4. 4
Process
•Do you have an SOP?
•Do you have an oversight committee?
• Broad oversight of process
• Non-product related material review
• 1st
line for dispute resolution
•Process Owner
• Marketing
• Regulatory
• Business Operations
•Defined Escalation Process
6. 6
Reviewers – The Right People
•Roles and Responsibilities
• Are they clearly defined?
•Subject Matter Experts
•Solutions oriented, not just preventing risk
•Emotional Intelligence
7. 7
Example – Legal and Regulatory Roles
Legal Regulatory
Provide a broad risk assessment
based on all relevant laws and factors
known, i.e., specific product liability
matters; investigations; engagements
with customers, HCPs, medical
societies, and 3rd party vendors, etc.
• On-label promotion from perspective
of FDA, OIG, DOJ and state
enforcement actions
• False advertising under Lanham Act,
applicable state laws, and FTC
• Product liability
• Anti-Kickback laws and state
consumer fraud
• Other laws as necessary, i.e.,
privacy, intellectual property, antitrust,
etc.
Provide interpretation and precise
application of all FDA regulations,
guidance documents, and Office of
Prescription Drug Promotion (OPDP,
formerly DDMAC) enforcement
actions
•FDA requirements for labeling and
advertising
• FDCA, CFR and FDA Guidance
• Not false or misleading
• Supported by substantial evidence
• Fairly balanced in presentation
efficacy and Safety
8. 8
Collaboration with Marketing – Early and Often
•Concept Reviews
•Integration into the Brand Team, including Brand
Planning
11. 11
Collaboration with Medical
•Medical Correctness/Accuracy versus Substantial
Evidence
•Review of study concepts to support claims
•Review of HEOR studies to be used proactively
under FDAMA
13. 13
More Quality, Less WasteQualifiedSMEsasReviewTeam
CompliantIdeasfrom
Marketing/Agencies
Effective
Process
Pinpoint
Knowledge
Gaps
+
Qualify
Thru
Training
+
The Ideal
No Click: In most cases, regulatory is typically not part of the Core Brand Team which means we are not part of Brand Planning. Indeed, many companies consider the regulatory reviewer to be part of the Extended Brand Team (versus Core) which eliminates opportunities for very early discussion and regulatory input on proposed strategies and tactics. Since concept reviews traditionally take place during or right before the PRC, you can see why we are setting ourselves up for challenges.
No Click: Here’s how agencies fuel waste in this currently broken system:
First Click: The agency hatches a big idea with few regulatory compliance parameters; at this point, ideas that are essentially non-starters from a regulatory point of view get explored and expanded.
Second Click: Now the agency begins to develop noncompliant campaigns that marketing embraces as differentiating
Third Click: By the time PRC takes place, our reviews become unproductive because we are drained by having to review materials that are not compliant.
Fourth Click: So the materials are kicked back which means the agency needs to rewrite the materials … at the cost to the company.
Fifth Click: Ultimately, the review process is longer than necessary which means that marketing’s efforts are slowed down
No Click: We can all agree that the ideal situation for our industry is to deliver higher quality promotional materials and reduce the wasted time and money associated with unproductive reviews. However, more quality and less waste is currently not the outcomes we see.
First Click: That’s because regulatory, marketing and their promotional agencies are not aligned…
Second Click: but we can bridge the gap.
Third Click: I propose a 3-point plan to achieve this alignment: 1) change the current process
Fourth Click: 2) pinpoint dangerous regulatory compliance knowledge gaps to enhance decision-making
Fifth Click: 3) and qualify all staff involved in the promotional process through regulatory compliance testing. Let me take you through the specifics.