FDA Cites Cancer Drug Television Ad
FDA has issued an untitled letter to BeOne Medicines USA, finding that its direct-to-consumer television advertisement for cancer drug Brukinsa (zanubrutinib) was false or misleading. In the letter, CDER’s Office of Prescription Drug Promotion said the broadcast ad for Brukinsa misbranded the drug by creating an inaccurate impression of its safety profile and monitoring requirements. The agency cited the ad’s portrayal of a patient with chronic lymphocytic leukemia (CLL) traveling and enjoying physically demanding activities after starting treatment, concluding that the images suggested patients could maintain a normal, highly active lifestyle without adequately conveying the risks and clinical oversight associated with the therapy.
According to FDA, adverse reactions to Brukinsa are most likely to occur when patients begin treatment or when doses change, and patients are expected to see healthcare providers regularly to monitor effectiveness and side effects. By emphasizing patient autonomy and control, paired with visuals of mountain travel and family celebrations, the ad downplayed those risks and obligations, the agency said.
The FDA also faulted the advertisement’s “major statement” presentation, which is required to disclose key risk information. The agency said the ad failed to present risk information in a clear dual-modality format — using both audio and on-screen text simultaneously — and instead displayed incomplete or mismatched text during the spoken risk disclosures. In addition, FDA said emotionally compelling visuals during the major statement interfered with viewers’ ability to comprehend the safety information.
The letter requested that BeOne immediately address the violations, including halting dissemination of the promotional materials. The company has 15 working days to respond, identify other Brukinsa promotions with similar claims, and outline a plan to discontinue or correct them.