Aegerion promotional emails about HoFH guidance: sent without consent and disguised as education (AUTH/2744/12/14)

📅 2014 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/2744/12/14
ComplainantUniversity professor (described as hospital doctor in listing)
CompanyAegerion Pharmaceuticals Limited
Complaint received23 December 2014
Case completed13 February 2015
MaterialTwo promotional emails (ref HoFK/UK/001) about HoFH guidance (Cuchel et al, 2014) including Lojuxta prescribing information
ProductLojuxta (lomitapide)
Main issuesPromotional email sent without prior consent; promotional content initially presented as educational/disguised promotion; high standards
Breach clauses9.1, 9.9, 12.1
No breach clauses11.1
SanctionsUndertaking received; additional sanctions not stated
AppealNo appeal
Applicable Code year2014

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

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What happened

  • A university professor complained about two emails from Aegerion Pharmaceuticals Limited received on 16 and 23 December 2014.
  • Email 1 subject: “New guidance for clinicians on homozygous familial hypercholesterolaemia [HoFH]” linking to Cuchel et al (2014) and summarising key points.
  • Email 2 was the same content with “Reminder” added to the subject line; it was sent only to recipients who had not clicked the link in the first email.
  • Both emails included prescribing information for Lojuxta (lomitapide), indicated as an adjunct treatment in adults with HoFH.
  • The complainant said he had not opted in to receive such emails and did not treat HoFH; he also queried how the company knew whether he had acted on the first email.
  • Aegerion accepted the emails were promotional and admitted an error: the mailing house used the process for “educational” emails rather than the process for promotional emails that would have required prior consent/opt-in.
  • The Panel considered the emails’ initial presentation: sender address “[email protected]”, subject line suggesting guidance, and company identification/prescribing information only becoming apparent after scrolling.
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Outcome

  • Breach found: Clause 9.9 (promotional email sent without prior permission/consent).
  • No breach: Clause 11.1 (Panel accepted the recipient’s interest could reasonably be assumed given his cardiovascular specialty/profile).
  • Breach found: Clause 12.1 (promotion disguised as educational material based on initial impression and lack of clear company identification upfront).
  • Breach found: Clause 9.1 (high standards not maintained).
  • Sanctions recorded: Undertaking received; additional sanctions not stated.
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