Roche Products Ltd – Polivy dosing webpage omitted key administration instructions (AUTH/3639/4/22)

📅 2022 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3639/4/22
CompanyRoche Products Ltd
ComplainantAnonymous, contactable; described themselves as a health professional
MedicinePolivy (polatuzumab vedotin)
MaterialPolivy promotional website – dosing page (GB-00004744; date of preparation September 2021)
Main issueDosing/administration webpage omitted key SmPC administration instructions (dedicated infusion line/filter/catheter; and inadequate signposting that dose-modification info for infusion-related reactions was on the safety page)
Applicable Code year2021
Complaint received25 April 2022
Case completed24 April 2023
AppealNo appeal
Breach clausesClause 6.1; Clause 5.1; Clause 2
No breach clauses (as ruled in parts)Clause 6.1; Clause 6.2; Clause 5.1; Clause 2
SanctionsUndertaking received; Additional sanctions: Advertisement

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

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What happened

  • An anonymous health professional complained about Roche’s Polivy (polatuzumab vedotin) promotional website, specifically the dosing page (GB-00004744; date of preparation September 2021).
  • The complainant alleged the dosing page omitted important administration instructions from the Polivy SPC needed for patient safety, including: use of a dedicated infusion line with a specific in-line/add-on filter and catheter, and that Polivy must not be given as IV push/bolus.
  • The complainant also alleged the page did not include SPC guidance that the infusion rate should be slowed or interrupted if an infusion-related reaction occurs.
  • Roche argued the page included references to IV infusion (90-minute initial infusion; 30-minute subsequent infusions), links to prescribing information and a safety page, and prompts to consult the SPC and hospital guidelines.
  • The Panel found that, in the context of a dosing/administration page, the overall impression was that it contained all important administration information, when it did not (and it did not clearly signpost where the missing dosing-related information could be found).
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Outcome

  • Breach of Clause 6.1 (misleading) for omission of important administration instructions about the required infusion line/filter/catheter and for not highlighting on the dosing page that additional important dose-modification information (re infusion-related reactions) was on the safety page.
  • Breach of Clause 5.1 (high standards) in relation to incomplete information about IV administration of an antineoplastic agent.
  • Breach of Clause 2 (discredit/reduced confidence) because incomplete administration information on a page intended to guide administration risked prejudicing patient safety.
  • No breach of Clauses 6.1 and 6.2 regarding the allegation that “IV*” could be misinterpreted as IV bolus/push (Panel considered HCPs unlikely to be misled given surrounding references to IV infusion).
  • No breach of Clause 6.2 (substantiation) as there was no allegation that information was not capable of substantiation.
  • No breach of Clauses 5.1 and 2 in relation to the infusion-related reaction dose-modification information being on the safety page (in the particular circumstances, the Panel did not consider this alone established a failure of high standards or discredit).
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