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FDA allows off-label journal promos
About a week before the climate in Washington, D.C., turns inside out, FDA officials have ushered in new rules that will make it easier for drugmakers to distribute journal articles supporting off-label uses of their products.
Yes, the long-promised change in guidelines has been finalized. Companies will be able to pass out articles published in peer-reviewed medical journals, even if those articles promote drug uses that aren't sanctioned by the FDA. Pharma types say the rules aren't new at all, just a recodification of regulations allowing the practice, which expired in September 2006. Drugmakers have been fighting for its return ever since, the Associated Press reports.
But some lawmakers have been fighting back, and they're still doing so. "In the final hours of this administration, political appointees at FDA have given drug companies a long-coveted parting gift," said Rep. Henry Waxman, new chairman of the influential House Committee on Energy and Commerce, which oversees pharma. "This fundamentally undermines the requirement that companies prove to FDA that each new use is safe and effective."
Will those regulations be revoked as quickly as they were reinstated? Quickly, of course, is a relative term in Washington. So drugmakers should have enough time to get their current favorite articles in doctors' hands.
- read the AP story
Related Articles:
Should off-label journal promos be OK?
Too much off-label regulation?
Rep decries off-label marketing "loophole"
Comments
I agree that while that doctors should be apprised of effective off-label uses of prescription drugs, I don't believe this information should really be coming from drug reps, whose singular interest is promoting their drug anyway they can. The guidelines are rather specific and even address the issue of "ghostwriting" but the pharma industry has not really earned the trust of the public with regards to responsible and ethical marketing. Drugmakers may find a completely valid scientific journal article and disseminate it as required, but will surely withhold any studies contrary to those results. In my own ruminations (at nutsforhealthcare.com), I even argue that the penalties for off-label marketing don't go far enough to deter drugmakers from blatant off-label marketing, since the gains are rather lofty while the penalties seem like a slap on the wrist.
This increases the importance for pharmaceutical companies to also improve self-regulation: evaluate how to create systematic reprint programs that ensure global visibility into the procurement and usage of article reprints, and how to establish audit trails for regulatory compliance (internal and external) as well as copyright compliance.
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