AUTH/3592/12/21: Bayer v Janssen (Erleada on-demand promotional video) – No breach

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

FieldDetails
Case numberAUTH/3592/12/21
PartiesBayer v Janssen
MaterialPromotional on-demand video recording for Erleada (apalutamide) tablets
Video titleCastration-resistant prostate cancer: The evidence supporting the benefits of earlier treatment
Material code / dateCP-277649, November 2021
Channel / locationHosted on the Janssen UK Medical Cloud (thejanssenmedicalcloud.co.uk)
Format / lengthOn-demand video; 29-minute recording
Complaint received17 December 2021
Case completed3 March 2023
Applicable Code year2021
AppealNo appeal
DecisionNo breach
Clauses considered2, 5.1, 6.1, 6.2, 6.3, 6.4, 6.6, 11.2, 14.1
SanctionsNone

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

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What happened

  • Inter-company complaint by Bayer plc about a Janssen promotional on-demand video for Erleada (apalutamide) tablets: “Castration-resistant prostate cancer: The evidence supporting the benefits of earlier treatment” (CP-277649, November 2021), hosted on the Janssen UK Medical Cloud.
  • The 29-minute recording appeared to have been presented as part of a live promotional webinar held on 26 April 2021 and was aimed at a UK audience.
  • Bayer alleged three unresolved issues after inter-company dialogue (five areas were discussed; two were resolved):
    • Off-licence promotion (micro-metastatic nmCRPC framing): Bayer said describing nmCRPC trial populations as “micro-metastatic” implied apalutamide use where metastases were present on any imaging modality.
    • Safety presentation/cross-trial comparisons: Bayer said the video presented incomplete and unbalanced AE information (eg not discussing Grade 3–5 AEs), made speculative/unsubstantiated statements about AE capture frequency, and used side-by-side trial comparisons that were misleading/disparaging despite a disclaimer.
    • Off-licence promotion (advanced imaging/PSMA-PET): Bayer said the presenter suggested management should not change if metastases were seen on PSMA-PET but not conventional imaging, and cited APCCC 2019 voting implying treatment “as nmCRPC” with agents like apalutamide/enzalutamide.
  • Janssen denied breaches, arguing nmCRPC and “metastatic” status in this context were defined by conventional imaging consistent with pivotal trials and guidelines; the video repeatedly cautioned against head-to-head comparisons and used placebo-arm context/relative risk to illustrate trial-design pitfalls.
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Outcome

  • No breach of the Code was found in relation to the video.
  • The Panel did not consider Bayer had established, on the balance of probabilities, that:
    • Janssen promoted apalutamide off licence (including in relation to “micro-metastatic” language or advanced imaging/PSMA-PET discussion).
    • Janssen limited discussion to selected AEs such that the safety presentation was incomplete/unbalanced as alleged.
    • The presenter’s comments about AE capture frequency were purely speculative/incapable of substantiation or factually inaccurate.
    • The side-by-side presentation of AEs across trials was a misleading comparison or disparaged another company’s product in the circumstances of this case.
  • No breach was also ruled for the associated “high standards” and “discredit” allegations.
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