AUTH/3404/10/20: Indivior v Camurus — Buvidal guidelines and webinars treated as promotional; public access and missing safety info

📅 2020 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3404/10/20
PartiesIndivior v Camurus
MedicineBuvidal (buprenorphine, prolonged-release solution for injection)
Indication (as stated)Treatment of opioid dependence within a framework of medical, social and psychological treatment; adults and adolescents aged 16 years or over
MaterialsBooklet: “Clinical guidelines for the use of depot buprenorphine (Buvidal) in the treatment of opioid dependence” and related webinars
Key compliance issuesGuidelines and webinars treated as promotional; missing prescribing information, missing INN at first mention, missing adverse event reporting statement; lack of certification; disguised promotion; inadequate sponsorship declaration (webinars); promotion of POM to the public due to access failures
Applicable Code year2019
Complaint received22 October 2020
Case completed22 June 2021
AppealNo appeal
No breachClause(s) 9.10 (guidelines)
Breach clauses2, 4.1, 4.3, 4.9, 9.1, 9.10, 12.1, 14.1, 26.1, 26.2, 28.1
SanctionsUndertaking received; Additional sanctions: Advertisement

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

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What happened

  • Indivior complained about Camurus’ promotion of Buvidal (buprenorphine, prolonged-release solution for injection) via a 54-page booklet of “clinical guidelines” and related webinars hosted by a registration body and network for addiction professionals.
  • Buvidal was indicated for treatment of opioid dependence within a framework of medical, social and psychological treatment, for adults and adolescents aged 16 years or over.
  • The Panel found Camurus was closely linked to the production of the guidelines via a consultancy agreement (including rights to comment and review for Code compliance), so the guidelines were, in effect, Camurus’ promotional material.
  • The guidelines omitted required elements for promotional material: prescribing information, the non-proprietary name alongside the brand name at first prominent mention, and the adverse event reporting statement; and they were not certified in final form.
  • The Panel found the way Camurus’ involvement was presented was not sufficiently clear, so the promotion was disguised.
  • Two webinars (7 and 14 May 2020) were found to be, in effect, promotional material for Buvidal for which Camurus was responsible; they also omitted prescribing information, INN at first mention, and the adverse event reporting statement, and were not certified.
  • The sponsorship declaration for the webinars did not fairly reflect Camurus’ role/responsibility.
  • Access controls failed: the first webinar appeared not restricted to health professionals; recordings were accessible via a public YouTube page and could be found via standard search terms, with no clear statement that content was for health professionals—resulting in promotion of a prescription-only medicine to the public.
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Outcome

  • Breaches ruled for multiple clauses relating to missing obligatory information, disguised promotion, lack of certification, promotion to the public, high standards, and bringing discredit to the industry.
  • No breach of Clause 9.10 was ruled for the guidelines (the Panel considered Clause 9.10 not relevant because the guidelines were commissioned promotional material rather than sponsored material).
  • Breach of Clause 9.10 was ruled for the webinars (declaration did not fairly reflect Camurus’ role/responsibility).
  • Case completed 22 June 2021; no appeal.
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