GE Healthcare: UK-facing Vizamyl congress materials implied UK availability (AUTH/2893/11/16)

📅 2016 | 🖉 Dr Anzal Qurbain
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Key facts

CaseAUTH/2893/11/16
ComplainantAnonymous, non-contactable
CompanyGE Healthcare
ProductVizamyl (18F flutemetamol injection); discussion also concerned unlicensed 18F flutemetamol injection
Therapy/areaPET amyloid imaging (diagnostic tool for Alzheimer’s disease)
SettingEuropean Association of Nuclear Medicine (EANM) meeting, Barcelona (Oct 2016)
Main issueUK-facing congress materials implied Vizamyl was commercially available in the UK; likely led to discussion of unlicensed 18F flutemetamol
Breach clausesClause 3.1; Clause 7.2; Clause 9.1
No breach clausesClause 2; Clause 3.1; Clause 3.2; Clause 12; Clause 16
SanctionUndertaking received
Complaint received29 November 2016
Case completed31 March 2017
AppealNo appeal
Applicable Code year2016

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

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What happened

  • An anonymous, non-contactable complainant alleged GE Healthcare promoted Vizamyl (18F flutemetamol) and/or unlicensed 18F flutemetamol injection to UK PET centres and at the EANM congress (Barcelona, Oct 2016).
  • Vizamyl was licensed in the UK but not commercially available in the UK due to non-UK manufacturing sites and the short half-life of fluorine-18 (logistics meant it could not reach UK patients in time).
  • GE Healthcare could manufacture 18F flutemetamol in the UK, but this would be unlicensed and could only be supplied for clinical trials or as a named-patient ‘special’ (and had not been supplied as a ‘special’ to date).
  • At the EANM booth, some Vizamyl materials included UK prescribing information, UK price in pounds sterling, MHRA references, and a prominent UK company address.
  • The Panel considered this UK-facing content misleadingly implied Vizamyl was available in the UK and would likely prompt UK delegates to ask about UK access, leading to discussion of unlicensed 18F flutemetamol.
  • Allegations that GE Healthcare proactively approached PET centres, used disguised promotion, or failed to train staff were not supported by evidence (complainant provided no evidence and was non-contactable).
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Outcome

  • Breach ruled: Clause 7.2 (UK prescribing info/UK pricing on congress materials misleadingly implied UK availability).
  • Breach ruled: Clause 3.1 (on balance of probabilities, UK delegates would have been told about unlicensed 18F flutemetamol following availability questions prompted by the materials).
  • Breach ruled: Clause 9.1 (high standards not maintained).
  • No breach: Clause 2.
  • No breach: Clause 3.1 and Clause 3.2 in relation to the allegation that GE Healthcare actively approached PET centres to get them to use Vizamyl by supplying 18F flutemetamol.
  • No breach: Clause 12 (disguised promotion).
  • No breach: Clause 16 (training).
  • No appeal.
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