AstraZeneca advisory board: ‘scientific exchange’ terminology and late-signed consultant contract (AUTH/3514/5/21)

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3514/5/21
PartiesEx-employee v AstraZeneca
Company activityVirtual advisory board following ASH 2020 (CLL)
Meeting date16 December 2020
Steering Committee date27 November 2020
CongressAmerican Society of Haematology (ASH) 2020 (5–8 December 2020)
Medicine referencedAcalabrutinib (Calquence)
Marketing authorisation date noted5 November 2020 (EMA for 1L and RR CLL)
AdvisorsSeven consultant haematology advisors
Applicable Code year2019
Breach clauses9.1, 23.1
SanctionsUndertaking received
Complaint received24 May 2021
Case completed9 August 2022
AppealNo appeal

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

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What happened

  • An ex-employee complained about a post-ASH (Dec 2020) virtual meeting described in documents as a “scientific exchange/debrief”, alleging it was actually a promotional, off-licence advisory board designed to raise awareness of EMA timelines and gather company-directed insights.
  • AstraZeneca said the activity was a legitimate, non-promotional advisory board (3 hours, virtual) supported by a prior Steering Committee (Nov 2020) to select congress abstracts for discussion in Chronic Lymphocytic Leukaemia (CLL).
  • AstraZeneca triaged several hundred ASH abstracts to 22; the external Steering Committee selected 14 for the advisory board (3 related to acalabrutinib).
  • Seven consultant haematology advisors participated; advisors were allocated 2–3 abstracts each to present briefly, with discussion intended to inform AstraZeneca’s medical planning for 2021.
  • Documentation repeatedly and prominently referred to the meeting as a “scientific exchange meeting” and included phrases such as “partnership between UK clinicians and AstraZeneca” and “HCP-led project”, which the Panel considered potentially misleading for an advisory board where participants were paid.
  • One Steering Committee advisor’s contract was signed three days after the Steering Committee meeting.
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Outcome

  • No breach found for allegations of pre-licence promotion: acalabrutinib (Calquence) had EMA marketing authorisation on 5 November 2020 (before the Steering Committee, ASH 2020, and the advisory board).
  • No breach found that the meeting was promotional/disguised promotion; therefore no breach for prescribing information or certification requirements.
  • Breach found for Clause 9.1 due to failure to maintain high standards, driven by frequent/prominent and potentially misleading “scientific exchange” terminology and inconsistent descriptions of the meeting.
  • Breach found for Clause 23.1 because a written consultant contract was not agreed in advance for one Steering Committee advisor (signed after the Steering Committee).
  • No breach of Clause 2 (particular censure) despite concerns, as the Panel considered the meeting non-promotional and some documents did describe advisory roles/questions.
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