Many Advertised Drugs Have Low Therapeutic Value: Study
Researchers at Harvard, Yale, and Dartmouth say their analysis of the therapeutic value (whether they represent advances over existing treatments) of drugs subject to the most direct-to-consumer advertising from 2015 to 2021 found that fewer than one-third of the most common drugs featured in DTC ads were rated as having high therapeutic value. “We used the most favorable therapeutic value rating at any point since approval,” the researchers say in a JAMA Network research letter, “which may overestimate the proportion of higher-benefit drugs.”
Therapeutic value ratings were obtained from independent health technology assessment agencies of Canada, France, and Germany, the article says, and defined ratings of moderate or greater therapeutic value as high therapeutic value. The ratings consider drugs’ added benefit, safety, and strength of evidence, as compared with existing therapies.
They write that one explanation may be that drugs with substantial therapeutic value are likely to be recognized and prescribed without advertising, so manufacturers have greater incentives to promote drugs of lesser value.
“Policy makers and regulators could consider limiting DTC advertising to drugs with high therapeutic or public health value or requiring standardized disclosure of comparative effectiveness and safety data, but policy changes would likely require industry cooperation or face constitutional challenge,” the authors conclude.