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Introduction to the
                                  FDASM
                         PF Anderson / Perplexity Peccable
               Emerging Technologies Librarian for the Health Sciences
                              University of Michigan




Monday, December 14, 2009
What is #FDASM?


Monday, December 14, 2009
Monday, December 14, 2009
Main Questions
                              Addressed

Monday, December 14, 2009
Question Topics
                   1. Accountability
                   2. Regulatory requirements best practices
                   3. Corrective information
                   4. Links
                   5. Adverse event reporting
                            FROM: Federal Register Notice of Public Hearing:
                            http://edocket.access.gpo.gov/2009/E9-22618.htm
Monday, December 14, 2009
FDASM Resources


Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Wordle from Transcripts




Monday, December 14, 2009
Context: General


Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Context: Recent FDA
                              Warning Letters

Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Context: Social Media
                        Use Examples

Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Context: European
                               Precedents

Monday, December 14, 2009
In 2003, Danish journalist Frede Damgaard published
                            information on his website about Hyben Total, a
                            product licensed in Denmark as a treatment for a wide
                            range of conditions—including gout, kidney and
                            bladder disorders, sciatica, diarrhea, and diabetes. The
                            national regulator in 1999 refused it a marketing
                            authorization. It is still sold as a medicine in Sweden
                            and Norway.
                             
                            Mr. Damgaard’s positive description of Hyben Total’s
                            effects on the symptoms of gout and arthritis led to
                            his being prosecuted in the Danish courts on the
                            grounds that it constituted advertising of a medicinal
                            product whose sale was not authorized in Denmark,
                            thus contravening Directive 2001/83/EC.




Monday, December 14, 2009
Title VIII, Advertising, Article 86

                   1. For the purposes of this Title, ‘advertising of medicinal products’ shall
                   include any form of door-to-door information, canvassing activity or
                   inducement designed to promote the prescription, supply, sale or consumption
                   of medicinal products; it shall include in particular:

                            - the advertising of medicinal products to the general public,

                            - advertising of medicinal products to persons qualified to prescribe or
                            supply them,

                            - visits by medical sales representatives to persons qualified to prescribe
                            medicinal products,

Monday, December 14, 2009
Title VIII, Advertising, Article 86

                   - the supply of samples,

                   - the provision of inducements to prescribe or supply medicinal products by
                   the gift, offer or promise of any benefit or bonus, whether in money or in
                   kind, except when their intrinsic value is minimal,

                   - sponsorship of promotional meetings attended by persons qualified to
                   prescribe or supply medicinal products,

                   - sponsorship of scientific congresses attended by persons qualified to
                   prescribe or supply medicinal products and in particular payment of their
                   travelling and accommodation expenses in connection therewith.

Monday, December 14, 2009
Title VIII, Advertising, Article 86


                   2. The following are not covered by this Title:

                            - the labelling and the accompanying package leaflets, which are subject
                            to the provisions of Title V,

                            - correspondence, possibly accompanied by material of a non-promotional
                            nature, needed to answer a specific question about a particular medicinal
                            product,



Monday, December 14, 2009
Title VIII, Advertising, Article 86


                            - factual, informative announcements and reference material relating, for
                            example, to pack changes, adverse-reaction warnings as part of general
                            drug precautions, trade catalogues and price lists, provided they include
                            no product claims,

                            - information relating to human health or diseases, provided that there is
                            no reference, even indirect, to medicinal products.




Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
Context: Role of the
                  Health Care Consumer

Monday, December 14, 2009
To start and to put you in the right mood, you
     should know that this official meeting about
       social media will take place in an office
     WITHOUT ANY CELL OR INTERNET ACCESS!




Monday, December 14, 2009
DTC is currently illegal
     DTC is direct-                in Europe
     to-consumer




Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
More Questions: What
                        are Yours?

Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
A Big One for Us
        Impor
                      tant!

                   Does the FDA plan to proactively reach out to more
                   stakeholders -- patients, public, and physicians in particular --
                   during the comment period? If so, how will it do that? What
                   can we do to help?



Monday, December 14, 2009
Main Questions
                              Addressed

Monday, December 14, 2009
1. Accountability
                   2. Regulatory requirements best practices
                   3. Corrective information
                   4. Links
                   5. Adverse event reporting

Monday, December 14, 2009
1. For what online communications are manufacturers,
                   packers, or distributors accountable?
                            FROM: Federal Register Notice of Public Hearing:
                            http://edocket.access.gpo.gov/2009/E9-22618.htm



Monday, December 14, 2009
2. How can manufacturers, packers, or distributors fulfill regulatory
                   requirements (e.g., fair balance, disclosure of indication and risk
                   information, postmarketing submission requirements) in their
                   Internet and social media promotion, particularly when using tools
                   that are associated with space limitations and tools that allow for
                   real-time communications (e.g., microblogs, mobile technology)?
                            FROM: Federal Register Notice of Public Hearing:
                            http://edocket.access.gpo.gov/2009/E9-22618.htm

Monday, December 14, 2009
3. What parameters should apply to the posting of corrective
                   information on Web sites controlled by third parties?
                            FROM: Federal Register Notice of Public Hearing:
                            http://edocket.access.gpo.gov/2009/E9-22618.htm



Monday, December 14, 2009
4. When is the use of links appropriate?
                   5. Questions specific to Internet adverse event reporting
                            FROM: Federal Register Notice of Public Hearing:
                            http://edocket.access.gpo.gov/2009/E9-22618.htm



Monday, December 14, 2009
Things You Can Do
                                   NOW

Monday, December 14, 2009
Survey: What Happens Now? Questions About the FDA’s Process for Creating
                   Social Media Guidance: <http://www.surveymonkey.com/s.aspx?
                   sm=cTTi_2bsVngf8aiRcggYywrg_3d_3d>
Monday, December 14, 2009
Survey: Predicting the Future of the Drug Industry: 2010 and Beyond:
                   <http://www.surveymonkey.com/s/3YJQ65B>
Monday, December 14, 2009
Think about your concerns and hopes for the forthcoming
                   guidelines. Register your comments.
                   Community discussion will be held in January to help with
                   this

Monday, December 14, 2009
Monday, December 14, 2009
Monday, December 14, 2009
What do YOU want the
                       FDA to do?

Monday, December 14, 2009

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Introduction to the FDASM

  • 1. Introduction to the FDASM PF Anderson / Perplexity Peccable Emerging Technologies Librarian for the Health Sciences University of Michigan Monday, December 14, 2009
  • 2. What is #FDASM? Monday, December 14, 2009
  • 4. Main Questions Addressed Monday, December 14, 2009
  • 5. Question Topics 1. Accountability 2. Regulatory requirements best practices 3. Corrective information 4. Links 5. Adverse event reporting FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm Monday, December 14, 2009
  • 11. Wordle from Transcripts Monday, December 14, 2009
  • 16. Context: Recent FDA Warning Letters Monday, December 14, 2009
  • 19. Context: Social Media Use Examples Monday, December 14, 2009
  • 27. Context: European Precedents Monday, December 14, 2009
  • 28. In 2003, Danish journalist Frede Damgaard published information on his website about Hyben Total, a product licensed in Denmark as a treatment for a wide range of conditions—including gout, kidney and bladder disorders, sciatica, diarrhea, and diabetes. The national regulator in 1999 refused it a marketing authorization. It is still sold as a medicine in Sweden and Norway.   Mr. Damgaard’s positive description of Hyben Total’s effects on the symptoms of gout and arthritis led to his being prosecuted in the Danish courts on the grounds that it constituted advertising of a medicinal product whose sale was not authorized in Denmark, thus contravening Directive 2001/83/EC. Monday, December 14, 2009
  • 29. Title VIII, Advertising, Article 86 1. For the purposes of this Title, ‘advertising of medicinal products’ shall include any form of door-to-door information, canvassing activity or inducement designed to promote the prescription, supply, sale or consumption of medicinal products; it shall include in particular: - the advertising of medicinal products to the general public, - advertising of medicinal products to persons qualified to prescribe or supply them, - visits by medical sales representatives to persons qualified to prescribe medicinal products, Monday, December 14, 2009
  • 30. Title VIII, Advertising, Article 86 - the supply of samples, - the provision of inducements to prescribe or supply medicinal products by the gift, offer or promise of any benefit or bonus, whether in money or in kind, except when their intrinsic value is minimal, - sponsorship of promotional meetings attended by persons qualified to prescribe or supply medicinal products, - sponsorship of scientific congresses attended by persons qualified to prescribe or supply medicinal products and in particular payment of their travelling and accommodation expenses in connection therewith. Monday, December 14, 2009
  • 31. Title VIII, Advertising, Article 86 2. The following are not covered by this Title: - the labelling and the accompanying package leaflets, which are subject to the provisions of Title V, - correspondence, possibly accompanied by material of a non-promotional nature, needed to answer a specific question about a particular medicinal product, Monday, December 14, 2009
  • 32. Title VIII, Advertising, Article 86 - factual, informative announcements and reference material relating, for example, to pack changes, adverse-reaction warnings as part of general drug precautions, trade catalogues and price lists, provided they include no product claims, - information relating to human health or diseases, provided that there is no reference, even indirect, to medicinal products. Monday, December 14, 2009
  • 35. Context: Role of the Health Care Consumer Monday, December 14, 2009
  • 36. To start and to put you in the right mood, you should know that this official meeting about social media will take place in an office WITHOUT ANY CELL OR INTERNET ACCESS! Monday, December 14, 2009
  • 37. DTC is currently illegal DTC is direct- in Europe to-consumer Monday, December 14, 2009
  • 40. More Questions: What are Yours? Monday, December 14, 2009
  • 43. A Big One for Us Impor tant! Does the FDA plan to proactively reach out to more stakeholders -- patients, public, and physicians in particular -- during the comment period? If so, how will it do that? What can we do to help? Monday, December 14, 2009
  • 44. Main Questions Addressed Monday, December 14, 2009
  • 45. 1. Accountability 2. Regulatory requirements best practices 3. Corrective information 4. Links 5. Adverse event reporting Monday, December 14, 2009
  • 46. 1. For what online communications are manufacturers, packers, or distributors accountable? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm Monday, December 14, 2009
  • 47. 2. How can manufacturers, packers, or distributors fulfill regulatory requirements (e.g., fair balance, disclosure of indication and risk information, postmarketing submission requirements) in their Internet and social media promotion, particularly when using tools that are associated with space limitations and tools that allow for real-time communications (e.g., microblogs, mobile technology)? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm Monday, December 14, 2009
  • 48. 3. What parameters should apply to the posting of corrective information on Web sites controlled by third parties? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm Monday, December 14, 2009
  • 49. 4. When is the use of links appropriate? 5. Questions specific to Internet adverse event reporting FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm Monday, December 14, 2009
  • 50. Things You Can Do NOW Monday, December 14, 2009
  • 51. Survey: What Happens Now? Questions About the FDA’s Process for Creating Social Media Guidance: <http://www.surveymonkey.com/s.aspx? sm=cTTi_2bsVngf8aiRcggYywrg_3d_3d> Monday, December 14, 2009
  • 52. Survey: Predicting the Future of the Drug Industry: 2010 and Beyond: <http://www.surveymonkey.com/s/3YJQ65B> Monday, December 14, 2009
  • 53. Think about your concerns and hopes for the forthcoming guidelines. Register your comments. Community discussion will be held in January to help with this Monday, December 14, 2009
  • 56. What do YOU want the FDA to do? Monday, December 14, 2009