It appears Teva had submitted their data to the FDA regarding Copaxone's effectiveness and the FDA thought their data was pretty unconvincing. Teva apparently decided to just push their claims to the medical community anyway. Well, the FDA apparently just slapped them pretty hard. The following story appeared at NewsEdge in their Heathcare section:
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Teva Marion Copaxone promo corrective campaign to include "Dear Doctor" letters sent by mail, printed in ads in journals in which original ads ran, FDA warning letter says.
September 2, 1998
Health News Daily via NewsEdge Corporation : TEVA MARION "DEAR DOCTOR " LETTER WILL CORRECT COPAXONE PROMOS following receipt of a warning letter Aug. 27. In the letter, FDA requests that Teva Marion Partners' corrective campaign include "mailing and publication of a 'Dear Healthcare Professional' letter to disseminate corrective messages...to all healthcare providers, institutions, and organizations who have received the violative message."
After DDMAC approves the "Dear Doctor" letter, it "should be disseminated by both direct mail and through a paid advertisement in all journals that contained advertisements for Copaxone during the 12 months prior to the date of this letter," FDA says.
FDA's Division of Drug Marketing, Advertising & Communications claims in the letter that the Copaxone materials promote the multiple sclerosis therapy for unapproved uses. Noting that Copaxone is approved for reduction of the frequency of relapses in patients with relapsing-remitting MS, FDA says the materials contain "misleading claims that Copaxone is safe and effective in slowing, preventing, or reversing the long term neurological deterioration or disability that is associated with the progression of MS."
"To support these disability claims in its promotional materials, TMP presents data from a multicenter study that it previously submitted to the agency during the application review process," FDA notes. "At that time, the agency determined that these data were inadequate to support such claims."
The materials also suggest that physicians using other therapies for MS " should switch to Copaxone because it is safer, more tolerable, or more effective," DDMAC says. The claims are false or misleading without adequate and well-controlled trials demonstrating the claimed superiority or comparability, FDA warns. The company's claims "state or suggest that more than half of the patients on other therapies discontinued those treatments within a year, and TMP suggests that the reason for such discontinuation was because of safety or effectiveness."
FDA cites a brochure entitled "Why are neurologists switching their MS patients to Copaxone?" in which the company "claimed that 56% of Avonex patients and 69% of Betaseron patients quit therapy within a year, but that there were high levels of compliance with Copaxone."
"TMP's claims are based on data from a retail pharmacy database that measured nothing more than the fact that a prescription had been originally filled at a retail pharmacy and whether or not that prescription had been refilled," FDA maintains. "Data describing whether or not patients refilled prescriptions at a particular retail pharmacy are clearly inadequate to substantiate claims that patients actually continued or discontinued therapy."
Promotional materials for Copaxone (glatiramer) injection referred to by FDA include a journal ad, brochures and booklets, a slide kit, a letter, press releases, Internet web pages, and leaflets. Materials also include posters and advertising messages presented by TMP sales reps at the American Academy of Neurology 50th Annual meeting.
TMP said it already has had discussions with FDA regarding the warning letter and that it will take the steps outlined by FDA in the letter, which includes the "Dear Doctor" letter and cessation of dissemination of all materials discussed in the letter. The company must submit a list of all materials it will discontinue and a list of all materials it intends to continue disseminating.
[Copyright 1998, Health News Daily] |