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Healthy Skepticism Library item: 18343

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

Arnold M
FDA looks beyond balance in study of efficacy info
Medical Marketing & Media 2010 July 7
http://www.mmm-online.com/fda-looks-beyond-balance-in-study-of-efficacy-info/article/174104/


Full text:

Having analyzed the presentation of risk information in DTC ads and product labeling, FDA is looking at how the potential benefits of prescription drugs are communicated.

The agency gave notice in a June 16 Federal Register post of a study looking at the presentation of clinical efficacy information in professional labeling and print ads.

“Beyond the balance requirement, limited guidance and research exists to direct or encourage sponsors to present benefit claims that are informative, specific and reflect clinical effectiveness data,” said the notice.

The study will look at how presentation of clinical effectiveness information affects both consumer and physician perceptions of safety and efficacy, “and particularly, how consumers make (risk/benefit) judgments in response to variations in the efficacy presentations in the ‘display’ page of a DTC print ad.”

The consumer portion of the study, featuring display pages for fictitious overactive bladder and benign prostatic hyperplasia drugs, will test perceptions of treatment versus prevention claims, placebo data and framing, using “mixed framing,” which provides the number of people who did not benefit from the drug as well as the number who did, as well as the single, positive frame typical of data presentation in drug advertising.

“Only a few studies have actually measured this missed approach, although risk communication guides recommend the use of mixed framing to create more accurate perceptions,” said the notice.

The physician portion will examine physician perceptions of clinical efficacy information in the prescribing information using varying claim types and placebo rates for the fictitious OAB and BPH drugs.

A public comment period on the study is in effect through August 16.

 

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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