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Healthy Skepticism Library item: 16947

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: Electronic Source

Silverman E
AstraZeneca Is ‘More Sensitive’ About Illegal Marketing
Pharmalot 2009 Dec 22
http://www.pharmalot.com/2009/12/astrazeneca-is-more-sensitive-about-illegal-marketing/


Full text:

All those big fines are prompting some drugmakers to say they’ve found religion. For instance, Pfizer ceo Jeff Kindler recently gave a speech about corporate trust (watch it here). Now, AstraZeneca’s Dave Brennan confesses that his company is “more sensitive than we’ve ever been” about preventing illegal promotion of their drugs ever since it paid a $520 million to settle a US probe marketing of its Seroqeul schizophrenia med.
Off-label marketing has become “a much bigger issue in the last few years as a result of the government’s position on this,” he tells The Wall Street Journal. “If you go back ten years in this industry, this was not an issue. I mean, we trained our people not to promote off-label…so it’s always been sensitive. But now, it’s even more sensitive because we’re paying fines.” The fine, by the way, was $520 million. Last year, Seroquel generated $4.5 billion in revenue.
The drugmaker faces numerous lawsuits over its Seroquel marketing and documents released by plaintiffs attorneys allegedly showed AstraZeneca execs discussed broadening the market to include adolescents and patients with Parkinson’s and Alzheimer’s disease, and at medical meetings, in sales calls and with patient-advocacy groups, the Journal writes.
The goal of an AstraZeneca public-relations plan from 2001 was to “encourage and support…use outside schizophrenia into a broad range of other patient populations including bipolar disorder and the elderly.” It also said there needed to be “aggressive market penetration” among adolescents, the elderly and patients with bipolar disorder for Seroquel to outsell rival meds. The FDA didn’t approve the pill for bipolar disorder until 2006, the Journal reminds us.
In response, Brennan tells the Journal: “There were a wide variety of documents. Stuff that said we don’t promote off-label. Others that said different things. You know, that’s just the nature of how business runs over ten or twenty years. There’s millions of documents floating around. I don’t have any particular comment” on individual documents.

 

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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