AUTH/3583/11/21 - Complainant v ALK-Abelló

Alleged promotion of Itulazax on Instagram

  • Received
    18 November 2021
  • Case number
    AUTH/3583/11/21
  • Applicable Code year
    2021
  • Completed
    16 June 2022
  • No breach Clause(s)
  • Additional sanctions
  • Appeal
    Appeal by the respondent

Case Summary

A contactable complainant who worked for an agency complained about advertisements for Itulazax (Betula verrucosa) on Instagram by ALK-Abelló Ltd and a creative agency.

Itulazax was used in certain adults for the treatment of moderate-to-severe allergic rhinitis and/or conjunctivitis induced by pollen from the birch homologous group.

The complainant alleged that ALK-Abelló and the creative agency had breached the Code by placing advertisements for an allergy medicine on their social media (Instagram). The complainant stated that the product, claims and company were clearly readable when one paused and zoomed in and alleged a breach of the Code as it was promotion of a prescription only medicine where the general public could view.

The detailed response from ALK-Abelló is given below.

The Panel noted that a UK based creative agency posted an Instagram story on its account regarding its success at a named advertising awards competition in 2021. The ‘story’ included 10 frames, of which frames 3 and 4 (the material at issue) were related to Itulazax.

The Panel noted that frame 3 featured, inter alia, a picture of a female who appeared to be dressed as a tree with a hat made of catkins. The top right of the picture had the ALK-Abelló corporate logo and the bottom right had the Itulazax brand logo with the tagline ‘Reconnect with nature’. The picture was overlaid with the headline claim ‘This season’s must have’ beneath which was a further claim which stated, ‘Finally, a new highly effective and convenient treatment option for tree pollen allergy sufferers. Just one daily SLIT-tablet can provide clinical benefits across the extended tree pollen season’. The Panel noted that frame 4 was similar to frame 3, with the same claims, but included a picture of a male in what appeared to be a suit made from tree bark and catkins.

The Panel noted ALK-Abelló’s submission that the creative agency was contracted by ALK-Abelló Global marketing to develop promotional imagery in preparation of the European launch of Itulazax in 2019 and that the contract ended in 2020.

The Panel noted that the contract was between the creative agency, a UK registered company, and ALK-Abelló A/S in Denmark. The agreement was effective between 2017 and 2020 and according to ALK-Abelló was not extended.

The Panel noted that the confidentiality clause in the contract stated that the creative agency was to treat all information concerning or relating to the services and to ALK-Abelló, its affiliates or its commercial partners as strictly confidential during or subsequent to the agreement and therefore not to disclose it to any third party or make any commercial use of it without the prior written and express consent of ALK-Abelló.

The Panel noted ALK-Abelló’s submission that, unbeknown to the company, the creative agency entered the Itulazax press advertising imagery for the advertising awards; at no point leading up to the submission, or for the subsequent social media post on lnstagram, did the creative agency seek any permissions or consent from ALK-Abelló. The Panel noted ALK-Abelló’s submission that under the contract between the parties, any use of ALK-Abelló imagery had to be agreed before use.

In the Panel’s view, although the contract between the parties had ended by the time the social media post in question was made, the creative agency was still considered a third party to ALK-Abelló in relation to the material at issue.

The Panel noted that the creative agency Instagram account had over 2000 followers, of which over 50% were based in the UK. The Panel considered that as the Instagram story was directed mainly to a UK audience, the proactive provision of the promotional material was within the scope of the ABPI Code.

The Panel considered that ALK-Abelló had been badly let down by its third-party agency which appeared to have acted contrary to the written agreement between the parties. The material was taken down promptly upon receipt of notification of the complaint.

The Panel considered that the creative agency Instagram account followers would have likely included individuals who did not meet the Code’s definition of a health professional or other relevant decision makers. The 2021 Code stated that prescription only medicines must not be advertised to the public. The Panel considered that the frames of the Instagram story that referred to Itulazax, a prescription only medicine in the UK, and included claims about that medicine, meant that Itulazax had been promoted to the public and a breach of the Code was ruled which was appealed by ALK-Abelló.

The Appeal Board noted ALK-Abelló’s submission that the creative agency was contracted by ALK-Abelló Global marketing to develop promotional imagery in preparation of the European launch of Itulazax in 2019 and that the contract ended in 2020. The contract stated that the creative agency was to treat all information concerning, or relating to, the services and to ALK-Abelló, its affiliates or its commercial partners as strictly confidential during, or subsequent to, the agreement and therefore not to disclose it to any third party or make any commercial use of it without the prior written and express consent of ALK-Abelló.

The Appeal Board noted that the contract stated, inter alia, that documents, data, disclosed confidential information and other records must be promptly returned to ALK-Abelló upon expiry or termination of the agreement. At the cessation of the contract, ALK-Abelló Global had, according to ALK-Abelló, received confirmation from the creative agency that all copies of the promotional imagery produced during the contract had been returned/deleted. ALK-Abelló’s investigation following receipt of the complaint found that the creative agency had retained imagery on an old server which a junior member of the creative agency team had accessed.

The Appeal Board accepted ALK-Abelló’s submission that, unbeknown to ALK-Abelló, the creative agency had entered the Itulazax press advertising imagery into the 2021 advertising awards competition in question; at no point leading up to the submission or for the subsequent social media post on lnstagram, did the creative agency seek any permissions or consent from ALK-Abelló.

The Appeal Board noted that the definition of promotion given in the 2021 Code included that ‘Promotion’ meant any activity undertaken by a pharmaceutical company or with its authority which promoted the administration, consumption, prescription, purchase, recommendation, sale, supply or use of its medicines.

The Appeal Board considered that given the contract between ALK-Abelló and the creative agency had ended over 16 months prior to the creative agency’s Instagram post at issue in this case, and that the creative agency had failed to gain consent or notify ALK-Abelló of its submission to the advertising awards or its subsequent Instagram post, the creative agency had not acted with ALK-Abelló’s authority as defined in the Code.

The Appeal Board considered that in the particular circumstances of this case, ALK-Abelló had not promoted Itulazax to the public and no breach of the Code was ruled. The appeal on this point was successful.