Roche: ‘Generally well tolerated’ claim on Ocrevus HCP landing page ruled not misleading (AUTH/3651/5/22)

📅 2022 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3651/5/22
CompanyRoche Products Ltd
ComplainantAnonymous, contactable health professional
ProductOcrevus (ocrelizumab)
Material/channelLanding page of the Roche Resources website (Ocrevus website landing page)
Main allegationClaim “generally well tolerated” was misleading/not balanced given serious adverse events described in the SPC; needed significant qualification
Applicable Code2021
Clauses cited2, 5.1, 6.1, 6.2
Panel decisionNo breach of Clauses 2, 5.1, 6.1, 6.2
Key rationaleClaim was sufficiently qualified by adjacent, eye-catching list of links to safety/tolerability information within the immediate visual field, plus the qualifier “generally”
Complaint received30 May 2022
Case completed23 May 2023
AppealNo appeal

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

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What happened

  • An anonymous, contactable health professional complained about the Ocrevus (ocrelizumab) landing page on the Roche Resources website.
  • The landing page included the claim: “Ocrevus was generally well tolerated by RMS and PPMS patients”.
  • The complainant alleged the safety wording was misleading/not balanced given SPC trial data describing serious (and rare fatal) adverse effects, and said the claim needed significant qualification that was not provided.
  • The claim sat in a “Safety Profile” section and was followed by “Find out more about” with four prominent links: Ocrevus Safety Profile, Ocrevus ADRs, Ocrevus IRRs, and Ocrevus Warnings and Precautions.
  • Roche argued the complainant conflated “tolerability” and “safety profile”, and that tolerability can be supported by overall AE/discontinuation rates versus comparators; Roche also noted MHRA pre-vetting had approved inclusion of the phrase (while acknowledging this is not determinative of ABPI compliance).
  • The Panel assessed the version of the webpage provided by the complainant and noted it did not have access to the linked content.
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Outcome

  • No breach of Clause 6.1 (Requirement that claims must not be misleading).
  • No breach of Clause 6.2 (Requirement that claims must be capable of substantiation).
  • No breach of Clause 5.1 (Requirement to maintain high standards).
  • No breach of Clause 2 (Requirement that material must not bring discredit upon, or reduce confidence in, the pharmaceutical industry).
  • The Panel’s key reasoning: the claim was sufficiently qualified by the immediately adjacent, eye-catching list of links to ADRs/IRRs/warnings & precautions within the immediate visual field, plus the qualifying word “generally”.
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