Monday, November 30, 2009

Issue 8.10: Nov/Dec 2009

Focus
FDA, Corporate Reputation, Direct-to-Consumer Advertising, Social Media
OpEd
What's Next from FDA?

John Mack, Editor of Pharma Marketing News, discusses the next steps FDA is likely to take on the road toward issuing its anticipated guidance for use of the Internet for Rx drug and device promotion. There are still some questions about the details from interested stakeholders/ To help collect these questions and present them to the FDA, readers are asked to fill out this questionnaire:
Planned Articles
  • Search Advertising Options for Pharma
    What to Do While Waiting for Those Guidelines

    At the November 12-13, 2009, FDA public hearing on social media and the Internet, Google presented some new search ad formats for the pharmaceutical industry. According to Julie Batten, eMarketing Manager at Klick Pharma, a full-service digital marketing agency that specializes in the healthcare and pharmaceutical sector, Google previewed its ideas to a small group of agency and advertiser partners, including Klick, several months prior to that.

    In this article, Batten discusses pharma’s options for search marketing in this period between the FDA public hearing and when the much anticipated draft and final guidance on the issue is published.

  • Reputation Strategies That Drive Market Results
    Turning Your Good Name into Good Business

    New research proves that a strong corporate reputation is not just about good works. It's about good business. There is a direct link between corporate rep and customer behavior -- such as recommending or prescribing your brand. In today's negative environment, how can you enhance your reputation -- and ensure it delivers results?

    This article answers that question and covers the following topics:


    • Driving Business Performance with Corporate Reputation
    • Influencing the New Influencers through Social Media
    • Strengthening Your Reputation with KOLs

    Experts quoted include: Mark Sales, Head of Global Stakeholder Management, KantarHealth; Amy Krane, Director, Healthcare Solutions, TNS Cymfony; and Gary Bartolacci, Senior Director, KantarHealth.


  • Consequences of Direct-to-Consumer Advertising
    New Research On Link to Higher Drug Costs

    A new study published in the November 23, 2009 issue of Archives of Internal Medicine (“Costs and Consequences of Direct-to-Consumer Advertising for Clopidogrel in Medicaid”; Arch Intern Med. 2009;169[21]:1969-1974) offers evidence that drug price increases are engineered to cover the costs of DTCA. The authors examined pharmacy data from 27 Medicaid programs from 1999 through 2005. They analyzed changes in the number of units of clopidogrel (Plavix) dispensed, cost per unit dispensed, and total pharmacy expenditures.

    What’s interesting about this study is that it was able to compare volume and costs before and after DTCA initiation. Plavix has been marketed extensively using DTCA starting in 2001, several years after it was initially released. There was no DTCA for Plavix from 1999 to 2000. From 2001 to 2005, U.S. spending on DTCA for Plavix exceeded $350 million, an average of $70 million per year. “This preliminary analysis of an ideal case study,” said the authors, “allowed us to estimate changes in prescribing after the initiation of DTCA, while controlling for existing pre-DTCA trends.”

    This article summarizes the results of this study.

  • A Few Things I Learned at FDA’s Social Media Hearing
    What's Next is What Counts

    Unless you have been living under a rock – and not reading this newsletter – you probably know that the FDA convened a public hearing on November 12 and 13, 2009, to hear comments from 60 or so speakers about FDA regulation of social media and the Internet.

    You can access a boatload of presentations, summary articles, podcasts, tweets, and practically everything you will ever want to know relating to this hearing at www.fdasm.com, a Website set up by Ignite Health. Currently, there are approximately 135 articles related to the public hearing now available online: http://tr.im/FnQL

    This article presents key takeaways from the FDA hearing, a synopsis of the presentations made by John Mack, Publisher, Pharma Marketing News, at the hearing, a review of Ignite Health’s study regarding effectiveness of sponsored links, and the next steps in the process.

Anticipated Publication Date
16-December-2009
Ad Submission Deadline Date
11-December-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Monday, October 26, 2009

Issue 8.9: October, 2009

Focus
Adverse Events, Social Media, Market Access, REMS
OpEd
Meet Me at FDA's Public Hearing

John Mack, Editor of Pharma Marketing News, will present results from the survey "FDA Regulation of Drug & Device Promotion via the Internet & Social Media" at the November 12-13, 2009, public hearing in Washington, DC. If you can't be there -- and even if you will be there -- please respond to the survey and give us your answers and comments related to FDA's questions regarding the promotion of FDA-regulated medical products using the Internet and social media tools.

Planned Articles
  • Social Media Adverse Event Reporting Safe Harbors
    It’s Time for FDA to Open Up the Internet to Rx Advertising Like It Did with TV!

    Adverse event (AE) monitoring and reporting are the two primary hurdles that pharmaceutical marketers must overcome before they can feel comfortable using the full two-way conversational features of the new Internet (ie, Web 2.0, aka “social media”).

    This article presents ideas for regulatory “safe harbors” under which pharma companies would be relieved of the responsibility of monitoring social media for adverse events. Whether or not the FDA implements these or some other form of safe harbor is anybody’s guess. But if the drug industry really wants a safe harbor -- and there is some question about that -- this could be a start.

    As background, the article also includes a detailed summary of responses to the survey "FDA Regulation of Drug & Device Promotion via the Internet & Social Media" regarding social media adverse event monitoring, processing, challenges, and uncertainties.

  • Pharmaceutical Market Access 2010
    Strategic Developments Impacting the US, EU, and Emerging Markets

    It’s no secret that the pharmaceutical and biotechnology industry is confronting significant short-term and long-term financial challenges that range from generic competition, upcoming patent expirations, and pending healthcare legislation and reforms in both the US and EU. These challenges are forcing the industry to "rethink" everything from R&D to Marketing.

    “Future revenue growth in the US and EU will be limited,” said Stephen Potts, KantarHealth Regional Director, Asia Pacific, the Middle East and Africa, during a recent webinar entitled “Pharmaceutical Market Access 2010.” “Pharma and biotech companies are looking to emerging market opportunities in Brazil, Russia, India, and China (i.e., BRIC) to drive future business,” said Potts. “The EU is wrestling with the cost effectiveness of treatments and working through key changes in important regulatory processes. In addition, US healthcare reforms and pending legislation are pointing to universal coverage or the emergence of a ‘national plan’.”

    What does this all mean for patients, physicians, payers, and pharmaceutical / biotech manufacturers especially as payer actions and priorities converge across borders? Potts and his co-speakers -- Lee Blansett, KantarHealth Senior Vice President, Oncology Market Access and Susanne Michel MD, KantarHealth Head of Global Market Access, Pricing and Reimbursement – addressed those questions during the webinar. This article presents a summary of the webinar.

  • Risk Mitigation and Its Impact on Pharma Marketing
    Appropriate Use Benefits After Launch

    Drug safety has always been a concern of FDA and drug manufacturers. Recently, however, FDA is paying even more attention to drug safety issues. The Food and Drug Administration Amendments Act of 2007 (FDAAA) granted the FDA the authority to require pharmaceutical companies to submit and implement a REMS -- Risk Evaluation and Mitigation Strategy -- if the FDA determines a REMS is necessary to ensure that a drug’s benefits outweigh its risks. About 33% of new molecular entities approved since FDAAA became effective on March 25, 2008 have required a REMS, and 75% of these required a Medication Guide, which contains information for patients on how to safely use a drug product, with a REMS assessment. So, REMS are becoming more common than in the past, although they are not yet “the rule.”

    “Risk management, REMS, danger management of your product's life cycle, whatever you call it, all are crucial to brand managers and marketing executives,” said Jeff Fetterman, President and CEO of ParagonRx (www.paragonrx.com), a Delaware-based company which specializes in programs for the appropriate use of medications.

    This article summarizes Fetterman's ideas about how to develop a REMS that can be a win-win-win situation for you, your product, and the patient.

Anticipated Publication Date
29-October-2009
Ad Submission Deadline Date
27-October-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Friday, September 18, 2009

Issue 8.8: September, 2009

Focus
FDA, Ghostwriting, Social Media, Regulations, Twitter
OpEd
Let's Respond to FDA's Questions Regarding Its Regulation of Social Media
On Friday, September 18, 2009, the FDA filed a notice to be published in the Federal Register on September 21, 2009 calling for a public hearing on the Promotion of Food and Drug Administration-Regulated Medical Products Using the Internet and Social Media Tools. The FDA is requesting the public to submit comments to a series of specific questions, which are included in a new survey created by Pharma Marketing Network/News.

Planned Articles
  • What If There Were No Rules in Pharma Marketing?

    "Sometimes the biggest inhibitor of the innovation process is ourselves," says author and blogger Jonathan Richman. Sometimes it’s external forces (regulations, guidelines, naysayers). Still other times it’s our interpretation of the external forces. This last one is perhaps the most menacing.

    External forces include pesky things called laws that always seem to make it all a bit more complicated for pharmaceutical marketers. Like laws, rules and regulations, such as those from the FDA, often dictate what we can and can’t do. Most of us know the rules and are forced to live under them.

    However, many times we don’t really know the rules or understand them. Worse still is when we think we know the rules, but really don’t. When this happens, we essentially create a set of “ghost rules” that inhibit our thinking and that of our colleagues.

    What If There Were No Rules in Pharma Marketing? There’s no FDA, no DDMAC, no FTC. Your company guidelines and rules don’t exist and your regulatory and legal teams have been disbanded. It’s a free-for-all and there are no rules. The question is: what would you do?

  • Pharma-Sponsored Medical Ghostwriting
    What the "Ghosts" Have to Say About It

    The New York Times, Wall Street Journal, and the Journal of the American Medical Association, all recently have come out with stories and studies suggesting that pharma-sponsored medical ghostwriting is rampant. “These seemingly objective articles," says the WSJ, "which doctors around the world use to guide their care of patients, are often part of a marketing campaign by companies to promote a product or play up the condition it treats.”

    Pharma Marketing News surveyed readers to determine if medical journal articles sponsored and ghostwritten by drug companies are a legitimate part of marketing to physicians and to get opinions on various other issues raised in the press about ghostwriting.

    One of the first things learned was that it is not easy to even define what is meant by "ghostwriting!"

    This article presents results from the survey. Nearly 40% of the respondents were medical writers (including "ghosts") who made clear their opinions.

  • Pharmaguy’s Twitter Followers are Your Followers Too!
    Who Are They and Want Do They Want from You & Me?

    No matter what people say, your Twitter strategy must include building a large and qualified Twitter following. The last part – qualified – should be the most important part of your Twitter follower strategy. You want followers who are the right fit for your messages.

    Pharmaguy (aka John Mack) now has over 3,500 followers and these followers are probably the same followers you'd like to have if and when you get involved in Twitter. But hurry! Breaking in as a power user may be difficult. Research shows a virtuous cycle may exist, making popular users ever more popular.

    This article summarizes the findings of a survey of over 400 of @pharmaguy's followers. The results will give you a better idea about why people in the pharmaceutical industry use Twitter and what they expect to get out of it.

Anticipated Publication Date
22-September-2009
Ad Submission Deadline Date
18-September-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Monday, August 03, 2009

Issue 8.7: August 2009

Focus
Physician Access, CME, Social Media
OpEd
Social Media & the Truncated News Pyramid
PR people are used to issuing press releases to a few journalists at the top of the traditional news pyramid. When the top was blown off by the social media revolution, these professionals had no proven mechanism by which to reach the many thousands of bloggers at the BOTTOM of the pyramid -- until now.
Planned Articles
  • Owning the Prescription Pad
    Driving Brand Decisions in a Multi-Influence World

    The security of a controlled environment for pharma marketing communication is giving way to the complexities of a dynamic environment with more empowered players, including patients who have more influence than ever before over which products make it to market and which are prescribed.

    "It's no longer just what brands are saying to physicians or what physicians are saying to patients...now all the different stakeholders are talking to each other," said Larry Friedman, PhD, Chief Research Officer, TNS North America. He was speaking at a recent webinar entitled "Owning the Prescription Pad: Driving Brand Decisions in a Multi-Influence World."

    "Brands face dynamic environments with many influencers," said Jonathan Kay,
    Global Practice Head, Brand and Communications at TNS Healthcare, A Kantar Health Company. "Brand managers need to observe, gauge and seek to influence those influencers. Therefore, we need a new model that helps us make sense of a complex world of communications."

    This article summarizes that model as presented at the above-mentioned webinar by Friedman, Kay, and Louisa Holland, Co-CEO, the Americas, Sudler & Hennessey.

  • Social Communications in Healthcare
    Summary of Roundtable Discussions

    At the Social Communications in Healthcare conference hosted by the Business Development Institute in NYC on July 23, 2009, there were so many people live Tweeting the case study presentations that it's hardly worth the effort to summarize these presentations after the fact. You can find a good summary—if only in dozens of 140-character packets—on Twitter (search for hashtag #BDI here: http://search.twitter.com).

    A better synopsis of the state of social communications in healthcare can be gleaned from summaries of the roundtable discussions held after the case study presentations.

    This article provides several summaries written by the roundtable discussion leaders themselves.

  • Trends in Pharma Support of CME
    The Plight of For-Profit MECCs

    Recent headlines such as the gleaned from traditional media as well as from the blogosphere paint a bleak picture of the future of commercial support for continuing medical education (CME).

    Is the pharmaceutical industry getting out of the business of supporting CME?

    This article reviews trends in pharma CME support and critiques of that support. The article begins with a review of recent data from ACCME, which indicates that there is a shift in pharma CME funding from MECCs to physician societies.

    Then, a synopsis is presented of the July 29, 2009, United States Senate Special Committee on Aging hearing on "Medical Research and Education: Higher Learning or Higher Earning?,” which featured testimony from experts who were supportive and critical regarding the benefits of industry-sponsored support of CME.

    Lastly, the article presents new data from the “What's the Best Way for Pharma to Support CME?” survey, which asked respondents opinions about several alternative ways for pharmaceutical companies to continue to support CME without drawing the ire of Congress and other critics.

Anticipated Publication Date
6-August-2009
Ad Submission Deadline Date
3-August-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Tuesday, June 23, 2009

Issue 8.6: June/July 2009

Focus
Social Media Marketing, Twitter, Drug Risk Communication
OpEd
Wither Twitter for Pharma?
Twitter is growing by leaps and bounds, but is it an appropriate channel for pharmaceutical brand marketing?
Planned Articles
  • Pharma Marketers Dive Deeper Into Social Media
    The Good, the Bad, and the Ugly Case Studies

    Several pharmaceutical companies have recently dipped a whole lot more than their toes into the social media waters.

    This article focuses in some detail on three cases that highlight the good, the bad, and the ugly uses of social media for pharmaceutical marketing: (1) Proctor & Gamble's Asacol Community for Ulcerative Colitis Patients; (2) Novo Nordisk's Levemir-branded Race With Insulin Twitter account; and (3) UCB's sponsored Crohn's & Me website.

    You'll have to read the article to find out which one is good, which is bad, and which is downright ugly!

  • How Should Pharma Engage in Social Networks?
    Aiming at Best Practices

    The pharmaceutical industry is currently experimenting with social media as a channel for promoting products and/or enhancing disease awareness. Some of these efforts have been less than stellar, while others have been exemplary (see "Pharma Marketers Dive Deeper Into Social Media").

    Each pharmaceutical company should have its own guidelines for best practices in the social media space.

    Pharma companies can either develop best social media practices by learning from mistakes and public criticism (eg, see "Novo Nordisk's Branded (Levemir) Tweet is Sleazy Twitter Spam!") or through discussion and analysis of specific issues. To assist in that discussion, Pharma Marketing News provided two forums:

    1. An ePharma Pioneer Club members-only discussion of the first-ever pharma branded Tweet (see "Pharma Twitter Best Practices"), and
    2. The "How Should Pharma Engage in Patient/Physician Social Networks?" survey, which explores issues relating to pharma advertising and engagement in social networks.

    This article focuses on presenting a summary of the above-mentioned survey, including comments from respondents. The results are not meant to offer a scientifically significant analysis, but to suggest ideas that may be helpful to pharmaceutical marketers who are currently working on developing their own guidelines.

  • FDA Draft Guidance on Risk
    Read It and Weep!

    On May 27, 2009, FDA published in the Federal Register draft "Guidance for Industry, Presenting Risk Information in Prescription Drug and Medical Device Promotion."

    This guidance focuses almost exclusively on print and broadcast promotional ads. It is possible, however, to apply some of FDA's "thinking" to certain kinds of Internet ads such as search engine paid ads.

    This article reviews the draft guidance with a special focus on how it may apply to the Internet and how marketers can use the comment period to raise the issue of FDA regulation of sponsored search engine ads.

Anticipated Publication Date
8-July-2009
Ad Submission Deadline Date
24-June-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Wednesday, May 27, 2009

Issue 8.5: May 2009

Focus
Branding, FDA Regulations, Viral Video, PhRMA Code
OpEd
Will the Drug Industry be the Next Auto Industry?
Is the drug industry right on the cusp of a huge fall like the auto industry? Taking risks may hasten that fall, but sometimes standing on the sidelines may be more risky!
Planned Articles
  • Protection from Brand Infection
    Marketers Must Take Control of Their Brands,
    Especially Online


    “Make no mistake,” says the Chief Marketing Officer (CMO) Council in the opening statement to its report Marketer’s Fight Against Fakes, Frauds, and Infringements, “marketers and their brands are under siege. A vast and ever-expanding range of threats to brand value, integrity and image are bearing down on marketers in the form of counterfeits, gray market knock-offs, phishing attacks, cybersquatting, and a broad range of patent and trademark trespassing, especially online—that will likely intensify thanks to a softening economy.”

    In response to concerns about the growing range of threats to brand value and the sheer volume of brand hijacking incidents, the CMO Council set out to assess the challenges marketers face as stewards of their brands. The result is Protection from Brand Infection, a seminal authority leadership report that outlines the proliferating threat-scape that marketers face and reveals how marketers are struggling to understand and measure the impact brand intrusions have on their second most valuable asset, their customer.

    This article summarizes the results of that survey and cites examples of how pharmaceutical brands are being hijacked and what the drug companies are doing or not doing to counteract the problem, especially online and in social media contexts.
  • Ramifications of FDA Regulatory Actions and What to Do About It
    Helping FDA Find a New Media Regulatory Pathway

    On April 2, 2009, the FDA issued 14 letters informing drug companies that their search engine ads, which included drug brand names and indications but no risk information or fair balance, were in violation of the law. This caught many in the drug industry by surprise because they assumed the "one-click rule" applies; ie, as long as the fair balance information was just one click away -- on another Web page -- such ads are allowed by the FDA. With the 14 letters, FDA disagreed and quashed the "one-click rule."

    Arnold Friede, counsel to the law firm McDermott Will & Emery LLP, and former Senior Counsel at Pfizer, believes that there is an opportunity now to make a strong and compelling argument for the adoption of rational regulatory policies by the FDA that address the unique features not only of sponsored links, but of other kinds of new communication tools, such as social media and the like.

    This article reviews legal ramifications of FDA enforcement letters and focuses on the FDA’s contentious regulation of Internet advertising and what the industry is doing to “help” it find a new path in that arena. Included is a discussion of FDA's draft guidance "Presenting Risk Information in Prescription Drug and Medical Device Promotion" and the relevance of FDA's/FTC's "reasonable consumer standard" to search engine paid promotional drug ads.

  • The New PhRMA Code and Beyond
    It Impacts Manufacturers and Vendors

    In a recent ExL Pharma conference industry leaders from pharma and the vendor community reviewed the impact on “Marketing and Sales Under the Revised PhRMA Code”. In this article, Vincent DeChellis of NHHS Healthcare Consulting, LLC summarizes what the industry must do to comply with the code and reconciling its voluntary nature with mandatory state requirements.

  • Kevin Nalty, aka "Nalts"
    Viral Video Genius or Pharma's Biggest Pain in the Butt?

    One man’s experience that gives us some insight into whether or not a traditional pharmaceutical company can tolerate the creative thinking required for it to engage in social media marketing.

Anticipated Publication Date
28-May-2009
Ad Submission Deadline Date
27-May-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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Wednesday, April 22, 2009

Issue 8.4: April 2009

Focus
FDA, Social Media, Patient-Centric Marketing, Medical Device DTC Principles
OpEd
TBD
Publisher John Mack discusses what's on his mind at the time of publication.
Planned Articles
  • Social Media Guidelines for Pharma
    Overcoming the Challenges

    Pharmaceutical companies and their agencies are "mulling" over amongst themselves how the drug industry should engage consumers and physicians via social media without violating FDA regulations. They are struggling because the FDA has never issued clear guidelines for how it may regulate the industry use of social media in the future. Many have called upon the FDA to issue such guidelines.

    Shouldn't we make sure that when it comes time for the FDA to actually create a guidance document on social media that it does it with input from ALL stakeholders?

    This article will present a review of this issue based upon input received from experts and respondents to the “Should FDA Convene a Public Hearing on Use of Social Media by Pharma?” survey hosted by Pharma Marketing News starting on April 2, 2009. Also included in a review of an ePharma Pioneer Club roundtable discussion on what it's going to take to enable pharmaceutical marketers to engage in social networks without fear of adverse event reporting and other regulatory, corporate, and cultural roadblocks.
  • The Empowered Patient
    Patient-Centric Marketing

    Selecting the appropriate pharmaceutical product is one of the choices that empowered patients can make. But according to Reinhard Angelmar, the Salmon and Rameau Fellow in Healthcare Management and Professor of Marketing at INSEAD, empowered patients are involved before a drug even makes it to the market.

    This article will review a presentation made by Angelmar at the recent eyeforpharma SFE Europe 2009 conference held in Barcelona, Spain. Angelmar makes a case for the drug industry to adopt a patient-centric model in which pharma companies can develop unique expertise in decoding the behavior, needs, motivations of patients and then use this knowledge as the basis for helping healthcare professionals and payers to put into place programs that achieve better patient outcomes.

  • Socially Challenged Pharma
    Change is Never Without Some Pain

    Digital Pharma Europe was ExL Pharma's first entry into the ‘Old World’ hosting an event already well established in the States. It seems they have found the time right to see whether the Europeans are like-minded in the exciting area of new/social/digital media in pharma.

    In this article Erik van der Zijden -- entrepeneur, marketing professional, new media evangelist and self-styled "autodidactic techno-nerd" -- presents highlights of this conference and his personal point of view.

  • Report from the Social Pharmer “Unconference”
    Sowing Seeds of Social Media Change

    One only has to recall the 7-Up “Uncola” campaigns to understand the limitations of defining something by the absence of certain qualities. But the Social Pharmer Unconference was more refreshing than a fizzy soda exactly because it lacked what causes so many industry conferences to fall flat: marginally relevant speakers, boring PowerPoint presentations and silent participants. In this article, Amber Benson, Group Strategy Director for IMC2’s Health & Wellness practice, summarizes key presentations made at the April 21, 2009, Social Pharmer "unconference."

Anticipated Publication Date
30-April-2009
Ad Submission Deadline Date
24-April-2009
Contact
John Mack * johnmack@virsci.com * 215-504-4164
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