AUTH/3522/6/21: Health professional v GlaxoSmithKline (Trelegy Ellipta) – No breach

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3522/6/21
ComplainantHealth professional
CompanyGlaxoSmithKline UK Limited
ProductTrelegy Ellipta (fluticasone/umeclidinium/vilanterol)
Therapy areaCOPD
MaterialsBTS Winter Meeting supplement ad (PM-GB-FVU-JRNA-200003 (v2.0)); gskpro webinar ad (PM-GB-RS-WCNT-210009)
Main allegationsImplied use in all COPD (including mild); comparator claim too broad due to Symbicort strength ambiguity; webinar page misleading without indication stated
Applicable Code year2019
Clauses cited2, 3.2, 7.2, 7.3, 7.4, 9.1
Panel decisionNo breach
Complaint received14 June 2021
Case completed3 August 2021
AppealNo appeal

Download the full case report (PDF)


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

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What happened

  • A health professional complained about promotion of Trelegy Ellipta (fluticasone/umeclidinium/vilanterol) by GlaxoSmithKline UK Limited.
  • Materials complained about:
    • BTS Winter Meeting (Feb 2021) supplement advertisement (ref PM-GB-FVU-JRNA-200003 (v2.0)).
    • gskpro website advertisement for a promotional webinar (ref PM-GB-RS-WCNT-210009) titled “Single Inhaler Triple Therapy in COPD; Evidence to Action”.
  • Key issues raised by the complainant:
    • The BTS ad headline claim (“For patients with COPD on treatment with ICS/LABA who are symptomatic and at risk of an exacerbation*”) allegedly implied Trelegy could be used for any COPD patient (including mild COPD) and was not aligned to the licensed indication.
    • The BTS ad comparative claim versus Symbicort Turbohaler allegedly failed to specify which Symbicort strength/dose was used in the cited trial, making the claim broader than the evidence.
    • The webinar webpage allegedly implied Trelegy was licensed for all COPD patients and was misleading because the licensed indication was not stated on the page.
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Outcome

  • No breach of the Code was ruled in relation to all allegations.
  • The Panel considered the COPD stepwise treatment approach and HCP familiarity with guidelines when assessing whether the materials implied use in mild COPD or “all COPD”.
  • The Panel considered the Symbicort comparison was not broader than the evidence, noting only one delivered dose is licensed for COPD (with two presentations achieving the same delivered dose).
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