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Healthy Skepticism Library item: 11648

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Richwine L.
FDA says Lilly's Cymbalta promotion misleading
Reuters 2007 Oct 2
http://www.reuters.com/article/healthNews/idUSN0241655320071002


Notes:

Link to FDA Warning Letter:
http://www.fda.gov/CDER/warn/2007/Cymbalta_wl.pdf
Link to promotional material:
http://www.fda.gov/CDER/warn/2007/Cymbalta_promo.pdf


Full text:

Eli Lilly and Co made misleading claims about its Cymbalta drug in a promotion to doctors about its use in treating nerve-related pain, U.S. regulators said in a letter released on Tuesday.

The promotion “is false or misleading in that it overstates the efficacy of Cymbalta and omits some of the most serious and important risk information associated with its use,” the Food and Drug Administration said in a letter to the company.

The FDA asked Lilly to immediately stop using the material or any similar promotions, adding that the company made similar claims for the drug in other promotions.

A Lilly representative could not immediately be reached for comment.

Cymbalta, known generically as duloxetine, is approved for treating depression, neuropathic pain and anxiety.

The FDA said the Lilly promotion, which it called a “professional mailer,” recommended Cymbalta only for the use of managing pain associated with diabetic peripheral neuropathy.

The material overstated the drug’s effectiveness by suggesting that patients who took it experienced significantly less pain interference with overall functioning, the FDA said.

“This has not been demonstrated by substantial evidence or substantial clinical experience,” said the agency’s letter, which was dated September 21 and posted on the FDA Web site on Tuesday.

The FDA also said Lilly’s promotion left out some important risk information, including reports of sometimes-fatal reactions if drugs such as Cymbalta are combined with medicines known as monoamine oxidase inhibitors.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909