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Healthy Skepticism Library item: 11652

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

Associated Press.
FDA Asks Lilly to Stop A Cymbalta Mailer
The Wall Street Journal 2007 Oct 4
http://web.archive.org/web/20071012192234/http://online.wsj.com/article/SB119142704134747749.html?mod=googlenews_wsj


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:

INDIANAPOLIS — Eli Lilly and Co. has been asked to stop a Cymbalta promotion that makes misleading claims and understates risk, according to a letter sent to the drug maker by the Food and Drug Administration.

The letter said a mailer for the fast-selling drug overstates effectiveness and “omits some of the most serious and important risk information associated with its use.” The letter was posted on the federal regulator’s Web site. It asked Lilly to “immediately cease” disseminating the material.

The company is working with the FDA “to gain a greater understanding of their concerns,” Lilly spokesman Charlie McAtee said. Lilly will take action once it has “more clarity” on the agency’s comments, he said.

Cymbalta treats depression, diabetic nerve pain and general anxiety disorder.

The mailer promotes the drug’s use for diabetic nerve pain and states that those patients experienced “significantly less pain interference with overall functioning” when using the drug. The FDA letter noted that this “has not been demonstrated by substantial evidence or … clinical experience.”

The FDA also states that the mailer doesn’t reveal risks for patients with certain conditions and did not give precautions about liver toxicity, among other concerns.

Cymbalta, launched in 2004, has become a strong seller for Lilly. It registered $1.3 billion in sales last year, an increase of 94%. In the second quarter this year, only top-seller Zyprexa brought in more revenue than Cymbalta’s $519.5 million.

 

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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