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PAAB Code

Do you have questions about particular sections of the PAAB code? Do you have insights on how sections of the code be improved? Do you want to share insights about how related standards are addressed in other jurisdictions? Post here.

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The responses, guidance, and advisories provided by the Pharmaceutical Advertising Advisory Board (PAAB), including but not limited to those available through the PAAB Forum, the PAAB website, and any PAAB correspondences, are specifically intended to assist individuals navigating the PAAB preclearance system. Repurposing or reproducing this content without written consent from the PAAB Commissioner is strictly prohibited. This prohibition includes, but is not limited to, use in machine learning or AI models.
  • Market Research

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    Jennifer CarrollJ
    Good Morning @tmcm Market research can be used to support non-therapeutic, non-comparative claims about a patient support program. The last paragraph of Tips on Claims Relating to Patient Assistance Program provides guidance relevant to this question.
  • Sodium comparison

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    Jennifer CarrollJ
    Happy Friday @georgian21 PAAB Code section 5.1 states “The compared drugs/products have an authorized indication for use in common, and the comparison is related to that use; or, in addition to the common indication for use, a second authorized indication is claimed as an added benefit of the advertised drug”. As such, this type of comparison would not be acceptable.
  • PAAB exempt regulations

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    Jennifer CarrollJ
    Hello @skw The fact that a website is created and controlled by a drug manufacturer’s parent company, outside of Canada, does not in and of itself render it exempt from Canadian drug advertising regulations (and the PAAB code). Even if the website URL is provided in a reactive manner, that website is likely subject to the regulations since the information that is available on the site far exceeds the question that prompted the URL to be shared. The proposed activity could be considered exempt from the PAAB Code, PAAB Preclearance, and Canadian regulations if the mechanisms outlined in Q&A 176 were implemented. These mechanisms are provided to ensure the information provided is in response to the specific question asked. If all guiding principles from Q&A 176 are followed, this could be considered. The PAAB can provide guidance on setting up a platform such as this, in the context of an opinion file. As a reminder, one key aspect of the mechanism outlined, is “restricted access”. Canadians who are not HCPs must not have access to the site.
  • Sending Presentations to Doctors

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    Jennifer CarrollJ
    Hey @georgian21 The APS category helps us to track the types of tools being submitted and reviewed. They also provide context on if they are to be rep-directed or self-directed. This can have implications for the flow of the piece. In theory, an approved slide deck can be shared after the presentation, with the assumption that if there are speaker notes, they have been reviewed and approved as part of the piece. You should also consider how you disseminate the presentation, with additional guidance in the “Dissemination” section of the PAAB Clarification regarding digitization of APS Helping healthcare product manufacturers plan for the evolving COVID-19 operational context document. If the presentation is to be recorded and distributed, this recording would require a separate review prior to being distributed. See paab.ca/myths (5) for further elaboration
  • Retention

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    Jennifer CarrollJ
    Hello @tmcd As per the document Tips on Claims Relating to Patient Assistance Programs,: “Observational data on retention could be considered if the program has a valid and reliable mechanism to monitor when prescriptions are filled. Sufficient information about the program must be provided to enable PAAB to make this assessment. The APS claim/data from a manufacturer’s patient support programs should be non-comparative (as it relates to the manufacturer’s product), it should reflect past study findings (i.e. formatted in the past-tense), and it should be structured so as to limit the findings to the support program. Study parameters such as the time period pertaining to the claim/data could be relegated to a footnote. Note that retention data will be required to be updated every 6 months as changes in the market place can impact retention.”
  • Real-world evidence

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    Jennifer CarrollJ
    Good Morning @donna The proposed change did not go forward. Although these were intended as the beginning of an incremental process of change, following consultation it became clear that the industry felt that the guidance did not go far enough. We are therefore awaiting preliminary output from the ongoing Health Canada and CADTH collaboration on decision-grade RWE. An expert stakeholder committee will work through that output to determine which elements are applicable to drug advertising. As a courtesy, the document Guidance on Observational Studies continues to inform on acceptable uses of observational studies in drug advertising.
  • Online Code document: Section 6.6?

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    Jennifer CarrollJ
    Hey @Helen Section 6.6 was revised and repositioned to 1.5. Alternatively, this may have been a typo in the response letter. Please follow up with your reviewer if section 1.5 does not address the issue. With regards to archived versions of the Code, per PAAB Q&A 717, the PAAB website only contains the most recent version of the code so as to clearly promote current best practices.
  • Code Standards - Section 7. Disclosure Product Information

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  • Code Standards - Section 6. Patient Information

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  • Code Standards - Section 5. Making Comparisons

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  • Code Standards - Section 4. Presentation of Data

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  • Code Standards - Section 3. Making Statements

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  • Code Standards - Section 2. General Requirements

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  • Administrative Guidelines 1.8 Definitions

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  • Administrative Guidelines 1.5 Materials Not Subject to Preclearance

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  • Administrative Guidelines 1.3 PAAB Service & The Scope of the Code

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  • Administrative Guidelines 1.2 Description of Code

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