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Healthy Skepticism Library item: 19255

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

Silverman E
The FDA And Its Pilot Pharma Fraud Program
Pharmalot 2011 Jan 26
http://www.pharmalot.com/2011/01/the-fda-and-its-pilot-pharma-fraud-program/


Full text:

Earlier this week, the US Department of Health & Human Services trumpeted its efforts to root out healthcare fraud and recover $4 billion for taxpayers, including about $2.5 billion attributed to violations of the False Claims Act, something that has ensnared many drugmakers. But the agency has also initiated a little-known pilot program that it hopes will deliver still more returns.
Called the FDA Pharmaceutical Fraud Pilot Program, or PFPP, the initiative was begun in fiscal year 2010 with $1.7 million in HHS funding and was “designed to detect, prosecute, and prevent pharmaceutical, biologic, and medical device fraud.” The focus is on fraudulent marketing schemes, application fraud, clinical trial fraud, and flagrant manufacturing-related violations. Covers a lot of ground, yes?
In its report, the HHS says the program, which was first reported by Drug Industry Daily, will pursue “all available criminal and civil remedies to punish and deter” fraud. And the effort is being coordinated with various US Attorneys (see page 69 for details). Still more interesting, these are the leads the HHS claims to have begun investigating:
Two off-label promotion matters involving different brand-name drugmakers; yet another brand-name drugmaker for various violations of promotional issues including overstating efficacy, omitting material facts and promoting unapproved uses; two matters involving fraud associated with current Good Manufacturing Practice issues; an instance of clinical trial fraud documents are alleged to have been falsified by a study coordinator, a contract research organization that reportedly falsified study documents related to studies conducted for drugmakers; and a contract testing lab that allegedly falsified data used to support multiple drug applications to the FDA.
And these are only the investigations that HHS chose to list. How these will pan out remains to be seen, of course, but the rundown suggests that several companies should start reviewing their operations and lawyer up. The big question, though, is whether any execs will do the perp walk.

 

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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