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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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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.