AUTH/2131/6/08: Community pharmacist v Grünenthal Ltd – interim data used to support comparative claims for Versatis

📅 2008 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/2131/6/08
Case reference2131 (November 2008 report)
ComplainantCommunity pharmacist
Respondent/companyGrünenthal Ltd
Product(s)Versatis (lidocaine medicated plaster)
Material/channelRepresentative call; detail aid (pages 4, 5 and 8 referenced)
Key issueUse of interim “data on file” and other sources to support specific 4-week comparative efficacy and adverse event claims vs pregabalin (and discussion also referenced gabapentin); substantiation and misleading presentation
Dates (received/completed if stated)Complaint received 10 June 2008; Case completed 29 August 2008
AppealNot stated
Code yearNot stated
Breaches/clausesClauses 7.2 and 7.4 breached; Clause 7.5 not breached
SanctionsNo explicit additional sanctions stated beyond the required undertaking/corrective actions described in the report

Download the full case report (PDF)


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

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What happened

  • A community pharmacist complained about a Grünenthal representative’s promotion of Versatis (lidocaine medicated plaster) during a pharmacy visit in June 2008.
  • The representative said a study showed Versatis had roughly equivalent efficacy to gabapentin (and/or pregabalin) with a much lower incidence of interactions and side-effects.
  • The complainant asked to see the data and was told it was incomplete and might be available in September; the representative did not later offer to supply information in September.
  • The complaint focused on the use of interim data in a detail aid to support claims such as “Versatis is comparable to pregabalin in patient response at 4 weeks” and similar 4-week pain and adverse event comparisons.
  • Grünenthal said the pharmacist wanted the full trial data when complete (not interim data) and provided electronic call notes made after the visit.
  • The Panel reviewed the detail aid pages (including pages 4, 5 and 8) and the substantiation provided (including “data on file”, interim analysis, and references to Hempenstall et al (2005) and SPC information).
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Outcome

  • No breach was found for failure to supply interim data because the Panel did not consider there was sufficient evidence that the complainant had asked for interim data (Clause 7.5 not breached).
  • The Panel ruled that comparative efficacy claims versus pregabalin at 4 weeks were not substantiated by the interim data provided and were misleading.
  • The Panel ruled that specific 4-week adverse event comparison claims versus pregabalin were not substantiated; SPC information was considered too general to support the specific 4-week claims.
  • Breaches of Clauses 7.2 and 7.4 were ruled in relation to the comparative claims supported by interim data.
  • The Panel asked that its concerns about whether Hempenstall et al was sufficient to substantiate comparative claims be drawn to Grünenthal’s attention.
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