AUTH/3453/1/21: Anonymous v Pfizer — conduct of a representative (Xeljanz) (No breach)

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3453/1/21
ComplainantAnonymous, non-contactable complainant (described as a concerned doctor)
CompanyPfizer Limited
ProductXeljanz (tofacitinib)
Therapy area / contextGastroenterology; ulcerative colitis; Covid-19 pandemic engagement restrictions
Main allegationsOver-contacting/ignoring request not to see reps; using different names; off-licence promotion for Covid-19 and irritable bowel disease; suggesting case studies without patient consent
Applicable Code year2019
Clauses considered3.2, 7.2, 7.4, 9.1, 15.2, 15.4, 15.9
Panel decisionNo breach of Clauses 3.2, 7.2, 7.4, 9.1, 15.2, 15.4 and 15.9
Complaint received3 February 2021
Case completed15 July 2021
AppealNo appeal
SanctionsNone (No breach; additional sanctions not stated)

Download the full case report (PDF)


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

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What happened

  • An anonymous, non-contactable complainant (a “concerned doctor”) complained on behalf of a gastroenterology team about a named Pfizer representative promoting Xeljanz (tofacitinib).
  • Allegations included that the representative:
    • Called on the hospital team and continued to email/telephone after being told the team did not want to see representatives due to Covid-19 concerns.
    • Used different names to try to secure appointments.
    • Promoted Xeljanz outside the licensed indication, allegedly suggesting it would help patients with Covid-19 and irritable bowel disease by keeping them out of hospital.
    • Asked the team to consider writing up case studies without patient consent, leading to a loss of trust.
  • Pfizer conducted a formal HR investigation and temporarily withdrew the colleague from customer-facing activity during the investigation.
  • Pfizer stated it had implemented pandemic-specific engagement controls (virtual-only, guidance on outreach, recording “touchpoint calls”, limits on repeated contact, and certified briefings including Covid-19-specific content).
  • Pfizer’s investigation (call recording system review, email patterns, phone bill review, activity levels, and interviews) found no evidence supporting the allegations; the representative denied all allegations.
  • The Panel noted the complainant provided insufficient detail to identify the particular circumstances clearly, and the parties’ accounts differed.
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Outcome

  • No breach of the Code was ruled.
  • The Panel found the complainant had not established the case on the balance of probabilities, particularly as the complainant was non-contactable and provided insufficient detail.
  • No appeal.
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