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PAAB Notice
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.
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Recent Best Controversial

  • Shading for renewal of a series/iterative submission
    U Username

    Hi, if we are renewing an iterative submission, would the yellow shading for previously approved copy or the blue shading for iteration be preferred?

    Submission Requirements/process & Timelines/eFiles

  • PAAB changes to application/requirements for pieces
    U Username

    Hello,
    I recently submitted a piece with an approved claim of "X years in Canada across indications," and found out that PAAB is now requesting that the year of each indication's NOC be added to the claim. Would it be possible for PAAB to provide an explanation of why this change happened, why the code was previously considered in accordance with the code, and also would it be possible for PAAB to provide notices when general changes on how PAAB decides to interpret and apply the code are made? It is difficult for us to explain to clients on why PAAB suddenly feels that the content violates the code, as no explanation is provided on the change.

    A similar example is that directing HCPs to pre-gate websites now requiring a disclaimer, no notice was given to agencies prior to receiving response letters requiring this disclaimer. These changes in how the code is interpreted and applied creates a lack transparency.

    PAAB Q&A

  • Logo use in the DTC context
    U Username

    Hello,
    Regarding the limitations of name/price/quantity, are there any guidance documents that provide insights on the scope of where the logo can be placed? Does placing it on a "usable" item create a promotional claim that would extend beyond name/price/quantity? And, would these limitations apply to experiential events, e.g., "Concert brought to you by Brand X", "Wifi sponsored by Brand X"?

    DTCA/I, consumer secondary audience

  • Schedule 2 products, DTC, and linkage oh my!
    U Username

    Hi, I have a question regarding schedule 2 (nonprescription, but regulated by Heath Canada) products, specifically a biologic. Is it permissible to link from a DTC site (ungated) to the complete, unedited product monograph? Also, does the 2023 Guidance on the distinction between advertising and other activity, which now specifically mentions biologics, affect the review of this type of product?

    PAAB Q&A

  • Manufacturing video exemption
    U Username

    Hello, would a video discussing a manufacturer's quality standards and processes, which mentions product by name only, be considered exempt as a corporate message? If so, would it still be exempt if it was displayed on a corporate website (and thus "linked" to product monographs)?

    PAAB Q&A

  • Submission of materials for informal market research
    U Username

    Hello,
    My understanding is that market research materials are not subject to PAAB review. Is this true for market research that is done informally, or is there formal guidance around what is considered market research?

    Miscellaneous

  • Including a link to a medical device brochure in a branded context
    U Username

    Hello,

    A client would like to include a link to a medical device brochure in a branded piece. Is the medical device brochure now subject to PAAB review?

    FYI post-approval change/preclearance exemption/what requires review/PAAB scope

  • Comparisons of trial design
    U Username

    Hello,
    Would it be acceptable to create a piece comparing the trial design of two product's pivotal trials, from their respective PMs? The comparison would include only design details, no results.

    Claims & Support/References for Claims

  • DTC for NOC/c?
    U Username

    Are products with NOC/c subject to regulations beyond the "usual" name, price, quantity for DTC advertising?

    PAAB Q&A

  • PSUR as support for safety claims
    U Username

    Hello,

    is it possible to use a PSUR as support for a safety claim (incidence of AE's)?

    Claims & Support/References for Claims

  • Support for demo device instructions
    U Username

    Hello, what kind of support would be required to support the instructions for a demo device (e.g., inhaler or self-injector)? Would a letter from medical confirming that these instructions are accurate for the demo deice suffice?

    Claims & Support/References for Claims

  • Secondary hierarchical endpoints
    U Username

    @jennifer-carroll Thank you for your quick reply. Would it be acceptable to disclose this endpoint in an APS when discussing study design, as it would be consistent with the TMA?

    Claims & Support/References for Claims

  • Secondary hierarchical endpoints
    U Username

    Hello,
    If a pivotal trial has a secondary endpoint that is predefined and included in the trial description in the monograph, but the data is not included in the monograph due to a failed secondary endpoint higher up in the hierarchical testing structure, is it possible to present the data for this endpoint in a neutral way in an APS (knowing that significance could NOT be claimed for this endpoint)?

    Claims & Support/References for Claims

  • Depiction of self-injection devices
    U Username

    @jennifer-carroll My apologies as my question may not have been clear. The intent is not to show the device being used in any way, simply showing the device in the setting of a home (e.g., bathroom cabinet, kitchen table). Would this change your opinion? Thanks for your speedy reply.

    DTCA/I, consumer secondary audience

  • Depiction of self-injection devices
    U Username

    Hello, knowing that some self-injectable medications must be administered under the supervision of a physcian, and others may be done at home, it is permissible to depict a self-injection device at home/work, or would this considered a promotional claim?

    DTCA/I, consumer secondary audience

  • Wording around availability 1 year post-launch?
    U Username

    Given that "Now available" can only be used in the first year of a products' availability, it is acceptable to say "Available in Canada" after the first year, or would this be considering implying that the product is new?

    PAAB Q&A

  • Wording around a resolved drug shortage
    U Username

    Hello, what sort of wording would be permitted in a promotional piece concerning the resolution of a drug shortage? The drug was "unavailable" in that there was no supply due to a voluntary recall, but it was still listed in the Drug Product Database as "Marketed." Would "Back in Canada" or "Available again to Canadians" be permitted?

    Claims & Support/References for Claims

  • Requesting clarity on "Proven" claims
    U Username

    Hello, I was hoping you could provide some clarity on why the claim "Proven efficacy" can appear without the direct association of supporting data, and why this is not considered an unsubstantiated claim when it appears with the indication, and if this would also apply to claims of "Proven safety".

    PAAB Q&A

  • Definition of a pivotal trial
    U Username

    Hello, could you please provide a brief explanation of what constitutes a "pivotal" trial, as this term is widely used but does not appear in the PAAB code? Thank you.

    Claims & Support/References for Claims

  • Support for chemotherapy dosing, when no official indication
    U Username

    Hello,
    For a product ("Product Z") that is indicated for "condition X" in combination with chemotherapy, what references are acceptable for dosing for the chemotherapy regimen? The regimen for chemotherapy is not provided in the Product Z monograph. Chemotherapy is primarily generic and TMA's are not often updated, so no chemo drug is yet indicated for "condition X."

    Claims & Support/References for Claims
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