{"id":6026,"date":"2014-06-03T17:32:00","date_gmt":"2014-06-03T17:32:00","guid":{"rendered":"http:\/\/www.pharma-mkting.com\/wlf-to-fda-regarding-distribution-of\/"},"modified":"2019-02-21T01:16:38","modified_gmt":"2019-02-21T01:16:38","slug":"wlf-to-fda-regarding-distribution-of","status":"publish","type":"post","link":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/wlf-to-fda-regarding-distribution-of\/","title":{"rendered":"WLF to FDA Regarding Distribution of Off-Label Reprints: See You in Court!"},"content":{"rendered":"<p>In February 2014, FDA released a new draft guidance document entitled &#8220;Distributing Scientific and Medical Publications on Unapproved New Uses &#8211; Recommended Practices.&#8221; <\/p>\n<p>FDA&#8217;s revised guidance is aimed at addressing some of industry&#8217;s and the public&#8217;s concerns regarding the previous guidelines by making clear that the pharmaceutical and medical device industries can distribute medical and scientific reprints &#8212; including reprints of studies for new and unapproved uses of drugs &#8212; to medical professionals, but only under certain conditions.<\/p>\n<div>\n<\/div>\n<p>In public comments submitted  to FDA, the Washington Legal Foundation (WLF) &#8212; a non-profit legal organization that promotes pro-business and free-market positions and is widely perceived as conservative &#8212; argues that the guidance document is in &#8220;direct violation of a 1998 permanent injunction (WLF v. Friedman) it obtained against the agency to prevent it from trampling on industry&#8217;s purported First Amendment rights&#8221; (see <a href=\"http:\/\/www.forums.pharma-mkting.com\/showthread.php?t=91949\">here<\/a>). WLF said it &#8220;intends to enforce its injunction and will seek contempt of court citations against FDA officials who violate its terms.&#8221;<\/p>\n<p>WLF cites three FDA proposals with which it has specific issues.<\/p>\n<p><a name='more'><\/a>(1) FDA proposes that scientific and medical journal articles should be from a peer-reviewed journal, be distributed in unabridged form (i.e. reprint), contain information from an &#8220;adequate and well-controlled clinical investigation&#8221; and be &#8220;scientifically sound.&#8221; WLF wants the FDA to eliminate any reference to &#8220;adequate and well-controlled clinical investigation,&#8221; a reference that, according to the WLF, &#8220;likely will be interpreted as imposing severe limitations on the types of journal articles that may be disseminated.&#8221;<\/p>\n<p>(2) FDA proposes that FDA-approved labeling should be disseminated along with the literature, as well as a comprehensive bibliography of information from other publications (including contradictory literature) and separate from any promotional literature. WLF wants the FDA to narrow the overly burdensome &#8220;disclaimer&#8221; requirements, such as that the article be accompanied by a comprehensive bibliography and articles\/texts expressing contrary or different conclusions. <\/p>\n<p>(3) The WLF also wants the FDA to &#8220;scale back on the limitations&#8221; imposed on disseminating medical texts, particularly the distribution of individual chapters from a medical text. &#8220;In the absence of such revisions,&#8221; says WLF, &#8220;it will be virtually impossible for manufacturers to distribute reprints in a manner that complies with the Draft Guidance.&#8221;<\/p>\n<p><i>Pharma Marketing News<\/i> and Pharma Marketing Blog are surveying readers for their opinions on these and other issues related to the distribution of off-label reprints to physicians by the pharmaceutical industry.<\/p>\n<p>Survey respondents were asked their level of agreement or disagreement with 5 statements. Here&#8217;s a chart of some results from the survey so far:<\/p>\n<table align=\"center\" cellpadding=\"0\" cellspacing=\"0\" class=\"tr-caption-container\" style=\"margin-left: auto; margin-right: auto; text-align: center;\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><a href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2014\/06\/OffLabelReprintSurvey-Chart.jpg\" imageanchor=\"1\" style=\"margin-left: auto; margin-right: auto;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2014\/06\/OffLabelReprintSurvey-Chart.jpg\" height=\"287\" width=\"400\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td class=\"tr-caption\" style=\"text-align: center;\">Click on chart for an enlarged view. See below for questions.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Here are the statements, presented in random order:<\/p>\n<ol>\n<li>Doctors have many other sources of information about off-label use of drugs &#8212; the Internet and their own journal subscriptions, for example &#8212; and do not require that pharmaceutical companies provide this information to them.<\/li>\n<li>Requiring a &#8220;comprehensive bibliography&#8221; to accompany reprints is &#8220;overly burdensome&#8221; and should be eliminated from the guidance.<\/li>\n<li>Under NO circumstances should drug companies be permitted to hand out off-label information &#8212; including peer-reviewed journal articles &#8212; to physicians and other health care professionals.<\/li>\n<li>FDA should &#8220;scale back on the limitations&#8221; imposed on disseminating medical texts, particularly the distribution of individual chapters from a medical text.<\/li>\n<li>Limiting reprints to those that contain information from an &#8220;adequate and well-controlled clinical investigation&#8221; will place &#8220;severe limitations on the types of journal articles that may be disseminated.&#8221;<\/li>\n<\/ol>\n<p>I&#8217;m not going to reveal which statements correspond to the letters in the chart above. Can you guess? Better yet: What&#8217;s YOUR opinion? <a href=\"https:\/\/www.surveymonkey.com\/s\/F5DNDBR\">Take 2 minutes to respond to the survey here.<\/a> Afterward, you will be able to see the results yourself.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In February 2014, FDA released a new draft guidance document entitled &#8220;Distributing Scientific and Medical Publications on Unapproved New Uses &#8211; Recommended Practices.&#8221; FDA&#8217;s revised guidance is aimed at addressing some of industry&#8217;s and the public&#8217;s concerns regarding the previous guidelines by making clear that the pharmaceutical and medical device industries can distribute medical and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":11571,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[44,145,193,139,442],"topic":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>WLF to FDA Regarding Distribution of Off-Label Reprints: See You in Court! 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