AUTH/2789/8/15: Roche/PMCPA Director v Merck Serono — CDF presentation alleged to breach undertaking (No breach)

📅 2015 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/2789/8/15
PartiesRoche/PMCPA Director v Merck Serono
Complaint typeAlleged breach of undertaking
ProductErbitux (cetuximab)
Comparator mentionedAvastin (bevacizumab)
SettingPresentation to Cancer Drugs Fund (CDF) panel (July 2015) with pre-submitted slides and wider evidence pack
Key studies referencedCRYSTAL, OPUS, FIRE-3, CALGB/SWOG
Alleged clausesClause 2; Clause 9.1; Clause 29
Applicable Code year2015
OutcomeNo breach
Complaint received14 August 2015
Case completed3 November 2015
AppealNo appeal
Panel note (governance)Panel queried whether CDF panel was within Clause 1.2-type exemption and whether materials ought to have been certified; Merck Serono to be advised of concerns

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

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What happened

  • Roche alleged Merck Serono breached an undertaking given in an earlier case (AUTH/2705/3/14) about how FIRE-3 clinical trial data for Erbitux (cetuximab) should be presented.
  • The new material was a July 2015 presentation to a Cancer Drugs Fund (CDF) panel meeting, submitted in advance with a wider evidence pack, and delivered in a time-limited slot (15 minutes for three indications).
  • Roche argued the presentation over-emphasised FIRE-3 overall survival, omitted key context (including that OS was a secondary endpoint and that the study did not meet its primary endpoint), and did not adequately contextualise FIRE-3 against CALGB/SWOG data.
  • Roche also alleged the setting included lay observers and other companies, increasing the need for high standards and non-misleading presentation.
  • Merck Serono denied breach, arguing the Erbitux licence had materially changed since the 2013 press release (now restricted to RAS wild-type mCRC), the presentation aligned with the SPC (which included RAS wild-type FIRE-3 results), and CALGB/SWOG data was included across multiple slides.
  • The complaint was taken up in the name of the PMCPA Director because it concerned an alleged breach of an undertaking.
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Outcome

  • No breach of the Code was ruled.
  • The Panel found the CDF presentation was not “closely similar” to the earlier press release and therefore was not caught by the prior undertaking.
  • No breach was ruled of Clause 29 (undertakings), and consequently no breach of Clauses 9.1 or 2.
  • The Panel queried whether the CDF body was truly within the Clause 1.2 exemption (national public organisations) and raised concerns about whether the submission/presentation ought to have been certified; Merck Serono was to be advised of these concerns.
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