AUTH/1836/5/06: Johnson & Johnson Wound Management v Baxter Healthcare (Tisseel) – No breach

📅 2006 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/1836/5/06
PartiesJohnson & Johnson Wound Management v Baxter Healthcare Ltd
ProductTisseel Fibrin Sealant Kit
Main issueAlleged promotion outside the marketing authorisation / inconsistent with SPC (promotion in burns and plastic surgery; interpretation of “haemostasis” in indication)
Complaint received08 May 2006
Case completed19 July 2006
Applicable Code year2006
Clause(s) consideredClause 3.2
DecisionNo breach
AppealNo appeal
Additional sanctionsNot stated

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Reviewed by Dr Anzal Qurbain (FFPM) — ABPI Final Signatory

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What happened

  • Johnson & Johnson Wound Management complained that Baxter promoted Tisseel Fibrin Sealant Kit across multiple hospital departments, including burns and plastic surgery, as a haemostat and sealant.
  • Because there had been prior confusion about Tisseel’s licensed indication (referencing Case AUTH/1751/8/05), Johnson & Johnson asked the MHRA to clarify the meaning of: “Tisseel is intended to complement good surgical technique in achieving haemostasis, or obtaining a watertight seal of the dura mater”.
  • Johnson & Johnson said the MHRA replied that “haemostasis” could only reflect benefit in relation to neurosurgery and could not be used to promote a general haemostasis indication; the comma should not be used as justification.
  • Baxter disputed the allegation, stating its promotion was appropriate and in accordance with the marketing authorisation/SPC, and questioned why MHRA guidance would be shared with a competitor but not with Baxter.
  • The Panel reviewed the SPC wording and noted it could be interpreted in two ways due to punctuation (general haemostasis vs haemostasis only in relation to dura sealing), and considered the context in the following SPC paragraph (cardiopulmonary surgery and adjunct to dura sealing).
  • The Panel considered the promotional material provided and the allegation that promotion occurred in departments other than neurosurgery and cardiovascular surgery.
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Outcome

  • No breach of the Code was ruled.
  • The Panel did not consider the promotional material, nor promotion in hospital departments other than neurosurgery and cardiovascular surgery, to be inconsistent with the SPC as alleged.
  • No breach of Clause 3.2 was ruled.
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