FDA Calls Xtampza ER Booth False, Misleading

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The CDER Office of Prescription Drug Promotion (OPDP) says a Collegium Pharmaceutical exhibit booth for its Xtampza ER (oxycodone) extended-release capsules for oral use made false or misleading representations because it failed to adequately communicate information about the serious risks associated with the drug’s use. A 2/9 Notice of Violation says Xtampza ER is indicated for managing pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatments are inadequate.

The drug labeling contains Boxed Warnings about addiction, abuse, misuse, life-threatening respiratory depression, accidental ingestion, neonatal opioid withdrawal syndrome, and risk from concomitant use with benzodiazepines or other central nervous system depressants.

The notice says that the OPDP advisory comments 9/9/16 addressed draft Collegium presentations for the drug with certain similarities to the exhibit booth. It says the booth made representations and/or suggestions about Xtampza ER but failed to adequately provide material information about the drug’s limitations of use and the serious and life-threatening consequences that may result from the use of the drug, thereby creating a misleading impression about the drug’s safety.

Collegium was told to stop using violative promotional materials and to respond with a list of all promotional materials containing statements such as those described in the notice and its plan for discontinuing such violative promotion.

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