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Drug Promotion
&
Conflict of Interest

Introduction | US | EU | CH | International | Medical Journals | Specific Drugs | Other sources

Introduction

This page covers conflicts of interest that occur once a drug is approved and placed on the market.
It focuses mainly on conflicts pertaining to promotional schemes, from classic drug advertising to the launch of purely promotional studies, including the sponsoring of scientific meetings, the distribution of samples, the financing of patient organizations. These conflicts mainly originate with the pharmaceutical industry. They mostly affect physicians and patients.

Other issues included on this page are lobbying, off-label use, reimbursement (false claims). Issues regarding whistleblowing appear on this page when they originate from a company and on the Transparency page when they originate from a public administration.

Information about conflicts of interest before a drug is approved is found on the Research webpage. 

Conflicts of interest arising as the marketing authorization is been requested and processed are reviewed on the Drug Approval webpage.

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United States

Statutes |FDA (guidance - warning letters - reports) | Court Cases | GAO | OIG | FTC | DOJ | State attorneys | Self-regulation

Statutes

 

FDA (guidance - warning letters - reports)

Guidance

Warning letters and Untitled letters

N.B. FDA DDMAC warning letters and untitled letters are available from the FDA web site, classified by date starting with year 2006 at http://www.fda.gov/cder/warn/warn2006.htm.

Below, you will find the direct link to the relevant letter (clicking on the name of the company at issue) and, in some cases, to the disputed promotional material (clicking on the name of the product at issue).

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FDA Sanctions

FDA reports 

Court Cases

  • State of West Virginia ex rel. Johnson & Johnson Corp., Supreme Court of Appeals of West Virginia, (June 27, 2007) (learned intermediary doctrine rejected because of direct-to-consumer advertising)
  • Warner-Lambert v. Apotex, 316 F. 3d 1348 (Jan.16, 2003) (off-label use of Neurontin/gabapentin, off-label use, patent infringement in ANDA)
  • United States ex. rel. Franklin v. Parke-David (Neurontin)
  • United States ex rel. Paul McDermott v. Genentech (Rituxan) (off-label promotion / false claims)
  • U.S. v. National Treasury Union, 115 S. Ct. 1003, 1018 (1995)

GAO

OIG (guidance, safe harbors, advisory opinions)

OIG Guidance

OIG Safe harbors

OIG Advisory opinions

OIG reports and speeches

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FTC

DOJ 

State Attorneys 

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Self-regulation 

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European Union

Statutes | UK MHRA | Self-regulation | UK ABPI

Statutes

Title VIII and VIIIa of the Consolidated Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use as amended by Directive 2002/98/EC, Directive 2004/24/EC and Directive 2004/27/EC.

UK MHRA

Self-regulation

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UK ABPI Code of Practice Authority

Various

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Switzerland

Swissmedic | OFAS | OFCOM |Parlement | Tribunaux | Auto-réglementation

Swissmedic

OFAS

 

OFCOM

 

Parlement

 

Conseil fédéral

 

Tribunaux

 

Auto-réglementation

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International

WHO

WMA

IFPMA

OECD

Others

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Medical Journals

Classified first by date, and then by journal:

2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000
1999 | 1998 | 1997 | 1996 | 1995 | pre-1995

 

2008

 

2007

2006

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2005

2004

2003

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2002

2001

2000

1999

1998

1997

  • Acad. Med., WS Sandberg et al., The effect of educational gifts from pharmaceutical firms on medical students' recall of company names or products, 72 p.916 (1997)
  • Pharmacoeconomics , JA Sacristán et al., Publication bias in health economic studies. 11 p.289 (1997)
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1996

1995

Pre-1995

 

Other sources

Company sources

 

Historical sources - historical overview

 

Various other sources / journals

 

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Specific Drugs

Information under this subheading may also appear on this site's "marketing approval page"

Plan B

SSRIs (antidepressants)

SSRIs in children

Zyprexa

Coxibs: Vioxx

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Serivastim - Serono

 

Cerivastatin - Lipobay - Bayer

Hormones

Human growth hormone:

Genotropin / Pfizer

  • U.S. ex rel. Dr. Peter Rost v. Pfizer and Pharmacia, 446 F. Supp. 2d 6 (District Court Massachusetts) (Augsut 30, 2006) (alleged violations of the FCA through illegal off-label marketing of Genotropin by Pharmacia/Pfizer)

Protropin / Genentech

Fen-Phen

Rezulin

Natrecor (nesiritide) / Scios - Johnson & Johnson

Rituxan (rituximab) / Genentech - Biogen - Roche

Propulsid (cisapride) / Janssen

Thalidomid

Neurontin / Gabapentin / Warner-Lambert / Pfizer

Oxycontin

Trasylol (aprotinin) - Bayer

Hypertension

 

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Websites

 
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  Last update: May 22, 2008