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Healthy Skepticism Library item: 14483

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

MacK J.
Allergan Doesn't Comply with PhRMA Guidelines, Wins Kudos Anyway
Pharma Marketing Blog 2008 Oct 23
http://pharmamkting.blogspot.com/2008/10/allergan-doesnt-comply-with-phrma.html


Full text:

Allergan, the specialty pharma company BEST known for its marketing of BOTOX, was voted the “Most Admired Specialty Company” in the Eighth Annual Med Ad News Most Admired Companies contest/poll/popularity contest.

Allergan achieved this distinction among Med Ad News readers who were polled by the publication despite the fact that the company does not abide by PhRMA’s DTC Guidelines that prohibit “reminder ads.” Reminder ads mention the pharmaceutical brand name but not the indication or medical condition it treats (see definition here http://www.glossary.pharma-mkting.com/reminderad.htm).

ALL BOTOX direct-to-consumer print and TV ads are reminder ads, which are free to imply outlandish benefits — such as “freedom of expression” (see “Botox BS Piled Higher and Deeper” http://pharmamkting.blogspot.com/2007/04/botox-bs-piled-higher-and-deeper.html) — without any counterbalancing risk information as required by FDA regulations simply because FDA is not empowered or inclined to regulate reminder ads.

Most of the rest of the drug industry have ceased to run reminder ads.

I also notice that Allergan is not a signatory to PhRMA’s new Guidelines for Interactions with Healthcare Professionals (see PMN Reprint #77-01 http://www.news.pharma-mkting.com/pmn77-article01.htm). Allergan sales reps, therefore, are likely flooding dermatologists offices with logoed pens, pads, and other “tchotckes.”

All this while Solstice Neurosciences, the company that markets Myobloc, a BOTOX competitor, is playing by PhRMA rules.

But I’m not only complaining that Allergan is admired for its audacity to side-step industry best practices. What startled me when reading the glowing 2-and-one-half page spread dedicated to Allergan in the October 2008 issue of Med Ad News was that BOTOX was mentioned only briefly, in a short paragraph, and not in bold text as were other products that were discussed at length. There was no mention of any problems with FDA (see below) and no sales trend data for Botox. Every other product Allergan EVER made and marketed or has in the pipeline WAS mentioned in great detail! Keep in mind that BOTOX accounts for about one-third of Allergan’s 2007 $3.9 billion in sales and Allergan is currently seeking approval for a new BOTOX indication (migraine).

“Joe the Investor” is Misled
BOTOX sales performance has recently taken a “hit” due to FDA investigations and competition.

In February 2008, the FDA issued an “Early Communication” about BOTOX safety issues and began investigating reported deaths attributed to BOTOX use (see “Early Communication about an Ongoing Safety Review Botox and Botox Cosmetic (Botulinum toxin Type A) and Myobloc (Botulinum toxin Type B)” http://www.fda.gov/cder/drug/early_comm/botulinium_toxins.htm). That hurt sales and Allergan’s stock performance.

Obviously, this story did NOT get included in Med Ad News’ glowing account of Allergan. Instead, the story focused on Allergan’s 2007 sales and stock performance. I suspect, in fact, that the Med Ad News article was written by Allergan itself — there’s no byline indicating the author as in other articles in the publication.

Considering the dismal performance of Allergan’s stock over the past year, the Med Ad News article does a disservice to “Joe the investor” by presently a biased view of a company with low marketing standards. If it was written by Allergan, shouldn’t the SEC required disclaimer be included?

Tomorrow, I hope, Chris Truelove will provide the Med Ad News side of the story in her Pharma Blog Review blog (http://blog.pharmalive.com/).

 

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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