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Healthy Skepticism Library item: 15776

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: report

FDA
Guidance for Industry: Presenting Risk Information in Prescription Drug and Medical Device Promotion
: FDA 2009 May
http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM155480.pdf


Abstract:

TABLE OF CONTENTS
I. INTRODUCTION – 1
II. BACKGROUND – 2
A. LEGAL OVERVIEW – 3
B. POLICY OVERVIEW – 4
III. FACTORS CONSIDERED IN THE REVIEW OF RISK COMMUNICATION – 6
A. GENERAL CONSIDERATIONS – 7
1. Consistent Use of Language – 7
2. Use of Signals – 7
3. Framing Risk Information – 8
4. Hierarchy of Risk Information – 9
B. CONSIDERATIONS OF CONTENT – 10
1. Quantity – 10
2. Materiality and Comprehensiveness – 11
C. CONSIDERATIONS OF FORMAT – 14
1. Print Promotion – 15
2. Non-Print Promotion – 18
IV. CONCLUSION – 21
ATTACHMENT: STATUTORY AND REGULATORY REQUIREMENTS FOR LABELING AND ADVERTISING – 22

This draft guidance describes factors FDA considers when evaluating advertisements (ads) and promotional labeling for prescription drugs, ads for restricted medical devices, and promotional labeling for all medical devices for their compliance with the Federal Food, Drug, and Cosmetic Act (the FD&C Act or the Act) and relevant regulations. The draft guidance discusses factors that are relevant to the disclosure of risk information and provides numerous examples to illustrate FDA’s thinking on these factors. This guidance responds to stakeholder requests for specific guidance on how FDA evaluates prescription drug and medical device promotional pieces to determine whether they adequately present risk information. The recommendations contained in this draft guidance apply to promotional materials directed to both consumers and healthcare professionals.

 

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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