United Health Products, Inc. (OTCPK: UEEC) has made significant strides in its quest for FDA approval of CelluSTAT, its innovative hemostatic gauze product. The company recently held a crucial videoconference with the FDA to discuss its Premarket Approval (PMA) application, marking a pivotal moment in the regulatory process.
The meeting, which took place on October 29, 2024, provided United Health Products with clarity on addressing deficiencies in its PMA application. The company presented its proposed resolutions to FDA-identified issues, covering areas such as clinical testing, biocompatibility, product sterilization, and shelf life. Many of these concerns have already been resolved, signaling progress in the approval process.
A key point of discussion was the results of United Health Products' clinical trial involving 232 patients, with 118 treated using CelluSTAT. The trial demonstrated both non-inferiority and superiority in time to hemostasis compared to the standard of care. Importantly, the study showed no evidence of result heterogeneity across different procedure categories, surgeons, or clinical sites, indicating the poolability and generalizability of the findings. Additionally, no adverse events during the study were attributed to CelluSTAT.
Despite these positive outcomes, the FDA has requested additional data to confirm the safety and effectiveness of CelluSTAT in surgical procedures involving the intestinal and thoracic organ space. To address this concern, United Health Products has proposed a supplemental study as an extension of the original pivotal study, focusing on a limited number of human subjects undergoing surgical procedures within the organ space.
The company anticipates that this supplemental study process will take approximately 6-7 months to complete. This timeline includes submitting an Investigational Device Exemption (IDE) for FDA approval, recruiting a contract research organization, selecting suitable sites for the surgical procedures, patient enrollment and follow-up, and data processing and analysis.
Brian Thom, CEO of United Health Products, expressed both optimism and disappointment regarding the FDA's response. While pleased with the overall progress and the path to resolving the deficiencies, Thom noted disappointment that the strong results of the pivotal study were not sufficient to address all of the FDA's concerns. However, he remains confident that the supplemental study results will reinforce the existing data.
The implications of this development are significant for both United Health Products and the broader medical device industry. If approved, CelluSTAT could provide surgeons with a new tool for controlling mild to moderate bleeding during surgical procedures. The product's all-natural composition and demonstrated effectiveness could potentially improve patient outcomes and reduce complications associated with surgical bleeding.
For the medical device industry, this case highlights the rigorous nature of the FDA approval process, particularly for devices intended for use in critical surgical applications. It underscores the importance of comprehensive clinical data and the FDA's commitment to ensuring patient safety, even when initial study results are promising.
As United Health Products moves forward with its supplemental study, the medical community and investors will be watching closely. The outcome of this process could not only determine the future of CelluSTAT but also provide valuable insights into the evolving standards for hemostatic devices in surgical settings.
While the road to FDA approval has been extended, United Health Products remains optimistic about the ultimate outcome. The company's willingness to conduct additional studies demonstrates its commitment to bringing a safe and effective product to market. As the healthcare industry continues to seek innovative solutions for surgical challenges, the progress of CelluSTAT through the regulatory process serves as a testament to the complex balance between innovation and patient safety in medical device development.


