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"Science and Peace will triumph over ignorance and war, nations will unite, not to destroy, but to build, and the future will belong to those who will have done the most for suffering humanity."
- —Louis Pasteur
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The DeWitt Stetten Jr. Museum of Medical Research Office of NIH History & Stetten Museum preserves and interprets the material culture of the scientific work of the National Institutes of Health ( NIH). The museum is hosting this online exhibit , on about Buildings 29 and 29A and the biologics research and regulation conducted there , bringing the materials to life to inform the public of the breadth and significance of research performed in the two buildings, conquering some of the world’s most deadly infectious diseases in the twentieth century. The Office of NIH History & . The NIH Stetten Museum worked closely with the NIH Office of Research Facilities and the Food and Drug Administration (FDA) History Office to document the two buildings for posterity.
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In 1906, the Federal Food and Drugs Act made illegal adulterated and misbranded the adulteration and/or misbranding of foods and drugs, although it did not specifically mention biological drugs. Unlike the 1902 Biologics Control Act, which passed easily in Congress, the 1906 Act sparked serious debate for decades. The 1906 Act had some shortcomings, which led to the passage of the Sherley Amendment in 1912 which prohibited labeling medicines with false therapeutic claims intended to defraud the purchaser.
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To strengthen consumer protection, the 1906 Act was replaced with the Federal Food, Drug, and Cosmetic Act of 1938. , which was spurred by the deaths of 107 people had died after consuming “Elixir Sulfanilamide” which was a misbranded commercial product that was made with toxic diethylene glycol instead of alcohol. Under the 1938 Act, a biological product was considered a drug. The 1938 Act did not modify or supersede the 1902 Biologics Control Act. After 1938, the appropriate provisions of the both the 1902 and 1938 acts were used to regulate biologics.
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In 1962, the Kefauver-Harris Amendments to the Federal Food, Drug, and Cosmetic Act of 1938 were passed after thalidomide, a sleeping pill used widely in Europe, was found to cause birth defects. Thalidomide had not been marketed in the US U.S. thanks to the FDA, but it had been used in a pharmaceutical company’s investigational trial and 624 of the 20,000 American participants were pregnant women. There were 17 documented cases of birth defects caused by thalidomide in the US. The 1962 amendments strengthened the regulations for drug safety and for testing drugs in clinical trials. They also required manufacturers to provide “substantial evidence” that their drugs were effective for their intended use and that the drugs had to be produced using “good manufacturing practices,” which required inspections of manufacturers every two years and yearly registration. The 1962 amendments also applied to blood banks.
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In 1944, laws related to the Public Health Service (PHS) (which had been the Public Health and Marine Hospital Service) were revised and consolidated into one act, which helped to define medical research in the post-World War II era. The 1902 Biologics Control Act was incorporated into the 1944 Act. One change was that the Laboratory of Biologics Control was authorized the authorization to license biological products as well as the establishments where they were produced. The 1944 Act also provided them authority to manufacture biologics if the need arose.
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In 1955, the Division of Biologics Standards (DBS) was formed , as an independent entity at the NIH, but as the continuation of a biologics regulatory function that had existed in what is now known as the at NIH since 1902. The predecessor of the DBS was known as the Division Laboratory of Biologics Control, formed in 1937, whose name was changed to the Laboratory 1944 from the Division of Biologics Control in 1944, and its staff were , which had been established in 1937. Its staff was spread out amongst multiple buildings on the NIH campus. The DBS was responsible for establishing and maintaining standards of quality and safety of all biological products. The safety, purity, and potency of all biologics must be established before the product was licensed by DBS.
The DBS was formed in the wake of the “Cutter Incident.” In 1955, the year following a field trial that showed the Salk inactivated (killed) polio vaccine to be safe and effective, the DBS licensed several firms to produce the vaccine. One firm, Cutter Laboratories, accidentally released vaccine that retained live polio virus, resulting in 260 paralytic cases of the disease, a disaster that caused panic among parents and scientists alike. The vaccine from Cutter Laboratories was pulled from the market on April 27, 1955, but the damage had already been done. The “Cutter Incident” Cutter Incident became a defining moment in the history of vaccine manufacture and government oversight of vaccines. It occurred because the rigorous safety precautions used in the field trials were not required, at the time, for the production of commercially-produced licensed vaccines. The government realized it needed to strengthen its role in biologics regulation. The “Cutter Incident” Cutter Incident led directly to the transfer of the regulation of biologics from the Laboratory of Biologic Controls to the DBS, a new independent entity with NIH.
In 1960, Building 29 opened, providing a consolidated space where the staff of DBS could work together. The 1950s through the 1970s were exciting and busy times for biologics regulation. As vaccine research flourished, new scientific advances in tissue culture were made and important changes were made for regulating blood and blood products. This necessitated the construction of Building 29A in 1967, to provide an annex of laboratory space for the DBS staff.
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The biologics review panels had completed their reviews or issued their final reports in 1980. For example, the Panel on Review of Bacterial Vaccines and Bacterial Antigens (with no U. S. Standards of Potency) deemed none of the products they reviewed safe and effective. On the other hand, the Panel on Review of Blood and Blood Derivatives determined that most blood bank and plasma fractionation products were safe and effective. Implementing their recommendations, as FDA learned through its retrospective reviews of prescription drugs, would take longer. HoweverHowever, as mentioned previously, a number of tests that the Panel on Review of Skin Test Antigens deemed either unsafe or ineffective, misbranded, or inconclusive with potential risks outweighing benefits were removed from the market.
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Architectural Documentation
Historic American Buildings Survey (HABS) architectural documentation of Buildings 29 and 29A at the NIH is part of the efforts to mitigate the adverse effects of the planned demolition of the buildings. The survey and fieldwork were completed July 12–14, 2021. The HABS materials will be available on the Library of Congress website in addition to portions of them being presented in this exhibition. This online exhibition on about Buildings 29 and 29A and the research conducted there is also a part of the mitigation process.process to mitigate the adverse effects of the planned demolition of the buildings.
The FDA Center for Biologics Evaluation and Research (CBER) moved from the NIH to the FDA White Oak Campus in 2014. This move completely vacated Buildings 29, 29A, and the circa-1994 Building 29B. Building 29B has been reoccupied by NIH staff, following moderate renovation. NIH completed feasibility studies and determined in 2020 that it is not viable to reuse Buildings 29 and 29A, and demolition is planned. As these are historic buildings on Federal property, Section 106 of the National Historic Preservation Act (NHPA) and its implementing regulations (36 CFR §800) must be followed. As part of the Section 106 process, consultation with various parties, including local government, historical societies, and the public , took place before a Memorandum of Agreement (MOA) was entered into between the NIH and the State Historic Preservation Office, of the Maryland Historical Trust (MHT), since demolition of buildings is an adverse effect to historic properties. This online exhibition and the aforementioned Historic American Buildings Survey (HABS architectural documentation are the result of that agreement) architectural documentation of Buildings 29 and 29A presented here (survey and fieldwork were completed July 12–14, 2021) is part of this effort. While Buildings 29 and 29A are no longer in use, the legacy of their exemplary staff and their important work endures.
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