Regulatory Open Forum

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  • 1.  Ad Promo Question

    Posted 07-May-2018 10:13
    Which Regulation sites that the full indication needs to be used in promotional pieces

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    Marie Murtagh
    Sr. Manager, Regulatory Affairs
    Fort Lee NJ
    United States
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  • 2.  RE: Ad Promo Question

    Posted 08-May-2018 06:02
    21CFR 202.1
    OPDP has issued letters in the not too distant past that specifically cite failure to include full indications. It won't take you long to find one.
    If you are being challenged by your commercial colleagues, explain to them that through their enforcement (untitled or warning letters), FDA uses language such as  "failure to include important contextual information...is false and misleading" and this is a violation of the regulations.
    Good luck.

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    Linda Pollitz RAC
    Senior Director, Regulatory Affairs, Advertising & Promotion
    Bedford MA
    United States
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  • 3.  RE: Ad Promo Question

    Posted 08-May-2018 11:07
    Within Section 502 of the FFDC Act,  advertising for a "restricted" device is required to include a brief statement of the intended uses along with the appropriate warnings, precautions, etc. Note that this is not applicable to a reminder ad. 

    FDA device personnel review both Class 2 and 3 devices, their expectations for additional labeling such as the indications, have trickled down to the class 2 devices. More than once I have been told that intended use(s) should be on promotional materials unless it is obvious due to the product trade and unbranded names conveying its usage. In fact, other FDA reviewers have requested something akin to the brief statement which is required for higher risk devices. Other RA professionals submitting to others review groups have shared the same information.

    Interested in what other device companies are currently experiencing on this topic. 


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    Carol Cooper RAC
    Principal
    Libertyville IL
    United States
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  • 4.  RE: Ad Promo Question

    Posted 10-May-2018 18:41
    ​As noted by a previous response, FDA's Office of Prescription Drug Promotion has cited many companies for failure to include full indication or material information regarding the FDA approved-indication, including limitations of use.  The FDA deems this failure "misleading."  Our company, Porzio Life Sciences, tracks FDA enforcement letters highlighting promotional violations.  The following letters may be helpful:  8/24/17 Warning Letter to Cipher Pharmaceuticals (re: Conzip), 1/14/16 Untitled Letter to Hospira, Inc. (re: Precedex), 6/9/14 Untitled Letter to Citius Pharmaceuticals, LLC (re: Suprenza), 1/23/14 Untitled Letter to Mission Pharmacal (re: Tindamax), 11/18/13 Warning Letter to Kadmon (re: Ribasphere RibaPak).  If you have any follow-up questions, please feel free to contact me at romanski@porziols.com.

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    Jennifer Romanski JD
    romanski@porziols.com
    Morristown NJ
    United States
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