GSK: Senior medical employee ‘loved’ LinkedIn post seen as disseminating off-label promotion for Jemperli (AUTH/3690/8/22)

📅 2022 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3690/8/22
CompanyGlaxoSmithKline (GSK)
Productdostarlimab (Jemperli)
ChannelLinkedIn (employee “love” reaction to third-party post)
ComplainantNon-contactable complainant; described self as a concerned health professional
Core issueEmployee engagement treated as proactive dissemination; off-label promotion risk (rectal cancer vs authorised indication)
Employee connections~2,100 connections; >95% estimated health professionals; ~1,200 UK-based
SPC indication referenced by PanelMonotherapy for adult patients with dMMR/MSI-H recurrent or advanced endometrial cancer that has progressed on/following platinum-containing regimen
Breach clausesClause 5.1; Clause 11.2
No breach clausesClause 2; Clause 3.1
SanctionsUndertaking received
Complaint received6 September 2022
Case completed17 August 2023
Applicable Code year2021
AppealNo appeal

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

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What happened

  • A non-contactable complainant (described as a concerned health professional) complained about a UK-based senior medical GSK employee reacting “loves this” to a LinkedIn post from a renowned cancer institution.
  • The post referenced ASCO 2022/NEJM and linked to content about immunotherapy in rectal cancer; the linked article mentioned “dostarlimab (Jemperli)” once and described its use in rectal cancer.
  • The employee had ~2,100 LinkedIn connections; GSK estimated >95% were health professionals, with ~1,200 UK-based connections.
  • The Panel considered that “liking/loving” a post increases the likelihood it appears in connections’ feeds (eg, “[name] likes this”) and can therefore amount to proactive dissemination, bringing the material within scope of the UK Code.
  • Jemperli had a UK marketing authorisation, but for a different indication (endometrial cancer); the post/article related to rectal cancer (outside the MA).
  • GSK stated it was not involved in creating or distributing the external post and it was not certified by a GSK signatory.
  • GSK said the employee “unloved” the post, repeated social media training, and GSK committed to update policies/training to better address indirect promotion even without explicit product mention.
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Outcome

  • Breach of Clause 5.1 (Failing to maintain high standards).
  • Breach of Clause 11.2 (Promotion inconsistent with the summary of product characteristics).
  • No breach of Clause 2 (Requirement that activities or materials must not bring discredit upon, or reduce confidence in, the pharmaceutical industry).
  • No breach of Clause 3.1 (Requirement that a medicine must not be promoted prior to the grant of its marketing authorisation) because Jemperli already had a marketing authorisation (albeit for a different indication).
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