Regulatory Open Forum

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  • 1.  Website change control

    Posted 21-Sep-2012 10:18
    Hi all,

    FDA regulates websites as they do advertising. I am wondering what everyone is doing regarding how website content is reviewed and approved.
    • Do you print out the web pages, give them a document number, and route a change order?
    • Do you download the website and review and approve changes that way, documenting the changes in a change order?
    • Do you include your foreign websites? I don't believe that these require change control the same way FDA requires, but your input would be valuable.

      We are totally redoing our website, and it may come to about 2500 pages, so we need a fast but defendable way of doing review and approval. Any ideas out there?

      Thanks,

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      Paula Bojsen
      Grand Rapids, MI
      United States
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  • 2.  RE:Website change control

    Posted 21-Sep-2012 21:47

    Ms. Bojsen:

    You ask an interesting question about the procedures.  While I can't comment on how my clients approach this, I did want to make a couple comments about the legal aspects of FDA regulation of websites as advertising.

    First, it is important to keep in mind that FDA does not solely regulate websites as advertising.  Indeed, there are certain types of products for which FDA lacks the legal authority to regulate their advertising such as OTC drugs, dietary supplements, and certain medical devices.  Rather, the Federal Trade Commission (FTC) exercises control over the advertisement of these products.  In those cases, FDA's power "solely" extends to labels and labeling.  I say "solely" because FDA still has formidable powers over labels and labeling.

    Because of this, FDA does not solely recognize websites as being advertising.  Rather, the agency also construes a website to constitute labeling and, thus, can exercise "labeling" jurisdiction over a website for products for which it lacks the power to regulate advertising for that same product.  Indeed, in certain circumstances, the cynical among us suspect that FDA, for other products, such as prescription drugs, where the agency does have the power over both advertising and labeling, will choose to regulate a website -- from the perspective of construing it as either advertising or labeling -- depending on which perspective gives the agency the most leverage to exercise its powers relative to whatever concerns the agency has about the website in question.

    You are wise to raise the issue of foreign portions of websites.  Frequently, companies market products that are subject to different regulatory requirement - including indications and intended uses -- in the United States as opposed to abroad.  However, if your website allows an individual to access any part of the website without making absolutely clear whether the webpage that the browser has landed on is for U.S. consumption or foreign review, this can generate significant concerns from FDA if it means the U.S. consumer has access to information relating to uses or warnings that are not allowed in the U.S.

    To address this, many companies keep the foreign portions of their sites totally distinct from their U.S. versions and even require that a person entering the foreign portion of the site affirmatively represent that they are not in the United States (and vice versa).  Alternatively, the site will ask the browser to affirmatively state that they understand that the part of the website they are accessing relates solely to non-U.S. issues.  Also, care must be exercised to ensure that links do not inadvertently go from a U.S. portion of a website to its foreign counterparts.

    Given that FDA can exercise either labeling or advertising authority over a website, depending on the factors I alluded to above, while it is fully understandable that you want to implement an efficient change process for processing revisions to your website, this must be approached with care.  Indeed, one of the challenges of reviewing a website by printing it out, is that you will lose the "live" aspect of the links that can be accessed from a specific page.  For example, it is very important to exercise care with any links that refer to sites outside your website, such as references to public literature or other articles.

    Finally, please also keep in mind that FDA will regard any social media page such as a Facebook, Twitter or YouTube account that your firm sponsors as subject to FDA's jurisdiction.  From that perspective, anything posted by third parties can represent a testimonial that could cause your products to be misbranded if the testimonial makes a claim that is outside of those that are appropriate for your product.

    In April, I gave a presentation on FDA's regulation on social media that you might find of interest on some of the issues I have discussed above.  You can access that presentation at the following link: 

    http://www.fdacounsel.com/files/Swit_--_OCRA_Social_Media_PPT_--_20120417.pdf

    I hope this information is helpful to you and wish you the best of luck in your project.

    Best regards,

    Michael A. Swit



    ______________________________________________
    Michael A. Swit
    Special Counsel, FDA Law Practice
    Duane Morris LLP
    750 B Street, Suite 2900
    San Diego, CA 92101-4681
    P: +1 619 744 2215
    F: +1 619 923 2648
    C +1 760 815 4762
    maswit@duanemorris.com

    Please follow me on LinkedIN and Twitter:
    http://www.linkedin.com/in/michaelswit
    https://twitter.com/FDACounsel

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  • 3.  RE:Website change control

    Posted 24-Sep-2012 09:44
    Hi Paula,

    I would like help with your question.  My company had to redo the website based on a Warning Letter.  So, we did the following:

    -we had to post a dear doctor letter requested in the warning letter.  We noted this new addition to the website via change control.  Since our website is not as lengthy as yours we were able to print hard copies of the pages being changed for review and approval via change control. 
    -once we met our 1 year commitment for the dear doctor letter and removed that letter we noted that via change control.
    -regarding your foreign page of the website I suggest that if your web designer is in the US then I encourage you to process any changes to the website via change control so that you have have some type of tracking on website changes. CYA.

    I hope this is helpful.

    Regards

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    Alison Trado
    Regulatory Affairs Manager
    Hill Dermaceuticals, Inc.
    Sanford FL
    United States
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  • 4.  RE:Website change control

    Posted 25-Sep-2012 11:41
    Hello Paula

    It is very impractical to print the contents of a website and put them into an ECO.  But, you are correct, your website is part of labeling and must be in your change control system.

    When the original website was put up (many years ago) we did print the entire content and attach to an ECO.  But we ONLY did that on the initial release.

    Since the initial release, we have implemented a very simple solution that has passed multiple FDA and ISO inspections:

    1.  Make website changes in bundles...don't just change one thing on your website today, one thing tomorrow, etc.
    2.  List the multiple website changes in a spread sheet and/or word table.
    3.  Attach the list to your ECO

    My company updates our website twice a month....and it may have 20 changes at a time.  So we generate 2 ECOs per month to capture all the changes.

    ONE WARNING:    Sign the ECO prior to doing the update, not afterwards.

    Hope this is helpful

    -------------------------------------------
    Connie Hoy
    Vice President, Regulatory Affairs & Compliance Officer
    Cutera, Inc
    Woodland CA
    United States
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  • 5.  RE:Website change control

    Posted 25-Sep-2012 10:54
    Dear Paula,

    There are various ways in which web content can be reviewed and approved.  RAA has worked with several companies to review websites for FDA compliance.  What generally occurs is drafts of the web pages are created and sent for our regulatory analysis.  We review the pages for content and compliance with FDA regulations and provide comments or alternative statements to the client that will not raise red flags with FDA because the intiial statement infers a claim or treatment of a condition that the product has not been cleared or approved for.

    FDA is continually changing their position on website marketing content, so it is good to monitor the warning letters that are posted to see how they are moving to enforce and regulate content.

    With respect to foreign content, FDA does monitor those websites as well.  We recently had an issue with a client who is headquartered outside the US but held offices within the US.  They were looking to import products to the US and FDA seized the shipment because of claims stated on the foreign website.  The product was cleared for those claims in the foreign country, but not the US.  To remedy the issue we gained FDA concurrence to revise the website to add country tabs on the opening page.  The client also agreed to remove the offending statement from the foriegn version of the website.

    If you need assistance with reviewing and revising your website, please feel free to contact Regulatory Affairs Associates.  We are local for you (West Bloomfield, MI), and could easily arrange to meet and discuss the issues.

    Regards,

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    Michael Tomasovich
    Director Business Development
    Regulatory Affairs Associates
    Inkster MI
    United States
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