{"id":7721,"date":"2007-04-05T16:23:00","date_gmt":"2007-04-05T16:23:00","guid":{"rendered":"http:\/\/www.pharma-mkting.com\/celebrex-ad-lets-dive-deeper\/"},"modified":"2019-02-21T01:26:17","modified_gmt":"2019-02-21T01:26:17","slug":"celebrex-ad-lets-dive-deeper","status":"publish","type":"post","link":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/celebrex-ad-lets-dive-deeper\/","title":{"rendered":"Celebrex Ad: Let&#8217;s Dive Deeper"},"content":{"rendered":"<p><a href=\"http:\/\/bp1.blogger.com\/_ZiPiXEv_Q_g\/RhUkLrr8viI\/AAAAAAAAAUI\/ymNQw3W9CjY\/s1600-h\/divedeeper.jpg\" onblur=\"try {parent.deselectBloggerImageGracefully();} catch(e) {}\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"><img decoding=\"async\" alt=\"\" border=\"0\" id=\"BLOGGER_PHOTO_ID_5049982340290100770\" src=\"http:\/\/bp1.blogger.com\/_ZiPiXEv_Q_g\/RhUkLrr8viI\/AAAAAAAAAUI\/ymNQw3W9CjY\/s200\/divedeeper.jpg\" style=\"float: left; margin: 0pt 10px 10px 0pt;\" \/><\/a>Recently, Pfizer ran a long animated TV ad for Celebrex that made many claims within the 2 and a half minute running time. But were these claims accurately understood by viewers? To find out, I decided to follow the ad&#8217;s suggestion and &#8220;dive deeper&#8221; by hosting a little poll on this blog (see &#8220;<a href=\"http:\/\/pharma-mkting.com\/blog\/2007\/04\/new-celebrex-tv-ad-what-did-you-learn.html\">The New Celebrex TV Ad: What Did You Learn?<\/a>&#8220;). I will dive deeper and review the results of that poll here.<\/p>\n<p>The polled asked &#8220;Which claims were made in the New Celebrex TV Ad?&#8221; and respondents could check off claims from the following list:<\/p>\n<ol>\n<li>Rx naproxen and ibuprofen have CV risks.<\/li>\n<li>FDA requires all NSAIDs, including Celebrex, to have same CV warning.<\/li>\n<li>Celebrex use may lead to heart attack or stroke, even death.<\/li>\n<li>Celebrex, unlike naproxen or ibuprofen, does not cause stomach bleeding.<\/li>\n<li>Celebrex has never been taken off the market.<\/li>\n<li>FDA says Celebrex&#8217;s benefits outweigh the risks for most patients.<\/li>\n<li>Unlike other NSAIDs, Celebrex can be used with lose-dose aspirin.<\/li>\n<li>Risk of CV events increases when Celebrex is taken for long periods.<\/li>\n<li>Celebrex may cause stomach bleeding, which can lead to death.<\/li>\n<li>Studies show Celebrex is a better option than naproxen or ibuprofen for pain relief in elderly patients.<\/li>\n<\/ol>\n<p>Regarding CV Risks of NSAIDs<br \/>\nWhile a majority of respondents believed the ad claimed that Rx naproxen and ibuprofen have CV (cardiovascular) risks, the ad actually said that &#8220;based on available evidence&#8221; the risk was &#8220;unclear&#8221; (Quote: &#8220;When it comes to relieving arthritis pain, you may think some prescription NSAID pain relievers like ibuprofen and naproxen don&#8217;t have any cardiovascular risks. But based on available research that&#8217;s not clear.&#8221; Unquote).<\/p>\n<p>While it may be unclear that naproxen and ibupofen and Celebrex have cardiovascular risks, it is TRUE that &#8220;FDA requires all NSAIDs, including Celebrex, to have same CV warning.&#8221; That was clearly stated in the ad and everyone got the message.<\/p>\n<p>Not everyone, however, got the message that &#8220;Celebrex use may lead to heart attack or stroke, even death.&#8221; The ad says &#8220;Any prescription NSAID, including Celebrex, may increase the chance for heart attack and stroke, which can lead to death.&#8221;<\/p>\n<p>Five respondents were fooled into believing the ad said that &#8220;Celebrex, unlike naproxen or ibuprofen, does not cause stomach bleeding&#8221; when, in fact, no such claim was made. The ad said &#8220;All NSAIDs, including Celebrex, also increase the chance of serious skin reactions or stomach and intestine bleeding and ulcers, which&#8230;may cause death.&#8221;<\/p>\n<p>The mention of &#8220;death&#8221; due to side effects two times in the ad was striking. You&#8217;ll not hear that word in very many ads.<\/p>\n<p>Everyone correctly got the message that Celebrex has never been taken off the market. Although that&#8217;s faint praise, if Vioxx should ever return, I&#8217;m sure Pfizer will play the &#8220;never taken off the market&#8221; card more often in its Celebrex ads.<\/p>\n<p>Most vs. Certain vs. Select<br \/>\nA lot of respondents were fooled into thinking that the ad claimed the FDA said Celebrex&#8217;s benefits outweigh the risks for most patients. The ad said the FDA said that for &#8220;certain patients Celebrex&#8217;s benefits outweigh the risks.&#8221; Here&#8217;s what the FDA actually said in its <a href=\"http:\/\/www.fda.gov\/cder\/drug\/advisory\/COX2.htm\">COX-2 health advisory<\/a>: &#8220;FDA has concluded that the benefits of Celebrex outweigh the potential risks in properly selected and informed patients&#8221; (my emphasis).<\/p>\n<p>A few people thought the ad said that Celebrex was &#8220;a better option than naproxen or ibuprofen for pain relief in elderly patients&#8221; when, in fact, the ad said &#8220;the elderly are increased risk for stomach bleeding and ulcers&#8221; when taking any NSAID, including Celebrex.<\/p>\n<p>As for the remaining statements:<\/p>\n<ul>\n<li>&#8220;Risk of CV events increases when Celebrex is taken for long periods&#8221; &#8212; The ad did state this, although only a minority of respondents remembered that claim.<\/li>\n<li>&#8220;Celebrex may cause stomach bleeding, which can lead to death&#8221; &#8212; the ad also said this and most respondents, but not all, got the message.<\/li>\n<\/ul>\n<p>In closing, let me just quote my friend Bruce Grant who made this comment to a <a href=\"http:\/\/pharmalot.com\/2007\/04\/the_new_celebrex_ad_you_decide.php\">Pharmalot posting<\/a> on this topic:<\/p>\n<p>\nSo let me see if I get the message of this spot&#8230;<\/p>\n<p>Those who make it through the two minutes or so of risk information finally get a tiny little coda of benefit message&#8230;conveying a tiny little package of benefits that &#8220;in some patients&#8230;may outweigh the risks.&#8221;<\/p>\n<p>1. *Some* studies reported a lower incidence of *some* less-severe GI side effects with Celebrex than with Rx ibuprofen or naproxen. But larger, more recent studies suggest that there is, in fact *no* net GI benefit.<\/p>\n<p>2. Patients on aspirin therapy can take Celebrex, while &#8220;many doctors&#8221; discourage the use of other Rx NSAIDs in this situation. But wait&#8230;the patients on aspirin therapy are those already being treated for cardiovascular disease and presumably at higher risk for subsequent events&#8230;so would the itty-bitty possible GI advantages of Celebres (Remember, there are no advantages for COX-2s over other NSAIDs in terms of pain relief.) really outweigh the risks in these particular patients?<\/p>\n<p>I can&#8217;t even begin to imagine how much Pfizer is spending on this campaign at 250 seconds of airtime a pop. And by returning to the airwaves, they&#8217;ve just plastered a big &#8220;Kick Me&#8221; sign on their back for Sidney Wolfe, Senator Grassley, Rep. Waxman, et al.<\/p>\n<p>Whoever sold this idea to Pfizer management must be one heck of a salesperson.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recently, Pfizer ran a long animated TV ad for Celebrex that made many claims within the 2 and a half minute running time. But were these claims accurately understood by viewers? To find out, I decided to follow the ad&#8217;s suggestion and &#8220;dive deeper&#8221; by hosting a little poll on this blog (see &#8220;The New [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":13101,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[522,86,244,108,1177],"topic":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Celebrex Ad: Let&#039;s Dive Deeper - Pharma Marketing Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/celebrex-ad-lets-dive-deeper\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Celebrex Ad: Let&#039;s Dive Deeper - Pharma Marketing Network\" \/>\n<meta property=\"og:description\" content=\"Recently, Pfizer ran a long animated TV ad for Celebrex that made many claims within the 2 and a half minute running time. 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