resuming operations after complying with paragraphs 7(A)-(F) 27 27 and (H), and receiving FDA’s written notification pursuant to paragraph 7(I), 28 28 Defendants shall meet the following requirements: 10 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 11 of 22 Page ID #:170 1 A. Defendants shall select an independent laboratory that is 2 without any personal or financial ties (other than a service contract) to Defendants 3 and/or their families and that, by reason of background, training, education, or 4 experience, is qualified to analyze dietary supplements and/or articles of drug to 5 determine whether the products contain any unsafe food additive and/or active 6 pharmaceutical ingredient, and Defendants notify FDA in writing of the identity 7 and qualifications of the laboratory within three (3) business days of retaining such 8 laboratory. Thereafter: 9 1. For each batch of product that Defendants directly or 10 10 indirectly receive, manufacture, prepare, pack, repack, label, hold, or distribute, 11 11 and that is a dietary supplement or that Defendants market as, or intend to market 12 12 as, a dietary supplement, Defendants shall have the laboratory conduct testing, 13 13 using analytical methods acceptable to FDA, to verify that the batch does not 14 14 contain: (a) any unsafe food additive within the meaning of 21 U.S.C. § 348(a), 15 15 including but not limited to 1,3-dimethylamylamine (DMAA) and its chemical 16 16 equivalents; or (b) any phosphodiesterase type-5 (PDE-5) inhibitor that is an article 17 17 “approved as a new drug” or “authorized for investigation as a new drug” within 18 18 the meaning of 21 U.S.C. § 321(ff)(3)(B), including but not limited to sildenafil, 19 19 tadalafil, vardenafil, and their analogs; 20 20 2. Defendants shall not release for distribution any batch of 21 21 product until they have received and reviewed the laboratory analyses conducted 22 22 pursuant to this paragraph, and such analyses have verified that the batch does not 23 23 contain any of the substances described in subparagraph 9(A)(1); 24 24 3. If any laboratory analysis conducted pursuant to this 25 25 paragraph detects the presence of any substance described in subparagraph 26 26 9(A)(1), Defendants shall: 27 27 28 28 11 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 12 of 22 Page ID #:171 (a) 1 Have the laboratory contemporaneously provide to 2 FDA and Defendants the results of those analyses within one (1) business day after 3 the laboratory obtains such results; (b) 4 Destroy, at Defendants’ expense and under FDA’s 5 supervision, all products from each batch that tested positive for the presence of 6 any substance described in subparagraph 9(A)(1); and 7 (c) Reassess Defendants’ methods, processes, and 8 controls for ensuring that none of the dietary supplements that Defendants receive, 9 manufacture, prepare, pack, repack, label, hold, or distribute contain a food 10 10 additive that is unsafe within the meaning of 21 U.S.C. § 348(a), and that none of 11 11 the products that Defendants receive, manufacture, prepare, pack, repack, label, 12 12 hold, or distribute, and that Defendants market as, or intend to market as, dietary 13 13 supplements, contain an article “approved as a new drug” or “authorized for 14 14 investigation as a new drug” within the meaning of 21 U.S.C. § 321(ff)(3)(B); and 15 15 revise their methods, processes, and/or controls accordingly, and submit such 16 16 revisions in writing for FDA’s written approval; and 4. 17 17 If, after notifying FDA of the name of the laboratory 18 18 retained to conduct testing pursuant to this paragraph, Defendants terminate their 19 19 service contract with the laboratory, Defendants shall notify FDA within three (3) 20 20 business days of such termination, select another laboratory that meets the criteria 21 21 in paragraph 9(A) to conduct the testing described therein, and notify FDA in 22 22 writing of the identity and qualifications of the newly retained laboratory within 23 23 three (3) business days of retaining such laboratory; and 24 24 B. Defendants shall retain an independent person or persons (the 25 25 “Auditor”) who shall meet the criteria for, and may be the same person(s) as, the 26 26 CGMP Expert and Labeling Expert described in paragraphs7(A) and 7(C), to 27 27 conduct audit inspections of the Facility and the methods, processes, and controls 28 28 used to receive, manufacture, prepare, pack, repack, label, hold, and distribute 12 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 13 of 22 Page ID #:172 1 dietary supplements, and of Defendants’ dietary supplement labeling (including 2 but not limited to labels, catalogs, and websites) and other 3 promotional/informational material. Thereafter: 4 1. The Auditor shall conduct audit inspections no less 5 frequently than once every six (6) months for a period of no less than three (3) 6 years and then at least once every year thereafter. The first audit shall occur not 7 more than six (6) months after Defendants have received FDA’s written 8 notification pursuant to paragraph 7(I); 9 2. At the conclusion of each audit inspection, the Auditor 10 10 shall prepare a detailed written audit report (“Audit Report”) analyzing whether 11 11 Defendants are in compliance with this Decree, the Act, and its implementing 12 12 regulations and identifying any deviations from such requirements (“Audit Report 13 13 Observations”). As a part of every Audit Report (except the first one), the Auditor 14 14 shall assess the adequacy of actions taken by Defendants to correct all previous 15 15 Audit Report Observations. The Audit Reports shall be delivered 16 16 contemporaneously to Defendants and FDA by courier service or overnight 17 17 delivery service, no later than five (5) business days after the audit inspection is 18 18 completed. In addition, Defendants shall maintain the Audit Reports in separate 19 19 files at Defendants’ Facility and shall promptly make the Audit Reports available 20 20 to FDA upon request; and 21 21 3. If an Audit Report contains any Audit Report 22 22 Observations, Defendants shall, within ten (10) business days after receipt of the 23 23 Audit Report, correct those observations, unless FDA notifies Defendants that a 24 24 shorter time period is necessary. If, after receiving the Audit Report, Defendants 25 25 believe that correction of the Audit Report Observations will take longer than ten 26 26 (10) business days, Defendants shall, within five (5) business days after receipt of 27 27 the Audit Report, submit to FDA in writing a proposed schedule for completing 28 28 corrections (“Audit Correction Schedule”). The Audit Correction Schedule must 13 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 14 of 22 Page ID #:173 1 be reviewed and approved by FDA in writing prior to implementation by 2 Defendants. In no circumstance shall FDA’s silence be construed as a substitute 3 for written approval. Defendants shall complete all corrections according to the 4 approved Audit Correction Schedule. Immediately upon completion of all 5 corrections, Defendants shall submit documentation of their corrections to the 6 Auditor. Within twenty (20) business days after the Auditor’s receipt of 7 Defendants’ documentation of corrections, unless FDA notifies Defendants that a 8 shorter time period is necessary, or, if there is an FDA-approved Audit Correction 9 Schedule, within the time period provided therein, the Auditor shall review the 10 10 actions taken by Defendants to correct the Audit Report Observations. Within five 11 11 (5) business days after beginning that review, the Auditor shall report in writing to 12 12 FDA whether each of the Audit Report Observations has been corrected and, if not, 13 13 which Audit Report Observations remain uncorrected. 14 14 10. Upon entry of this Decree, and after receiving FDA’s written 15 15 notification pursuant to paragraph 7(I), Defendants are permanently restrained and 16 16 enjoined under 21 U.S.C. § 332(a) from directly or indirectly doing or causing to 17 17 be done any of the following acts: 18 18 A. Violating 21 U.S.C. § 331(a), by introducing or delivering for 19 19 introduction, or causing to be introduced or delivered for introduction, into 20 20 interstate commerce articles of food (including but not limited to dietary 21 21 supplements and their components) that are adulterated within the meaning of 21 22 22 U.S.C. § 342(g)(1) and/or U.S.C. § 342(a)(2)(C)(i); 23 23 B. Violating 21 U.S.C. § 331(a), by introducing or delivering for 24 24 introduction, or causing to be introduced or delivered for introduction, into 25 25 interstate commerce articles of food (including but not limited to dietary 26 26 supplements and their components) that are misbranded within the meaning of 21 27 27 U.S.C. § 343(a)(1); 28 28 14 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 15 of 22 Page ID #:174 1 C. Violating 21 U.S.C. § 331(k), by causing articles of food 2 (including but not limited to dietary supplements and their components) that are 3 held for sale after shipment of one or more components in interstate commerce to 4 become adulterated within the meaning of 21 U.S.C. § 342(g)(1) and/or U.S.C. 5 § 342(a)(2)(C)(i); 6 D. Violating 21 U.S.C. § 331(k), by causing articles of food 7 (including but not limited to dietary supplements and their components) that are 8 held for sale after shipment of one or more components in interstate commerce to 9 become misbranded within the meaning of 21 U.S.C. § 343(a)(1); 10 10 E. Violating 21 U.S.C. § 331(d) by introducing or delivering for 11 11 introduction, or causing to be introduced or delivered for introduction, into 12 12 interstate commerce new drugs, as defined by 21 U.S.C. § 321(p), that are neither 13 13 approved pursuant to 21 U.S.C. § 355(a) nor exempt from approval pursuant to 21 14 14 U.S.C. § 355(i); 15 15 F. Violating 21 U.S.C. § 331(k) by causing articles of drug that 16 16 are held for sale after shipment of one or more components in interstate commerce 17 17 to become misbranded within the meaning of 21 U.S.C. § 352(f)(1); and 18 18 G. 19 19 requirements of this Decree. 20 20 Failing to implement and continuously maintain the 11. If, at any time after entry of this Decree, FDA determines, based on 21 21 the results of an inspection, the analysis of a sample, a report, or data prepared or 22 22 submitted by Defendants, the CGMP Expert, Labeling Expert, Auditor, or any 23 23 other information, that Defendants have failed to comply with any provision of this 24 24 Decree, Defendants have violated the Act or its implementing regulations, or 25 25 additional corrective actions are necessary to achieve compliance with this Decree, 26 26 the Act, or its implementing regulations, FDA may, as and when it deems 27 27 necessary, notify Defendants in writing of the noncompliance and order 28 28 Defendants to take appropriate corrective action, including, but not limited to, 15 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 16 of 22 Page ID #:175 1 ordering Defendants to immediately take one or more of the following actions: A. 2 3 Cease receiving, manufacturing, preparing, packing, repacking, labeling, holding, or distributing any and all products; B. 4 Recall, at Defendants’ expense, any product that in FDA’s 5 judgment is adulterated, misbranded, or otherwise in violation of this Decree, the 6 Act, or its implementing regulations; C. 7 Revise, modify, expand, or continue to submit any reports, 8 plans, procedures, or other records prepared, or laboratory testing program 9 conducted, pursuant to this Decree; 10 10 D. Submit additional reports or information to FDA as requested; 11 11 E. Submit additional samples to a qualified laboratory for analysis; 12 12 F. Institute or reimplement any of the requirements set forth in this 14 14 G. Issue a safety alert; and/or 15 15 H. Take any other corrective actions as FDA, in its discretion, 13 13 Decree; 16 16 deems necessary to protect the public health or bring Defendants into compliance 17 17 with this Decree, the Act, or its implementing regulations. This remedy shall be separate and apart from, and in addition 18 18 19 19 to, any other remedy available to the United States under this Decree or under the 20 20 law. 21 21 22 22 23 23 12. The following process and procedures shall apply in the event that FDA issues an order under paragraph 11: A. Unless a different time frame is specified by FDA in its order, 24 24 within ten (10) business days after receiving such order, Defendants shall notify 25 25 FDA in writing either that: (1) Defendants are undertaking or have undertaken 26 26 corrective action, in which event Defendants shall also describe the specific action 27 27 taken or proposed to be taken and the proposed schedule for completing the action; 28 28 or (2) Defendants do not agree with FDA’s order. If Defendants notify FDA that 16 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 17 of 22 Page ID #:176 1 they do not agree with FDA’s order, Defendants shall explain in writing the basis 2 for their disagreement; in so doing, Defendants may also propose specific 3 alternative actions and timeframes for achieving FDA’s objectives. 4 B. If Defendants notify FDA that they do not agree with FDA’s 5 order, FDA will review Defendants’ notification, and thereafter, in writing, affirm, 6 modify, or withdraw its order, as FDA deems appropriate. If FDA affirms or 7 modifies its order, it shall explain the basis for its decision in writing. The written 8 notice of affirmation or modification shall constitute final agency action. 9 C. If FDA affirms or modifies its order, Defendants shall, upon 10 10 receipt of FDA’s order, immediately implement the order (as modified, if 11 11 applicable), and may, if they so choose, bring the matter before this Court on an 12 12 expedited basis. While seeking Court review, Defendants shall continue to 13 13 diligently implement and comply with FDA’s order, unless and until the Court 14 14 stays, reverses, or modifies FDA’s order. Judicial review of FDA’s order shall be 15 15 made pursuant to paragraph 23. 16 16 D. The processes and procedures set forth in paragraphs 12.A-C 17 17 shall not apply to any order issued pursuant to paragraph 11 if such order states 18 18 that, in FDA’s judgment, the matter raises a significant public health concern. In 19 19 such case, Defendants shall, upon receipt of such order, immediately and fully 20 20 comply with the terms of the order. Should Defendants seek to challenge any such 21 21 order, they may petition this Court for relief while they implement FDA’s order. 22 22 Any judicial review of FDA’s order under this paragraph shall be made pursuant to 23 23 paragraph 23. 24 24 Any cessation of operations or other action described in paragraph 11 shall 25 25 continue until Defendants receive written notification from FDA that Defendants 26 26 appear to be in compliance with this Decree, the Act, and its implementing 27 27 regulations, and that Defendants may resume operations. Defendants shall pay all 28 28 costs of recalls and other corrective actions, including the costs of FDA’s 17 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 18 of 22 Page ID #:177 1 inspections, investigations, supervision, analyses, examinations, sampling, testing, 2 reviews, document preparation, travel, and subsistence expenses to implement and 3 monitor the remedies set forth in paragraph 11, at the rates specified in paragraph 4 15. 13. 5 Representatives of FDA shall be permitted, without prior notice and 6 as and when FDA deems necessary, to inspect Defendants’ operations and, without 7 prior notice, take any other measures necessary to monitor and ensure continuing 8 compliance with the terms of this Decree, the Act, and all applicable regulations. 9 During such inspections, FDA representatives shall be permitted to: have 10 10 immediate access to Defendants’ places of business including, but not limited to all 11 11 buildings, equipment, raw ingredients, in-process materials, finished products, 12 12 containers, packaging material, labeling, and other material therein; take 13 13 photographs and make video recordings; take samples of Defendants’ raw 14 14 ingredients, in-process materials, finished products, containers, packaging material, 15 15 labeling, and other material; and examine and copy all records relating to the 16 16 receipt, manufacture, preparing, packing, repacking, labeling, holding, and 17 17 distribution of any and all of Defendants’ products and their components. The 18 18 inspections shall be permitted upon presentation of a copy of this Decree and 19 19 appropriate credentials. The inspection authority granted by this Decree is separate 20 20 from, and in addition to, the authority to make inspections under the Act, 21 U.S.C. 21 21 § 374. 22 22 14. Defendants shall promptly provide any information or records to FDA 23 23 upon request regarding the receipt, manufacture, preparing, packing, repacking, 24 24 labeling, holding, and distribution of Defendants’ products. 25 25 15. Defendants shall pay all costs of FDA’s inspections, investigations, 26 26 supervision, analyses, examinations, sampling, testing, and reviews that FDA 27 27 deems necessary to evaluate Defendants’ compliance with any part of this Decree 28 28 at the standard rates prevailing at the time the costs are incurred. As of the date 18 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 19 of 22 Page ID #:178 1 that this Decree is signed by the parties, these rates are: $90.65 per hour or fraction 2 thereof per representative for inspection and investigative work; $108.63 per hour 3 or fraction thereof per representative for analytical or review work; $0.54 per mile 4 for travel expenses by automobile; government rate or the equivalent for travel by 5 air or other means; and the published government per diem rate for subsistence 6 expenses where necessary. In the event that the standard rates applicable to FDA 7 supervision of court-ordered compliance are modified, these rates shall be 8 increased or decreased without further order of the Court. Defendants shall make 9 payment in full to FDA within twenty (20) business days of receiving written 10 10 11 11 notification from FDA of the costs. 16. Within five (5) business days after entry of this Decree, Defendants 12 12 shall post a copy of this Decree in a conspicuous location in a common area at 13 13 Defendants’ Facility and shall ensure that the Decree remains posted for as long as 14 14 the Decree remains in effect. Within ten (10) business days after entry of this 15 15 Decree, Defendants shall provide to FDA an affidavit, from a person with personal 16 16 knowledge of the facts stated therein, stating the fact and manner of compliance 17 17 with this paragraph. 18 18 17. Within ten (10) business days after entry of this Decree, Defendants 19 19 shall hold a general meeting or series of smaller meetings for all Associated 20 20 Persons, at which they shall describe the terms and obligations of this Decree, 21 21 either in person or via video conference or webinar. Within fifteen (15) business 22 22 days after entry of this Decree, Defendants shall provide to FDA an affidavit, from 23 23 a person with personal knowledge of the facts stated therein, stating the fact and 24 24 manner of compliance with this paragraph and a copy of the agenda, list of 25 25 attendees, and meeting minutes from the meeting(s) held pursuant to this 26 26 paragraph. 27 27 28 28 18. Within ten (10) business days after entry of this Decree, Defendants shall provide a copy of the Decree by personal service or certified mail (return 19 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 20 of 22 Page ID #:179 1 receipt requested) to each and all of their Associated Persons. Within twenty (20) 2 business days after entry of this Decree, Defendants shall provide to FDA an 3 affidavit, from a person with personal knowledge of the facts stated therein, stating 4 the fact and manner of compliance with this paragraph, identifying the names, 5 addresses, and positions of all Associated Persons who have received a copy of this 6 Decree, and attaching a copy of the executed certified mail return receipts. 7 19. In the event that any of the Defendants becomes associated with any 8 additional Associated Person(s) at any time after entry of this Decree, Defendants 9 shall immediately provide a copy of this Decree, by personal service or certified 10 10 mail (return receipt requested) to such Associated Person(s). Within five (5) 11 11 business days of each time that any of the Defendants becomes associated with any 12 12 additional Associated Person, Defendants shall provide to FDA an affidavit, from a 13 13 person with personal knowledge of the facts stated therein, stating the fact and 14 14 manner of compliance with this paragraph, identifying the names, addresses, and 15 15 positions of all Associated Persons who received a copy of this Decree pursuant to 16 16 this paragraph, and attaching a copy of the executed certified mail return receipts. 17 17 20. Defendants shall notify FDA in writing at least ten (10) business days 18 18 before any change in ownership, name, or character of their business that occurs 19 19 after entry of this Decree, including an incorporation, reorganization, creation of a 20 20 subsidiary, relocation, dissolution, bankruptcy, assignment, sale, or any other 21 21 change in the structure or identity of VivaCeuticals, Inc., or Regeneca Worldwide, 22 22 or the sale or assignment of any business assets, such as buildings, equipment, or 23 23 inventory, that may affect obligations arising out of this Decree. Defendants shall 24 24 provide a copy of this Decree to any prospective successor or assign at least twenty 25 25 (20) business days prior to any sale or assignment. Defendants shall furnish FDA 26 26 with an affidavit of compliance with this paragraph no later than ten (10) business 27 27 days prior to such assignment or change in ownership. 28 28 21. If any Defendant fails to comply with any provision of this Decree, 20 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 21 of 22 Page ID #:180 1 the Act, or its implementing regulations, including any time frame imposed by this 2 Decree, then Defendants shall pay to the United States of America: eight thousand 3 dollars ($8,000) in liquidated damages for each day such violation continues; an 4 additional sum of seven thousand dollars ($7, 000) in liquidated damages per day 5 per violation, for each violation of this Decree, the Act, or its implementing 6 regulations; and an additional sum in liquidated damages equal to twice the retail 7 value of any product distributed in violation of this Decree, the Act, or its 8 implementing regulations. Defendants understand and agree that the liquidated 9 damages specified in this paragraph are not punitive in nature and their imposition 10 10 does not in any way limit the ability of the United States to seek, or the Court to 11 11 impose, additional civil or criminal penalties to be paid by Defendants, or remedies 12 12 based on conduct that may also be the basis for payment of liquidated damages 13 13 pursuant to this paragraph. 22. 14 14 Should the United States bring and prevail in a contempt action to 15 15 enforce the terms of this Decree, Defendants shall, in addition to other remedies, 16 16 reimburse the United States for its attorneys’ fees (including overhead), expert 17 17 witness fees, travel expenses incurred by attorneys and witnesses, investigational 18 18 and analytical expenses, administrative and court costs, and any other costs or fees 19 19 relating to such contempt proceedings. 23. 20 20 Defendants shall abide by the decisions of FDA, and FDA’s decisions 21 21 shall be final. All decisions conferred upon FDA in this Decree shall be vested in 22 22 FDA’s discretion and, to the extent that these decisions are subject to review, shall 23 23 be reviewed by the Court under the arbitrary and capricious standard set forth in 24 24 5 U.S.C. § 706(2)(A). Review by the Court of any FDA decision rendered 25 25 pursuant to this Decree shall be based exclusively on the written record before 26 26 FDA at the time the decision was made. No discovery shall be taken by either 27 27 party. 28 28 21 CONSENT DECREE OF PERMANENT INJUNCTION Case 8:15-cv-01893-JLS-KES Document 29 Filed 02/08/17 Page 22 of 22 Page ID #:181 1 24. All notifications, correspondence, and communications to FDA 2 required by the terms of this Decree shall be prominently marked “Decree 3 Correspondence” and addressed to the District Director, Los Angeles District 4 Office, United States Food and Drug Administration, 19701 Fairchild, Irvine, 5 California 92612-2506, and shall reference this civil action by case name and civil 6 action number. 7 25. 8 9 Except as provided in the foregoing provisions of this Decree, the parties shall bear their own costs and attorneys’ fees in this action. 26. This Court retains jurisdiction over this action and the parties thereto 10 10 for the purpose of enforcing and modifying this Decree and for the purpose of 11 11 granting such additional relief as may be necessary or appropriate. 12 12 Dated: February 08, 2017 13 13 14 14 15 15 16 16 17 17 18 18 19 19 _________________________________ HON. JOSEPHINE L. STATON UNITED STATES DISTRICT JUDGE 20 20 21 21 22 22 23 23 24 24 25 25 26 26 27 27 28 28 22 CONSENT DECREE OF PERMANENT INJUNCTION

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