TY - JOUR T1 - FDa regulation of off-label drug promotion under attack AU - Kesselheim AS, Mello MM, Avorn J Y1 - 2013/02/06 N1 - 10.1001/jama.2012.207972 JO - JAMA SP - 445 EP - 446 VL - 309 IS - 5 N2 - In 2005, Alfred Caronia worked as a sales representative for the drugmaker Orphan Medical promoting the central nervous system depressant sodium oxybate (Xyrem),1 which had been approved by the US Food and Drug Administration (FDA) to treat narcolepsy. With the company's knowledge and approval,2 Caronia promoted the drug to physicians for numerous unapproved (“off-label”) indications—including insomnia and fibromyalgia—and claimed the drug was safe in elderly and pediatric patients, despite warnings on the label that safety was not established in those populations. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.207972 UR - http://dx.doi.org/10.1001/jama.2012.207972 ER -