Sanofi: complaint about alleged off-licence promotion of Suliqua via APC formulary listing (AUTH/3486/3/21) – No breach

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3486/3/21
CompanySanofi
ComplainantAnonymous, non-contactable (self-described health professional)
ProductSuliqua (insulin glargine + lixisenatide) pre-filled pen
AllegationOff-licence promotion alleged to have led to out-of-licence APC formulary positioning (including use with basal insulin)
Evidence citedWebpage of a local APC formulary
Applicable Code year2019
Clauses considered2, 3.2, 7.2, 9.1, 15.9
Panel decisionNo breach of the Code
Complaint received6 March 2021
Case completed6 October 2021
AppealNo appeal
Notable remedial actionSanofi medical contacted APC about inconsistency; APC confirmed it amended the Suliqua entry

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 (self-described health professional) complained about alleged off-licence promotion of Suliqua (insulin glargine + lixisenatide) by Sanofi.
  • The complainant pointed to a local Area Prescribing Committee (APC) formulary webpage that described Suliqua as indicated in combination with oral antidiabetic drugs “or basal insulin, or both”.
  • The complainant alleged this formulary positioning was out of line with the Suliqua SPC and suggested Sanofi representatives “might have/would have been having off-licence discussions/promotion” leading to the listing.
  • Sanofi stated the APC formulary listing was set independently of Sanofi and that its own formulary support materials were aligned with the licensed indication.
  • Sanofi investigated (including reviewing available formulary materials, a sample of call records, CRM checks, and interviews with relevant staff) and said it found no evidence of off-licence promotion.
  • After becoming aware of the inconsistency, Sanofi’s medical department contacted the APC; the APC confirmed it amended the Suliqua entry.
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Outcome

  • No breach of Clause 3.2.
  • No breach of Clause 7.2.
  • No breach of Clause 15.9.
  • No breach of Clause 9.1.
  • No breach of Clause 2.
  • The Panel concluded the complainant had not demonstrated, on the balance of probabilities, that Sanofi employees engaged in off-licence discussions or promotion leading to the off-licence formulary listing.
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