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Key Areas to be Covered. Overview of advertising arrangements The Review - New Advertising Arrangements The Approval Process Complaints about advertisements of therapeutic goods. Advertising - What and to Whom?. Consumers Unscheduled, S2, some S3 and devices Healthcare professionals
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Key Areas to be Covered • Overview of advertising arrangements • The Review - New Advertising Arrangements • The Approval Process • Complaints about advertisements of therapeutic goods
Advertising - What and to Whom? • Consumers • Unscheduled, S2, some S3 and devices • Healthcare professionals • Entire spectrum
The Legislation • Trade Practices Act • Broadcasting Services Act • Therapeutic Goods Act and Regulations
The Trade Practices Act 1974 • Commercial conduct in general • prevents misleading marketing practices • prevents restrictive trade practices • Consumer safety and protection • standards for product safety and information
The Broadcasting Services Act 1992 • Advertisements relating to medicines • Delegation of approval function • PMAA since 1991
The Therapeutic Goods Act 1989 • Major legislative control • Uniformity across States and Territories • ARTG • Parts of TGAC incorporated
How to identify therapeutic goods • Therapeutic claims • Product Categories • Listable AUST L • Registrable AUST R • Exempt
Definition of Advertisement • Any statement, pictorial representation or design • Intended to, whether directly or indirectly to • Promote the use or supply of goods • Product labels - a form of advertising
Amendment 40018 December 1997 • Defining the TGACC • Complaints Resolution Panel
Amendment 400 - Advertising • Definining mainstream media • Formal approval - approval number • Responsibility of sponsor/advertiser • Responsibility of publishers (42D)
The Therapeutic Goods Advertising Code Council today • Manufacturing and supply Industry • Advertisers • Healthcare professionals • Consumers • Government • Observers
Formal Approval of Advertisements • Delegation of approval function to industry • CHC: print ads for complementary healthcare products • PMAA: non-prescription medicines • Appeals mechanism for non-approved ads
The Complaints Resolution Panel • Members • Consumers • Healthcare professionals • Government • Industry • Complaints about print advertisements • No similar mechanism for broadcast ads
Self-regulatory Arrangements • Non-mainstream advertising • Industry bridges the gap • CRC of CHC • Complaints Panel of PMAA
Summary • 3 Main pieces of legislation • Therapeutic Goods Act and Regs • TGACC and CRP • Formal approval legislated • Approval delegated to Industry
Key Areas • Overview of advertising arrangements • The Review - New Advertising Arrangements • The Approval Process • Complaints about advertisements of therapeutic goods
Areas to Be Covered • Overview of reform process • The new Therapeutic Goods Advertising Code • “The Guidelines” • Overview of regulatory reforms
The ReviewReforms Since 1998 • The Govt/Industry Working Party • Regulation of complementary healthcare products • Deficiencies of the old TGAC • Restricted-product indications/information • Emphasis on illness and disease • Not reflecting current values
Agreement for New Code • Greater orientation towards health and well-being • Greater range of permissible representations in advertising • Ensuring a level playing field • Deregulation without compromising public health and safety
The Broader Context of the Review • Office of Complementary Medicines • Elevating the status of CMEC • Major reform of ELF
Objectives of the Review • Start new Code with clean sheet • Principle based Code • New Code to reflect current values • User-friendly, practical, all in one document • Evergreen - requiring minimum legislative amendments
Objectives (continued) • Clarify issues relating to claim substantiation • Starting point- all existing permissible representations • Strengthening the TGA’s ability to act: timeliness and teeth • Deregulatory approach without compromising public health and safety
The Review Process • TGACC to oversee the Review • Task Force: • CHC, CMEC, CHF, PMAA, TGA, APMA • ASM’s
Guidelines for Levels of Evidence • Sponsors required to hold evidence - April 99 amendment • Need for guidance indentified • CMEC and Working Party developed guidelines
Summary • Contemporary and flexible Code • Legislative underpinning for the Code • Extended range of claims • Guidelines for substantiating evidence • Safeguards for consumers • Regulatory amendments to underpin changes
Tracking Progress • Overview of reform process • The new TherapeuticGoods Advertising Code • “The Guidelines” • Overview of regulatory reforms
Rationale - Outcomes • Clean sheet • Principle based • Open to interpretation - flexible • Evergreen • Consistency across all media • Reflect current social values
Clause 1- Object of the Code • The key elements: • Socially responsible marketing and promotion • Desired outcome-Quality use of medicines • WHO Ethical Criteria (Appendix 1) • Context and total presentation of ads - interpretation and application
Clause 2 - Definitions • Advertisement • Label • Mainstream media • Healthcare professional (Appendix 2) • Sponsor • Therapeutic goods and therapeutic use
Clause 3 - Compliance and Application • Compliance with TPA, Therapeutic Goods Act and other legislation • Consumer ads - entire Code applies • Healthcare professional ads (Appendix 2) - industry codes
Clause 3 (contd) • Information - generic or branded • Advertisement - generic or branded • Bona fide news, public interest - Code does not apply • Mainstream ads - formal approval (Appendix 3)
Clause 4 - Principles • Clause 4.1- General • 4.1.1Ads for therapeutic goodsmust: (a) Comply with the statute and common law (b) Contain correct and balanced statements and claims already verified.
Clause 4.1 (continued) • Clause 4.1.2 Ads must not: (a) arouse unwarranted expectations (b) lead to inappropriate self-diagnosing and treatment (c) mislead directly or indirectly (d) abuse trust, exploit, bring about fear or distress (e) lead to belief that consumer is suffering from serious ailment or harm coming to consumer
Clause 4.1.2 (continued) (f) inappropriate or excessive consumption (g) infallible, unfailing, magical, a certain, guaranteed or sure cure (h) effective in all cases of a condition (i) safe, no harm, no side-effects (j) directed to minors, except for those goods in Appendix 5
Appendix 5 • Therapeutic goods not subject to Clause 4.1.2 (j) • tampons • topical preparations for acne • sunscreens SPF 15+ • condoms and personal lubricants • bandages and dressings • devices for management for chronic conditions under medical supervision
Clause 4.2 - Scientific Information • Accurate, balanced, not misleading • Appropriate terminology, readily understood • Research results to identify researcher or sponsor
Clause 4.3Comparative Advertising • Balanced, not misleading • Factual, reflect body of scientific evidence • Competitor product harmful or ineffectual
Clause 4.4 - Professional Recommendation • Clause 4.4.1- endorsement not permissible by: • government agency or healthcare professional • except for availability - place and price
Clause 4.4.2 - Endorsement Permitted • Bodies or associations, under certain conditions: • body or association named • authenticated • nature disclosed • valuable consideration disclosed
Clause 4.5 - Testimonials • Must not breach Code • Documented, genuine, not misleading • Exceptional cases not depicted as typical
Clause 4.6 - Samples • Advertisements may not contain offer of sample
Clause 5 - Prohibitions • Clause 5.1 No references allowed: • Appendix 6 Part 1: • Abortifacient action • Neoplastic disease • STD’s • HIV/AIDS • Mental illness
Clause 5 & Appendix 6 • Clause 5.2 Restricted representations • References allowed on prior approval from TGA • Appendix 6 Part 2: • Table 1: Serious manifestations of diseases
“Serious” Defined • Inappropriate to be diagnosed and/or treated without consulting a healthcare professional • Beyond the ability of the average consumer to evaluate and treat accurately without supervision by a healthcare professional
Permissible Representations - The Glossary • Examples of currently permissible representations • New representations added in future
Clause 6 - Minimum Requirements • Clause 6.1 Ads of unbranded therapeutic goods • Only 6.2 (b) applies (plus rest of Code)
Clause 6 - branded ads • Trade name • Approved indications • Ingredients OR ‘mandatory’(not direct marketing & Internet) • “Use only as directed” • For symptom relief: ‘mandatory’ • Advertisable S3’s - ‘mandatory’
Clause 7 - Specific Categories • Clause 7.1 - Analgesics • Applies to ‘primary’ internal analgesics • One of 2 mandatory statements in all media • Not permissible: • safe • relax, relieve tension, sedate or stimulate