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Healthy Skepticism Library item: 18649

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

Feeley J
Allergan Directors Are Sued Over Marketing of Botox
Bloomberg.com 2010 Sep 8
http://www.bloomberg.com/news/2010-09-07/allergan-directors-are-sued-by-shareholders-over-marketing-of-botox-drug.html


Full text:

Allergan Inc. directors should be held liable for opening up the maker of wrinkle smoother Botox to criminal sanctions and a $600 million settlement by allowing the drug to be marketed for unapproved uses, investors said in a lawsuit.

Allergan’s board approved so-called off-label marketing plans for Botox as part of the company’s strategic plans and ignored repeated violations of federal law governing the sales and marketing of drugs, a Louisiana pension fund said in its Delaware Chancery Court lawsuit. The suit seeks to force directors to return money to the company to offset the settlement payout.

Allergan, based in Irvine, California, agreed Sept. 1 to plead guilty to a single misdemeanor charge in settling a U.S. probe of its Botox marketing practices. The company will pay $375 million in criminal fines and $225 million to resolve civil claims filed by the U.S. Justice Department.

“The off-label marketing practices have already caused injury to the company and will continue to cause harm by virtue of the fines it has agreed to pay in connection with those illegal sales and marketing practices,” the fund’s lawyers said in the Sept. 3 complaint.

Allergan officials said in a U.S. Securities and Exchange Commission filing today that they are still studying the suit. The drugmaker “expects to contest it vigorously,” Matthew Maletta, Allergan’s associate general counsel, said in the filing.

Unapproved Uses

Prosecutors alleged Allergan executives pushed salespeople to market the anti-wrinkle drug for headache, pain, muscle stiffness and juvenile cerebral palsy, which weren’t approved by the U.S. Food and Drug Administration.

Although doctors may prescribe drugs for uses not approved as safe and effective by government regulators, companies are forbidden to market them for off-label uses.

The global settlement concluded a more than two-year investigation that some analysts have said has held up FDA approval for use of Botox to treat migraines.

The drug, already Allergan’s top product with $1.3 billion in annual sales, may generate an additional $1 billion with use in migraines, according to Aaron Gal, an analyst at Sanford C. Bernstein & Co. in New York.

Executive Compensation

The Louisiana Municipal Police Employees Retirement System, which invested in Allergan’s shares, filed a so-called derivative suit against the company’s board on behalf of the company. Any money recovered will go back into the drugmaker’s coffers, not directly to investors.

Because the Botox off-label marketing plan was part of the company’s “strategic plan,” directors either knowingly approved of the illegal sales or were asleep at the switch while subordinates carried them out, the suit contends.

David Pyott, Allergan’s chairman and chief executive officer, directly benefitted from the illegal Botox sales through increases to his compensation package, the fund’s lawyers added in the suit. Pyott should be forced to return some of that compensation, the suit said.

The case is Louisiana Municipal Police Employees Retirement System v. Pyott, 5795, Delaware Chancery Court (Wilmington).

 

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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