预备调查清单
待核查内容1:蜂王浆可以“治癌”。
行动计划
首先,让我搜索关于蜂王浆与癌症治疗的基本信息。
Search
蜂王浆 治癌 科学证据我需要深入调查蜂王浆是否具有"治癌"功效的说法。首先,我将搜索更多权威医学机构和科研组织关于蜂王浆与癌症关系的研究和观点。
Search
蜂王浆 抗癌 临床研究 权威医学机构 世界卫生组织我需要查找更多权威医学机构对蜂王浆抗癌功效的评价和临床研究结果。让我搜索美国国家癌症研究所(NCI)、FDA或其他权威医疗机构关于蜂王浆抗癌功效的官方立场。
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美国国家癌症研究所 FDA WHO 蜂王浆 抗癌 官方立场我需要查找更多关于蜂王浆抗癌功效的科学证据,特别是来自权威医学期刊的研究。让我搜索PubMed或其他医学数据库中关于蜂王浆抗癌的系统性综述或临床试验。
Search
蜂王浆抗癌 PubMed 临床试验 系统性综述 meta分析已核查结论清单
已核查内容1:蜂王浆可以“治癌”。
待补充核查清单
待核查内容1:1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠...在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上...
待核查内容2:江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。
待核查内容3:世界卫生组织(WHO)、美国国家癌症研究所(NCI)、美国食品药品监督管理局(FDA)等权威机构对蜂王浆抗癌功效的官方立场。
行动计划
首先,让我搜索美国国家癌症研究所(NCI)关于蜂王浆抗癌的官方立场。
Search
royal jelly cancer treatment, sourced from cancer.gov我看到搜索结果有限,让我尝试在NCI官网上直接搜索关于蜂王浆的信息,使用更精确的关键词。
Search
"royal jelly" complementary alternative medicine cancer, sourced from cancer.gov我需要更精确地查找美国国家癌症研究所(NCI)关于蜂王浆的官方立场。让我尝试在NCI的补充和替代医学(CAM)部分搜索。
Search
PDQ royal jelly complementary alternative medicine, sourced from cancer.gov让我尝试在美国国家癌症研究所(NCI)的补充和替代医学(CAM)数据库中直接搜索蜂王浆相关信息。
Search
royal jelly cancer treatment, sourced from cancer.gov已核查结论清单
已核查内容1:蜂王浆可以“治癌”。
待补充核查清单
待核查内容1:1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠...在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上...
待核查内容2:江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。
待核查内容3:世界卫生组织(WHO)、美国国家癌症研究所(NCI)、美国食品药品监督管理局(FDA)等权威机构对蜂王浆抗癌功效的官方立场。
行动计划
让我尝试在FDA官网上搜索关于蜂王浆的信息。
Search
royal jelly cancer treatment, sourced from fda.gov我看到FDA有一封警告信给Honey Feast, Inc.,涉及蜂王浆产品的不当健康声明。让我查看这封警告信的完整内容,以了解FDA对蜂王浆声称的立场。
由于您没有提供任何网页内容,我无法对FDA关于蜂王浆产品的警告内容进行分析。请提供相关网页内容,我将根据您的要求进行分析并回答您关于FDA对蜂王浆产品的警告内容,特别是与癌症相关的声明的问题。
如果您能提供网页内容,我将为您:
请提供网页内容,我将立即为您分析。
让我尝试直接打开这个FDA警告信链接,获取完整内容。
WARNING LETTER
Delivery Method:
Via Email
Product:
Drugs
Food & Beverages
Recipient:
Recipient Name
Charles E. Sanford
Recipient Title
Owner
Honey Feast, Inc.
6906 Lake Nellie Rd.
Clermont, FL 34714-8368
United States
Issuing Office:
Office of Human and Animal Food Operations East Division IV
United States
WARNING LETTER
March 17, 2022
22-HAFE4-WL-04 / CMS No. 621651
Dear Mr. Sanford:
This is to advise you that the Food and Drug Administration (FDA) reviewed your website at the Internet address https://honeyfeast.com in February through March 2022 and has determined that you take orders there for the products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis. The claims on your website establish that these products are drugs under section 201(g)(1)(B) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. 321(g)(1)(B)] because they are intended for use in the cure, mitigation, treatment, or prevention of disease. As explained further below, introducing or delivering these products for introduction into interstate commerce for such uses violates the Act. You can find the Act and FDA regulations through links on FDA’s home page at www.fda.gov.External Link Disclaimer
Examples of some of the website claims that provide evidence that your products are intended for use as drugs include:
On your website https://honeyfeast.com, under the heading “Blog”:
a) Under the blog entry titled “Honey’s Other Amazing Benefits,” dated December 25, 2018, which states:
b) Under the blog entry titled “Honey is Great for Home Remedies. Honey the Home Remedy,” dated December 17, 2018, which states:
c) Under the blog entry titled “Honey is More Than Just Sugar! Honey Has Many Health Benefits,” dated December 16, 2018, which states:
d) Under the blog entry titled “Honey tastes great! Honey has wonderful benefits for the body,” dated December 12, 2018, which states:
Your products are not generally recognized as safe and effective for the above referenced uses and, therefore, these products are “new drugs” under section 201(p) of the Act [21 U.S.C. 321(p)]. With certain exceptions not applicable here, new drugs may not be legally
introduced or delivered for introduction into interstate commerce without prior approval from FDA, as described in sections 301(d) and 505(a) of the Act [21 U.S.C. 331(d) and 355(a)]. FDA approves a new drug on the basis of scientific data and information demonstrating that the drug is safe and effective.
A drug is misbranded under section 502(f)(1) of the Act [21 U.S.C. 352(f)(1)] if the drug fails to bear adequate directions for its intended use(s). “Adequate directions for use” means directions under which a layperson can use a drug safely and for the purposes for which it is intended [21 CFR 201.5]. Prescription drugs, as defined in section 503(b)(1)(A) of the Act [21 U.S.C. 353(b)(1)(A)], can only be used safely at the direction, and under the supervision, of a licensed practitioner.
Your products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis are intended for treatment of one or more diseases that are not amenable to self-diagnosis or treatment without the supervision of a licensed practitioner. Therefore, it is impossible to write adequate directions for a layperson to use your products safely for their intended purposes. Accordingly, your products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis fail to bear adequate directions for their intended use and therefore, the products are misbranded under section 502(f)(1) of the Act [21 U.S.C. 352(f)(1)]. The introduction or delivery for introduction into interstate commerce of these misbranded drugs violates section 301(a) of the Act [21 U.S.C. 331(a)].
This letter is not intended to be an all-inclusive statement of violations that may exist in connection with your products. You are responsible for investigating and determining the causes of any violations and for preventing their recurrence or the occurrence of other violations. It is your responsibility to ensure that your firm complies with all requirements of federal law, including FDA regulations.
This letter notifies you of our concerns and provides you an opportunity to address them. Failure to adequately address this matter may result in legal action including, without limitation, seizure and injunction.
Please notify FDA in writing, within 15 working days of receipt of this letter, of the specific steps you have taken to address any violations. Include an explanation of each step being taken to prevent the recurrence of violations, as well as copies of related documentation. If you cannot complete corrective actions within 15 working days, state the reason for the delay and the time within which you will do so. If you believe that your products are not in violation of the Act, include your reasoning and any supporting information for our consideration.
Your written response should be directed to the Food and Drug Administration, attention to: Mr. Ramon Hernández, District Director, 466 Fernández Juncos Avenue, San Juan, Puerto Rico 00901-3223. You may email a copy of your response to email address: orahafeast4firmresponses@fda.hhs.gov.
If you have any questions regarding this letter, please contact, Ms. Marilyn Santiago, Compliance Officer, at telephone number (787) 729-8707 or via email at Marilyn.Santiago@fda.hhs.gov
Sincerely,
/S/
Ramon A. Hernandez
District Director | FDA San Juan District
Program Division Director
Office of Human and Animal Food Operations
East Division IV
我看到FDA的警告信确实涉及含有蜂王浆的产品,但我需要查找更多关于FDA对蜂王浆抗癌功效的具体立场。让我尝试在世界卫生组织(WHO)官网搜索相关信息。
Search
royal jelly cancer treatment complementary alternative medicine, sourced from who.int已核查结论清单
已核查内容1:蜂王浆可以“治癌”。
待补充核查清单
待核查内容1:1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠 ... 在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上...
待核查内容2:江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。
待核查内容3:世界卫生组织(WHO)和美国国家癌症研究所(NCI)对蜂王浆抗癌功效的官方立场。
行动计划
让我先搜索关于1955年加拿大多伦多大学蜂王浆抗癌实验的信息。
Search
1955 Toronto University royal jelly cancer mice experiment我现在需要搜索关于江苏省中医药研究所蜂王浆治疗癌症的研究。
Search
江苏省中医药研究所 蜂王浆 癌症 365例 临床研究让我搜索更多关于世界卫生组织(WHO)对蜂王浆抗癌功效的官方立场。
Search
royal jelly cancer treatment complementary alternative medicine, sourced from who.int我需要搜索更多关于FDA对蜂王浆抗癌功效的官方立场。
Search
royal jelly cancer claims warning, sourced from fda.gov已核查结论清单
已核查内容1:蜂王浆可以“治癌”。
待补充核查清单
待核查内容1:1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠 ... 在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上...
待核查内容2:江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。
行动计划
让我首先尝试查找1955年《自然》期刊上发表的关于蜂王浆抗癌作用的论文。
Search
royal jelly cancer 1955 Toronto, sourced from nature.com我看到一个可能相关的文章Activity of 10-Hydroxydecenoic Acid from Royal Jelly》发表在Nature期刊上,让我查看这篇文章的详细内容。
本文是一篇发表于1959年5月2日的《自然》(Nature)杂志上的研究论文,作者为Gordon F. Townsend、Joseph F. Morgan和Barbara Hazlett。文章报告了蜂王浆及其主要成分10-羟基癸烯酸对小鼠白血病和腹水肿瘤的抗肿瘤活性研究。研究发现,将蜂王浆与肿瘤细胞在接种前混合,可以完全抑制可移植小鼠白血病的发展和小鼠腹水肿瘤的形成。通过分离研究,研究人员确定这种抗肿瘤活性存在于蜂王浆的主要脂肪酸—10-羟基癸烯酸中。该研究是作者们对蜂王浆化学成分和生物活性长期研究的一部分,为蜂王浆的抗癌特性提供了科学依据。
这篇文章并非1955年发表的关于蜂王浆抗癌实验的研究,而是1959年5月2日发表在《自然》(Nature)杂志上的研究论文。
发表年份:1959年5月2日
作者:
主要研究内容:
该研究探讨了蜂王浆及其主要成分10-羟基癸烯酸对小鼠白血病和腹水肿瘤的抗肿瘤活性。研究发现将蜂王浆与肿瘤细胞在接种前混合,可以完全抑制可移植小鼠白血病的发展和小鼠腹水肿瘤的形成。通过分离研究,研究人员确定这种抗肿瘤活性存在于蜂王浆的主要脂肪酸—10-羟基癸烯酸中。
文章引用了一些早期研究,包括1955年Johansson在《Bee World》发表的关于蜂王浆的文章,以及1940年Townsend和Lucas在《Biochemical Journal》发表的研究,表明这是作者们对蜂王浆化学成分和生物活性长期研究的一部分。
图片标题: 未知
内容: 可能与41467_2021_26582_Fig1_HTML相关的研究图表
来源: 未知
链接: https://media.springernature.com/w215h120/springer-static/image/art%3A10.1038%2Fs41467-021-26582-4/MediaObjects/41467_2021_26582_Fig1_HTML.png
图片标题: 未知
内容: 可能与41467_2023_38668_Fig1_HTML相关的研究图表
来源: 未知
链接: https://media.springernature.com/w215h120/springer-static/image/art%3A10.1038%2Fs41467-023-38668-2/MediaObjects/41467_2023_38668_Fig1_HTML.png
图片标题: 未知
内容: 可能与41420_2023_1558_Figa_HTML相关的研究图表
来源: 未知
链接: https://media.springernature.com/w215h120/springer-static/image/art%3A10.1038%2Fs41420-023-01558-z/MediaObjects/41420_2023_1558_Figa_HTML.png
现在我找到了一篇可能与传说中1955年的实验相关的论文,但实际上是1959年发表在《自然》(Nature)杂志上的研究。让我继续搜索更多信息,看是否能找到江苏省中医药研究所关于蜂王浆治疗癌症的研究。
Search
江苏省中医药研究所 蜂王浆 癌症 365例 徐荷芬 薛慧宁 中国养蜂让我再搜索一下FDA对蜂王浆产品的警告信内容,以获取更完整的信息。
WARNING LETTER
Delivery Method:
Via Email
Product:
Drugs
Food & Beverages
Recipient:
Recipient Name
Charles E. Sanford
Recipient Title
Owner
Honey Feast, Inc.
6906 Lake Nellie Rd.
Clermont, FL 34714-8368
United States
Issuing Office:
Office of Human and Animal Food Operations East Division IV
United States
WARNING LETTER
March 17, 2022
22-HAFE4-WL-04 / CMS No. 621651
Dear Mr. Sanford:
This is to advise you that the Food and Drug Administration (FDA) reviewed your website at the Internet address https://honeyfeast.com in February through March 2022 and has determined that you take orders there for the products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis. The claims on your website establish that these products are drugs under section 201(g)(1)(B) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. 321(g)(1)(B)] because they are intended for use in the cure, mitigation, treatment, or prevention of disease. As explained further below, introducing or delivering these products for introduction into interstate commerce for such uses violates the Act. You can find the Act and FDA regulations through links on FDA’s home page at www.fda.gov.External Link Disclaimer
Examples of some of the website claims that provide evidence that your products are intended for use as drugs include:
On your website https://honeyfeast.com, under the heading “Blog”:
a) Under the blog entry titled “Honey’s Other Amazing Benefits,” dated December 25, 2018, which states:
b) Under the blog entry titled “Honey is Great for Home Remedies. Honey the Home Remedy,” dated December 17, 2018, which states:
c) Under the blog entry titled “Honey is More Than Just Sugar! Honey Has Many Health Benefits,” dated December 16, 2018, which states:
d) Under the blog entry titled “Honey tastes great! Honey has wonderful benefits for the body,” dated December 12, 2018, which states:
Your products are not generally recognized as safe and effective for the above referenced uses and, therefore, these products are “new drugs” under section 201(p) of the Act [21 U.S.C. 321(p)]. With certain exceptions not applicable here, new drugs may not be legally
introduced or delivered for introduction into interstate commerce without prior approval from FDA, as described in sections 301(d) and 505(a) of the Act [21 U.S.C. 331(d) and 355(a)]. FDA approves a new drug on the basis of scientific data and information demonstrating that the drug is safe and effective.
A drug is misbranded under section 502(f)(1) of the Act [21 U.S.C. 352(f)(1)] if the drug fails to bear adequate directions for its intended use(s). “Adequate directions for use” means directions under which a layperson can use a drug safely and for the purposes for which it is intended [21 CFR 201.5]. Prescription drugs, as defined in section 503(b)(1)(A) of the Act [21 U.S.C. 353(b)(1)(A)], can only be used safely at the direction, and under the supervision, of a licensed practitioner.
Your products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis are intended for treatment of one or more diseases that are not amenable to self-diagnosis or treatment without the supervision of a licensed practitioner. Therefore, it is impossible to write adequate directions for a layperson to use your products safely for their intended purposes. Accordingly, your products Raw Honeycomb; Tupelo Honey Raw; and Superfood Honey with Royal Jelly, Bee Pollen, Propolis fail to bear adequate directions for their intended use and therefore, the products are misbranded under section 502(f)(1) of the Act [21 U.S.C. 352(f)(1)]. The introduction or delivery for introduction into interstate commerce of these misbranded drugs violates section 301(a) of the Act [21 U.S.C. 331(a)].
This letter is not intended to be an all-inclusive statement of violations that may exist in connection with your products. You are responsible for investigating and determining the causes of any violations and for preventing their recurrence or the occurrence of other violations. It is your responsibility to ensure that your firm complies with all requirements of federal law, including FDA regulations.
This letter notifies you of our concerns and provides you an opportunity to address them. Failure to adequately address this matter may result in legal action including, without limitation, seizure and injunction.
Please notify FDA in writing, within 15 working days of receipt of this letter, of the specific steps you have taken to address any violations. Include an explanation of each step being taken to prevent the recurrence of violations, as well as copies of related documentation. If you cannot complete corrective actions within 15 working days, state the reason for the delay and the time within which you will do so. If you believe that your products are not in violation of the Act, include your reasoning and any supporting information for our consideration.
Your written response should be directed to the Food and Drug Administration, attention to: Mr. Ramon Hernández, District Director, 466 Fernández Juncos Avenue, San Juan, Puerto Rico 00901-3223. You may email a copy of your response to email address: orahafeast4firmresponses@fda.hhs.gov.
If you have any questions regarding this letter, please contact, Ms. Marilyn Santiago, Compliance Officer, at telephone number (787) 729-8707 or via email at Marilyn.Santiago@fda.hhs.gov
Sincerely,
/S/
Ramon A. Hernandez
District Director | FDA San Juan District
Program Division Director
Office of Human and Animal Food Operations
East Division IV
已核查结论清单
已核查内容1:蜂王浆可以“治癌”。
已核查内容2:1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠 ... 在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上...
已核查内容3:江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。
待补充核查清单
(无)
行动计划
本次核查共涉及 3 条内容,其中 3 条经证据证实不可靠。
核查发现,"蜂王浆可以治癌"的说法缺乏科学依据,主要问题包括:1)现有研究仅限于体外实验和动物模型,缺乏人体临床试验证据;2)常被引用的两项关键研究(1959年加拿大动物实验和1990年中国临床观察)均被严重误读和夸大;3)权威卫生机构如美国FDA已明确将宣传蜂王浆产品具有治疗癌症功效的行为认定为违法。此外,蜂王浆含有激素样物质,可能对激素敏感性癌症患者构成潜在风险。
建议用户:不要相信蜂王浆能"治癌"的宣传,癌症治疗应遵循循证医学原则,依靠经科学验证的标准疗法,并在医生指导下谨慎使用任何补充剂。
原文陈述 | 可靠性分析 | 证据 |
---|---|---|
蜂王浆可以"治癌" | 不可靠 该说法缺乏科学证据支持,且在美国,将蜂王浆作为癌症治疗或预防药物进行宣传是违法的。目前关于蜂王浆抗癌的研究主要局限于体外细胞实验和动物模型,这些初步研究的结论不能直接等同于对人体的治疗效果。权威卫生机构均未将蜂王浆作为一种癌症治疗方法进行推荐。此外,蜂王浆含有激素样物质,可能对激素敏感性癌症患者构成潜在风险。 | "The claims on your website establish that these products are drugs under section 201(g)(1)(B) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. 321(g)(1)(B)] because they are intended for use in the cure, mitigation, treatment, or prevention of disease... Your products are not generally recognized as safe and effective for the above referenced uses and, therefore, these products are "new drugs"..." https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/honey-feast-inc-621651-03172022 (2022-03-17) "目前所有"抗癌"结论均来自体外实验或动物模型,尚无严谨的人体临床试验数据。世界卫生组织(WHO)和权威癌症机构均未将蜂王浆列为抗癌食品。" https://health.baidu.com/m/detail/ar_9222789031790015953 (未知) |
1955年, 加拿大多伦多大学与安大略农大合作, 用1000只小白鼠作蜂王浆抗癌试验...结果单独注射癌细胞的小白鼠...在14天内全部死亡, 而注射癌细胞与蜂王浆混合体的小白鼠...竟然存活12个月以上... | 不可靠 该说法是对一项早期科学研究的严重误读和夸大。相关研究并非1955年发表,而是一篇1959年发表于《自然》(Nature)期刊的论文。该研究的关键操作是在注射前将蜂王浆与癌细胞在体外混合,这完全抑制了肿瘤的生长。这证明了蜂王浆中的某些成分具有体外抗肿瘤活性,但这不等同于口服或注射蜂王浆能够治疗生物体内的既有癌症。流传的说法隐去了"预先混合"这一关键前提,造成了巨大的误导。 | "In this communication we wish to report that admixture of royal jelly with tumour cells before inoculation completely suppresses the development of a transplantable mouse leukemia and the formation of ascitic tumours in mice... This anti-tumour activity has been found to reside in the main fatty acid fraction of royal jelly..." https://www.nature.com/articles/1831270a0 (1959-05-02) |
江苏省中医药研究所肿瘤科对365例...癌症患者用王浆冻干粉治疗, 结果表明王浆酸可收到明显延长患者生存期。 | 不可靠 该说法同样存在误读和夸大。相关研究源自1990年发表在《中国养蜂》杂志上的一篇临床观察文章。该研究本身不具备严格的科学论证强度(如无对照组),其报告的"疗效"主要集中在改善患者的主观感受和生活质量,如"精神好转"(93.9%)、"食欲增加"(86.8%),以及帮助患者耐受放化疗。原始报告并未提及或提供数据证明蜂王浆能"明显延长患者生存期"。 | "本组病例经过综台治疗后,普遍反映服药后精神好转者(343/365)占93.9%,食欲增加(317/365)占86.8%,睡眠好转(310/365)占84.9%...合并化疗和放疗者能减轻化疗和放疗的副作用,使病人能坚持完成疗程...蜂王浆冻干粉在恶性肿瘤的综合治疗中具有一定的药用价值,对年老体弱不宜大剂量化疗者尤为适合..." https://m.sohu.com/a/459889659_120106802/?pvid=000115_3w_a (2021-04-09) |