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fiercepharma.com



 Social Media for
 PharMa Brand
                                                                                                                                               The emergence of social media         With that safety net in place,
                                                                                                                                              has posed some difficult problems     brand managers can tap into the
                                                                                                                                              for marketers, in some ways more      experiences of colleagues who
                                                                                                                                              complex than the emergence of         have already taken the plunge.



 ManagerS
                                                                                                                                              Internet marketing channels in the    After all, while the industry
                                                                                                                                              1990s.                                may not have a best-practices
                                                                                                                                                 Drugmakers, for their part,        manual to work from yet, early
                                                                                                                                              must address even more difficult      adopters in the pharma world
                                                                                                                                              challenges than other industries.     have begun to figure out which
                                                                                                                                              Pharma managers face painful          social techniques (such as edu-
                                                                                                                                              consequences if their social          cational forums, support groups
                                                                                                                                              media promotions don’t meet           and branded social media appli-
                                                                                                                                              FDA requirements—and ignoring         cations) can produce results.
                                                                                                                                              adverse reaction reports on forums      In the following pages, we’ve
                                                                                                                                              like Facebook or Twitter could lead   set out a guide to help prepare
                                                                                                                                              to big problems as well.              you for the next wave in pharma
                                                                                                                                                 Fortunately, the next several      social media use—including
                                                                                                                                              months should do much to clear        a look at the important legal,
                                                                                                                                              up confusion and help pharmas         regulatory and strategic problems
                                                                                                                                              move ahead with their social          you’ll encounter. Since issues are
                                                                                                                                              media plans.                          still in flux, we haven’t got hard-
                                                                                                                                                 By the end of this year,           and-fast answers to offer, but we
                                                                                                                                              drugmakers should be in a better      hope to give you plenty of food
                                                                                                                                              position to move ahead with social    for thought.
                                                                                                                                              media, as the FDA is due to issue       Thank you in advance for
                                                                                                                                              guidelines for the industry during    reading this eBook. We hope it
                                                                                                                                              2010. While the issues will remain    helps you move forward in your
                                                                                                                                              complex, such guidance should         social media efforts! l
                                                                                                                                              reduce the risk of mounting social
                                                                                                                                              media campaigns.                      – Editors of FiercePharma



                                                                                                                                                                   Thank you To our sPonsor:




            3
         Meeting
                              5
                          Pharma Social
                                                  7
                                             Sermo: Engaging
                                                                     8
                                                                  What Works:
                                                                                         9
                                                                                      The Future of
                                                                                                           12
                                                                                                           FDA Social
                                                                                                                             14
                                                                                                                           Adverse Reaction
        Consumers        Media Marketing        Physicians       Pharma’s Social   Pharma Advertising:   Media Proposals      Reporting
       Where they Live      Blunders       On-Demand Through     Media Success      DTC Goes Social       Put Pharmas       Challenging in
                                               Social Media          Stories                                on Notice        Social Media
1 | June 2010                              *Sponsored Content*                                                                                                                                                   June 2010 | 2
fiercepharma.com



         Meeting                                                                                                                                                       of consumers is the foundational
                                                                                                                                                                       information—they want to under-
                                                                                                                                                                                                               the site’s tools. But 56 percent of
                                                                                                                                                                                                               caregivers also visit such sites.
         consumers                                                                                                                                                     stand their condition, learn about      Pharma marketers should also con-
         Where                                                                                                                                                         the symptoms and treatment
                                                                                                                                                                       options and understand key terms,”
                                                                                                                                                                                                               sider how consumers at different
                                                                                                                                                                                                               stages of treatment and awareness
         they live                                                                                                                                                     the Epsilon report found. Address-      differ. For example, sophisticated
         By Anne Zieger                                                                                                                                                ing those content interests should      patients may go directly to branded
                                                                                                                                                                       be front and center for pharma          drug sites, while newly diagnosed
                                                                                                                                                                       marketers, researchers concluded.       patients or caregivers may visit
       Pharma brand managers spend                                                                                                                                      Then there’s the question of          social sites or channels to commu-
      a lot of time wondering how to                                                                                                                                   who’s actually using social media       nicate and share experiences.
      reach consumers through social                                                                                                                                   channels and visiting health sites.       Perhaps most importantly, it’s
      media. This is a risky proposition,                                                                                                                              According to comScore, 78 percent       important to consider what behavior
      given that the FDA is still weighing                                                                                                                             of people with an identified con-       consumers engage in when they
      what kind of social media market-                                                                                                                                dition visit health sites and use
                                                                                                                                                                                                               continued on page 5
      ing it will permit. As a result, some
      pharma marketers have stayed
      away from social media entirely,                                                                                                                                   Measuring social Media roi
      and others have cut off many com-       expertise, the social web becomes         WebMD, YahooHealth and Google-         very effective. Forty percent of
      munity-building features, including     a rich source of consumer insight.”       Health to be credible, according       respondents that use web tools            It can be slippery to measure ROI when you’re working in a new medi-
      consumer comment functions.               To date, critics argue, drugmakers      to research by marketing services      engage with social media tools on         um. (Remember when it seemed almost impossible to measure returns
        But pharma marketers don’t need       have been far more prone to trans-        firm Epsilon. What’s more, visitors    health sites, the firm’s researchers      for Internet campaigns?) But according to researcher Kevin Kruse (@
      to sit on their hands when it comes     fer their existing sales pitch to, say,   spend an average of 91 percent         found; in fact, almost 20 percent         kevinkruse), there’s a well-defined set of steps that provides reasonable
      to social media, or mount crippled      Facebook or YouTube rather than           more time on health content sites      of respondents do so every week.          ROI numbers for your social media campaign. These include:
      campaigns. One way to keep mak-                                                   than they do on branded pharma         Getting involved in these discus-         • Bear in mind that while social media use may be free, creating cam-
      ing progress, researchers say, is                                                 sites, according to a recent study     sions is more effective than offering        paigns isn’t. To estimate social media expenses, pharmas should
      to spend time digging into where        one way to keep making                    by digital marketing research firm     solely branded drug content.                 look at factors such as staff time to be invested, agency fees, video
      consumers are already getting their     progress, researchers say,                comScore. The most popular social        Another key issue is understand-           production and editing for YouTube campaigns, and the budget for
      drug-related information online,        is to spend time digging                  media sites used for finding health    ing what consumers are looking               making the video’s sponsored content.
      both inside and outside of social       into where consumers are                  information are Facebook and Wiki-     for when they stumble across              • Create a list of click-throughs that foster the goals of your marketing
      media channels. Studies increas-        already getting their drug-               pedia, comScore researchers found.     pharmaceutical advertising on the            effort. For example, pharma marketers might track click-throughs
      ingly suggest that if pharmas meet      related information online,                  While websites are still pivotal    web. Epsilon found that about 50             from social media content to their branded sites, disease-related
      consumers where they live, social       both inside and outside of                channels, social media channels        percent of consumers are looking             sites they’ve sponsored, free trials, doctor discussion guides or
      media-wise, their campaigns will        social media channels.                    are becoming an important part of      for disease-related information, and         ordering brochures.
      be far more effective.                                                            the mix, with 53 percent of Inter-     about 30 percent are looking to           • Establish which benefits you’d like to realize as a result of your cam-
        “Pharma marketers shouldn’t                                                     net users reporting that they’ve       check out what symptoms mean.                paign. For drugmakers, Kruse suggests new patient prescription
      be seduced by the bright, shiny         find out how to find and connect          used social media tools to discuss     Meanwhile, just over 10 percent of           starts and increased refills of existing scrips.
      object of ‘running a social media       with their audience. But if they find     health topics. Thirty-one percent of   consumers reported that they were         • Leverage your social media presence by driving patients into
      campaign’ when there’s so much          out which sources consumers trust,        those respondents are looking for      scouting for drug information. Still,        customer relationship management programs, and measure the
      that they can do with social media      and what types of drug informa-           prescribed or available medication,    46.7 percent of comScore respon-             results. For example, Kruse notes, if patients in CRM programs stay
      behind the scenes,” argues Aaron        tion they share, this gives pharma        comScore found.                        dents reported that social media             on a drug four months longer than those who aren’t in the program,
      Gerrick, senior director of the         marketers a significant leg up.              Not surprisingly, Epsilon’s         sites help them make better medi-            that could be a $4,000 gain in revenue. In that case, pharmas could
      Strategic & Analytic Consulting            One data point worth considering       research found that pharma cam-        cal decisions, a stat that pharma            assign a $4,000 value to patients who sign up after clicking on a
      Group with marketing services firm      is that consumers find high-profile       paigns that reach out through these    brand marketers can leverage.                social media link.
      Epsilon. “With the right tools and      medical Web properties like               sites’ social media tools can be         “It’s clear that the main interest

3 | June 2010                                                                                                                                                                                                                                June 2010 | 4
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      continued from page 4
                                                                                                                                                              Yaz brand gets trashed                the site. Those links are chosen to
                                                                                                                                                              bY Youtube videos
      hold health-related conversa-
      tions on social media sites.     Pharma Social                                                                                                          In theory, the brand managers
                                                                                                                                                                                                    be relevant to the video users are
                                                                                                                                                                                                    watching at that moment.
      According to comScore,           Media Marketing                                                                                                        behind Bayer contraceptive YAZ
      51 percent of respondents
      said that information found      Blunders                                                                                                               were working from the right
                                                                                                                                                              playbook. With pharma market-         Bayer lost control of
      on social media sites had        By Anne Zieger                                                                                                         ers being encouraged to push          its message, which
      prompted them to speak                                                                                                                                  their content onto social media       is just about any
      with their doctor about a par-                                                                                                                          sites, a YouTube channel could        marketer’s nightmare.
      ticular drug, and 62 percent      While pharma social media                                                                                            be a great idea.
      planned to speak with their      marketing is just beginning to                                                                                            Unfortunately, being one of the
      doctor about a disease or        hit its stride, the issues it raises                                                                                   first pharmas to create a YouTube       In this case, the videos were
      condition.                       have been percolating beneath                                                                                          channel didn’t work out the way       largely placed by law firms suing
                                       the surface for quite some time.                                                                                       that the company had hoped.           Bayer, alongside of parodies of
                                       Below, take a look at some                                                                                             Instead, Bayer lost control of its    YAZ television commercials, Mack
                                       examples of how unskilled use of                                                                                       message, which is just about any      notes. Bayer turned off comments
                                       social media tools can come back                                                                                       marketer’s nightmare.                 when it realized its image was
                                       to bite brand managers.                                                                                                   As Pharma Marketing Blog editor    being compromised, but it still can’t
                                                                                                                                                              John Mack notes, the YAZ Birth        prevent viewers from seeing these
                                       J&J stunned bY Motrin                                                                                                  Control Channel looks fine when       inappropriate videos.
                                       MoMs backlash                                                                                                          viewed in its original form. But if     Mack concludes, “My advice
                                       Back in September 2009, Johnson                                                                                        users click on “view comments,        to pharma marketers: Unless you
                                       & Johnson’s McNeil Consumer                                                                                            related videos and more,” the         intend to promote a real discus-
                                       Healthcare brand began running                                                                                         trouble begins. They’re presented     sion or upload a series of videos
                                       television ads promoting OTC pain                                                                                      with the “generic” YouTube format,    that will enhance the value of your
                                       reliever Motrin. The ad suggested       Twitter and used it to post com-       tainly did not mean to offend           which includes a sliding right-hand   YouTube channel, stay away from
                                       that mothers who “wear” babies          ments critical of the ad.              moms through our advertising,”          panel of video links presented by     YouTube!” l
         Ultimately, even with         in slings develop backaches and,          From that point, J&J’s problem       said Kathy Widmer, vice president
      extensive consumer data in       moreover, that mothers wear baby        escalated into a crisis. Influential   of marketing. “As a mom of three
      hand, social media mar-          slings to be fashionable and trendy.    “mommy bloggers” posted items          girls, I understand many of the
      keting is still in transition,      The response was immediate           critical of the ad, other moms         comments made and agree that
      and drugmakers will need         and angry. Not long after the ads       posted videos critical of the spot     we know what’s best for our kids
      to experiment and learn,         aired, offended mothers began           on YouTube, and more than 1,300        and for ourselves.”
      observers argue. The key                                                                                           While the statement was a good
      is to simply jump in and get                                                                                    idea, most critics suggested that
      engaged in the social media                                                                                     J&J did too little, too late. For one
                                       if Johnson & Johnson had tested the social media
      conversation, suggests                                                                                          thing, in simply apologizing and
                                       waters and taken the pulse of real moms, it might
      pharmaceutical industry                                                                                         moving on, the pharma blew an
                                       never have had this problem in the first place.
      blogger Steve Woodruff.                                                                                         important opportunity to engage in
      “Measure what and when                                                                                          a conversation with its customers,
      you can,” Woodruff says.”                                                                                       according to Advertising Age’s Tom
      But don’t sit at the starting    venting their feelings on Twitter.      members of Facebook joined a           Martin. Perhaps more importantly,
      line when being involved in      The topic became so popular that it     group boycotting Motrin.               if J&J had tested the social media
      social networking can bring      acquired its own hashtag, #Motrin-        Eventually, a senior member of       waters and taken the pulse of real
      about so much potential          Moms. Meanwhile, an aggrieved           McNeil’s executive team posted         moms, it might never have had this
      good over time.” l               critic seized the @motrin identity on   an apology for the ad. “We cer-        problem in the first place.

5 | June 2010                                                                                                                                                                                                                    June 2010 | 6
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        Sermo: engaging Physicians                                                         sPonsored content
                                                                                                                                                                   by McNeil. However, it doesn’t          enhance, not substitute for, real
        on-demand Through Social Media                                            can survey physicians, conduct            What Works:                            pitch any form of medications.          conversation-building.
        By greg Shenk                                                             online focus groups, spark                Pharma’s Social
                                                                                  discussions, and monitor                                                        • Johnson & Johnson Acuvue’s            • AstraZeneca maintains a
                                                                                  organic physician dialog across           Media Success                           Acuminder application on                YouTube channel offering
      the serMo coMMunitY:                   collaborating online, Sermo can      the entire community.                     Stories                                 Facebook offers the ability to          updates on charitable activities
      As the largest online community for    provide fast, candid exchanges not                                                                                     remind consumers of any “little         such as its support for Boston’s
                                                                                                                            By Anne Zieger
      physicians, Sermo has become a         possible through other channels.     awareness & ProMotion                                                             details” that their life involves—      Hope Lodge Center. It also
      valuable resource for MDs to share     Engagements that used to take        Sermo does not offer traditional                                                  including, of course, reminders of      presents a large number of
      advice and educate each other. To      months can now happen in as little   advertising. Instead, it allows for       Given the regulatory issues            when to change contact lenses,          videos featuring AZ’s CEO David
      date, more than 115,000 physicians     as a few days.                       educational exchanges with practic-      pharma companies face when               buy new ones or schedule an eye         Brennan. As with many other
      have joined Sermo to discuss a           Sermo’s business model is          ing MDs about topics of interest         experimenting with social media,         exam. With 567 fans, it’s only a        pharmaceutical companies, AZ
      wide range of issues ranging from      often described as a “two-           such as clinical trial data, new stud-   it’s hardly surprising that many         minor success from a Facebook           has turned off the comment
      clinical cases to advice about drugs   sided” marketplace. On one           ies, products, or events.                brand managers decide to take a          standpoint—some retailers have          function that accompanies the
      and practice management. Sermo         side, physicians benefit by            In order to achieve the best           pass. But that doesn’t mean phar-        hundreds of thousands—and               videos. Much of the material
      is only for physicians and every       teaching and learning from each      possible outcome, Sermo                  ma has stayed away from it entirely.     seems to have gone non-                 seems to involve official
      member must be verified and cre-       other in a private, peer-to-peer     works with every client to                  The following case studies were       functional in the roughly 15            statements more typically aimed
      dentialed before they can join.        setting. On the other side, Life     pinpoint key messages and                selected by Jay Krall of Cision,         months since it was created. Still,     at members of the media or at
         Unlike a standard discussion        Sciences Companies benefit by        create a productive dialog.              a public relations shop based in         for a while it did a good job of        Wall Street.
      board, Sermo conversations             engaging physicians in the Sermo     This can be done in the form             Chicago. Some are fairly dated,          tying together real conversations
      happen in the form of a post and       community for market research,       of a Sermo Survey or Sermo               but as Krall notes, the pickings are     with promotions, Krall reports.       Many pharma marketing experts
      are not edited or moderated.           awareness, and promotion.            Panel, which allow clients               slim, since many drugmakers put                                                predict that as DTC ads migrate
      Each post includes an insight or                                            to inform their message(s)               a freeze on social media marketing     • GlaxoSmithKline’s MyAlli offers       online, and the FDA offers more
      question, a poll, and a comment        engaging PhYsicians:                 before launching a campaign.             once the FDA began to focus on           a community function it calls         guidance for drugmakers on social
      section. This allows physicians        Proven social Media                    After determining the right            the issue.                               “allicircles.” While the approach     media marketing, pharmaceutical
      to gather both qualitative and                                              message set, Sermo works with               Having said that, there are still     harkens back to computing days        companies will launch far more
                                             interactions
      quantitative feedback from                                                  its clients to create awareness          some good ideas being tested.            of old—it’s a modern version of       robust social media offerings. But
      colleagues both within and             Market research                      about the topic through variety          Here are Krall’s top choices for         a basic threaded discussion—it        until then, success stories may be
      outside their specialty. This          Because physicians on Sermo          of promotional channels,                 pharma social media campaigns:           still gets the job done, fostering    hard to come by.l
      model has driven nearly 50,000         are already collaborating online,    including email, special highlight                                                supportive
      posts, 1 million comments and          Sermo can provide fast, quality,     areas within its community,              • McNeil Pediatrics chose                conversations
      3.5 million votes. It also allows      and cost-effective interactions      sponsorships, and pages                    Facebook for its ADHD Moms             and information
      for “crowdsourcing” about              with any group of physicians. You    dedicated to a therapeutic area,           site, which fosters both medical       sharing among
      the most talked about drugs,           can target physicians by demo-       topic, or drug (sponsorships/              and social discussion among            users in a way
      disease states, and therapies          graphic criteria or match them       pages coming soon!)                        participants. The page offers          which also
      – even new innovations.                against a target list. Perhaps the     To learn more about engaging             educational information, advice,       promotes trust in
                                             biggest differentiator for Sermo     physicians on Sermo visit                  guided community discussion, a         the product. Not
      the business Model:                    is that its physicians are already   www.sermo.com/client.                      non-employee “Mom-bassador”            surprisingly, the
      how does it work?                      sharing honest and candid feed-                                                 tasked with writing up her             site also offers
      Sermo’s social media platform          back with each other– and they                                                  experiences as a caregiver, and        links to its page
      allows Life Sciences Companies         bring that same thoughtfulness to                                               podcasts. When checked in              on Facebook, its
      (pharma, med device, biotech)          their interactions with clients.                                                mid-2010 the page had more             Twitter account
      to interact directly with its physi-     Sermo’s market research                                                       than 11,000 fans.The site, which       and YouTube,
      cian community. Because there’s        includes both quantitative and                                                  seems to be active, states in a        but these seem
      already an active group of MDs         qualitative services. Clients                                                   few locations that it’s sponsored      to be there to

7 | June 2010                                                                                                                                                                                                                         June 2010 | 8
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           The future of Pharma
           advertising: dTc goes Social                                        pating in a conversation whether           Another reason why pharma com-       created a community of parents      them that will have a trickle-down
                                                                               it’s specific to a disease state or      panies are going this way is because   who really do share information.    effect to that pharmaceutical
           Q& A with DJ eDgerton, co-founDer of phArmA
           DigitAl mArke ting Agency, pixelS & pillS                           treatment in general. I think it’s the   they see the potential in what we        The trend is that patients are    company and brand associated
                                                                               responsibility of the pharmas to         call “enlightened moderation.” You                                         with that support mechanism. You
                                                                                                                                                               going to the Internet for third-party
                                                                               participate in the conversation.         can empower patients, caregivers       endorsements in circles of influ-   don’t necessarily have to pitch a
                                                                                  Also, when pharma companies           and physicians with the platforms                                                      particular drug; all you
                                        FiercePharma: Why are                 are looking to put their finger on       that they need to have real, mean-                                                     have to do is empower
                                       pharmas using social media at           the pulse of what’s going on out         ingful dialogue and sharing.                                                           people to talk amongst
                                                                                                                                                               “When pharma companies are
                                       all, given the regulatory risks         there, there’s no better format                                                                                                 themselves as a service
                                                                                                                                                               looking to put their finger on the
                                       involved?                               than social media to reach people        FiercePharma: What social                                                              to them because you
                                                                                                                                                               pulse of what’s going on out there,
                                                                               suffering from diseases or health        media techniques have you                                                              really care.
                                                                                                                                                               there’s no better format than social
                                       DJE: Obviously, the regulations in      conditions. You can’t go the bus         seen that have proven to be                                                              The pharmaceutical
                                                                                                                                                               media to reach people suffering
                                       place never have considered social      stop and talk to another mom             successful for pharma brand                                                            companies that people
                                                                                                                                                               from diseases or health conditions.”
                                       media as a type of communication        whose child suffers from MS.             managers?                                                                              believe actually care are
                                       that would ever exist.                  Those people don’t exist in the                                                                                                 the ones that will be
                                         I think the knee-jerk reaction        localized circle of influence, so it’s   DJE: Sites that I think have                                                           successful. And social
                                       is that if pharma companies and         very hard to share some of the           provided value include (Facebook-      ence that they trust. If you can    media’s not the be all and end all,
                                       brands don’t participate, others will   challenges involved. Social media        based) ADHD Moms, which was            create a community of like-minded   but it is a wonderfully effective tool
                                       participate on their behalf. The con-   allows for some very strong bonds        launched with the intent to provide    individuals facing the same health- to give people the impression that
                                       versation is happening regardless.      to occur, and often they go offline      real information to moms whose         care challenges, you are inherently you actually care. Consumers can
                                       Consumers in general are partici-       as bonds mature.                         children have the disorder. This has   going to create a bond among
                                                                                                                                                                                                   continued on page 11




                               Should [pharmas] actively avoid participation—even to the degree of                         To date, Lilly has avoided significant interaction                 Many non profit “disease advo-
                              monitoring—lest they uncover an adverse experience? Shouldn’t companies                      with healthcare professionals and patients about our                cacy” groups which are primarily
                              embrace social media so that adverse experiences can be found with greater                   products in social media forums—largely because of                  or substantially funded by indus-
                              alacrity? Shouldn’t companies be rewarded for such behavior? If regulated                    a lack of clarity in understanding FDA’s expectations               try have expanded the scope and
                              industry wants the FDA to be both regulator and colleague, then it’s not a leap              as to how we could participate and comply with                      range of material and interactive
                              of faith to imagine that the FDA would like industry to be proactive in its search           FDA requirements.                                                   media tools they have on the Web.
                              for new ways to surface adverse events.                                                        We did recently launch a blog on Medscape, writ-                  This is of great concern to us.
                                I know of one large pharmaceutical company whose policy is not to moni-                    ten by our U.S. medical team, to share information                  We have reached the conclusion
         More                 tor social media sites because they don’t want to unearth adverse events. Is                 with physicians. Participants are allowed to post com-              that FDA should consider regulat-

         Views on             this responsible? Is it even supportable? If this company received a call from a
                              reporter and was asked if they purposely avoid social media so as not to find
                                                                                                                           ments, either about our blog post or about each other’s
                                                                                                                           comments. That’s the essence of social media, after
                                                                                                                                                                                               ing portions of the content of the
                                                                                                                                                                                               Web sites of groups that get a
         Pharma               adverse experiences, would the truth set them free? Legally they may be in                   all—the ability to share information, experiences and               substantial portion or majority of

         Social               compliance, but it wouldn’t look good on Page One or sound very good in front
                              of a congressional subcommittee. “In compliance” and “in the best interest of
                                                                                                                           opinions with others in the community. We are pre-
                                                                                                                           screening all comments, however, and declining to post
                                                                                                                                                                                               their funding from drug or device
                                                                                                                                                                                               companies.
         Media                the public health” must not be mutually exclusive propositions.                              any that mention a product.

         Use                  — Peter J. Pitts, President, Center for Medicine in the Public Interest                      — Eli Lilly and Company
                                                                                                                                                                                               — steven Findlay, senior health
                                                                                                                                                                                               Policy analyst, Consumers union




9 | June 2010                                                                                                                                                                                                                    June 2010 | 10
fiercepharma.com

      continued from page 10                 family with high choles-                           communicating with
                                             terol will socialize.                                each other is chang-
      see right through the sales pitch,
      but they’ll embrace the community
                                                Besides, tech-
                                             nology is now
                                                                                                    ing, and if you don’t
                                                                                                     adopt your guide-          fda Social Media Proposals                                                whether existing rules can be
      aspect if you support it in an hon-    available—through                                       lines correctly and        Put Pharmas on notice                                                     stretched to cover regulation of
      est and effective way.                 semantic filtration                                     empower your                                                                                         social media, and if not, what regu-
                                                                                                                                By Anne Zieger
                                             as well as building                                    employees to do                                                                                       lations would best extend existing
      FiercePharma: What pharma              applications within                                   the right thing, you                                                                                   drug and device standards to these
      social media strategies have           Facebook—to allow for                               run the risk of some                                                                                     new tools.
      been less successful?                  the dialogue to happen                           unfortunate situations.                                                                                       Perhaps the most basic issue
                                             but also weed out and flag                                                                                                                                   the FDA faces is determining
      DJE: One of the things to keep         conversations that might be risky.     FiercePharma: Finally, how is tra-                                                                                    which online communications
      in mind is that the most effective        One of the things pharmaceuti-      ditional DTC advertising going                                                                                        from manufacturers, packers or
      component of social media on,          cal companies forget is that if you    to be affected by social media?                                                                                       distributors should be regulated in
      say, Facebook is the Wall post.        provide real value exchange, con-      Will it change?                                                                                                       the first place.
      It’s an immediate opportunity to       sumers will agree to terms and                                                                                                                                 For one thing, the agency is
      have conversations on particular       conditions that are often far more     DJE: DTC advertising is going                                                                                         trying to figure out how much
      subject matters.                       restrictive than what the common       to change with regulation to the                                                                                      control such entities should exert
         The problem is that under FDA       consumer would agree to. If you        point where it’s almost undoable.
      guidelines the need to report          back up those terms and condi-         Nobody’s going to pay for three
      adverse events creates such a          tions with technology that monitors    minutes to offer the necessary fair
                                                                                                                                                                                                          no regulation prohibits
      level of risk that most pharma-        posts, you can provide an environ-     balance that will be required. And
                                                                                                                                                                                                          the use of certain types of
      ceutical companies shut off that       ment which allows people to have       who wants to pay for five ads in a
                                                                                                                                                                                                          media to promote drugs
      functionality.                         healthy and compliant communica-       magazine when one is brand-relat-
                                                                                                                                                                                                          and medical devices.
                                                            tion without creating   ed and the rest is only information
                                                            an enormous amount      that goes behind it?
                                                            of risk.                   One of the big things that’s going
      “Before moving in any direction at all,
                                                               And the upside       to happen in the next 12 to 24                                                                                        over their own content. Officials
      you need to have in your corporate
                                                            potential is huge.      months, if not sooner, is that digital                                                                                are also trying to sort out whether
      dna the willingness to change the way
                                                            With just some intel-   will be driving DTC. As [a speaker                                                                                    drug- and devicemakers should
      you talk to your consumers. Because
                                                            ligent tweaks to the    at a conference] said, the only                                                                                       screen and respond to comments
      the way people are communicating
                                                            consumer model, you     place that real DTC belongs is on                                                                                     by the public, and if so, under
      with each other is changing...”
                                                            can leverage social     the Internet. Instead of it just being                                                                                what circumstances. Not only
                                                            media so that you       branded messaging to inform peo-                                                                                      that, the agency is mulling how
                                                            create a groundswell    ple about a brand and what disease                                                                                    much companies involved with the
         But in my opinion, that robs the    of patient support and insight         it treats, it’s going to be more along                                                                                manufacturers of pharma products
      audience of the entire reason that     that goes a long way in develop-       the lines of informing and educat-        Last November, the FDA let the         The agency is starting pretty       should control content, and even
      they want to participate in the com-   ing a relationship. The consumer       ing people to a whole suite of other     public—and more notably, drug-         much from ground zero in its          disclose their involvement.
      munity. It’s kind of like throwing     is going to know who was there         things related to that drug.             makers—know that it planned to         efforts. Officials concede that         Where do drugmakers stand on
      a party and putting duct tape on       when they needed them.                    My suggestion would be the            issue regulations on how pharmas       there’s no regulation specifically    this issue? According to Johnson
      everyone’s mouth. No one’s going          On the other hand, not having       most successful strategies for DTC       could use social media. While the      addressing Internet promotion         & Johnson, pharmas should be
      to go to that party.                   guidelines is a big mistake. Before    will be the ones that are driven         new regs should hit the street by      separately from other types of pro-   held responsible for content they
         The reality is, nobody wants to     moving in any direction at all, you    by digital, not where digital is an      the end of this year, that’s still a   motion. What’s more, no regulation    post on their own site or third-party
      “friend” Lipitor, but people will join need to have in your corporate         adjunct. Because the place where         long time for pharma marketers         prohibits the use of certain types    sites, according to J&J presenters
      a community that provides infor-       DNA the willingness to change          patients will be truly educated is not   who are struggling to make their       of media to promote drugs and         Elizabeth Forminard and Philomena
      mation and support so that people      the way you talk to your consum-       going to be a TV commercial or a         campaigns meet existing offline        medical devices.
      with high cholesterol and who have     ers. Because the way people are        print ad, it’s going to be the web. l    guidelines.                              The question for the FDA is         continued on page 13

11 | June 2010                                                                                                                                                                                                                         June 2010 | 12
fiercepharma.com

      continued from page 12

      McArthur, who spoke at the
      November hearing. A drug-
                                                                                                                                 adverse reaction reporting                                               whether pharmas have an affirma-
      maker should also disclose                                                                                                 challenging in Social Media                                              tive obligation to mine the web and
      any material connection                                                                                                    By Anne Zieger                                                           social media for adverse reaction
      between itself and a con-                                                                                                                                                                           reports. The FDA is mulling over this
      tent provider, they said.                                                                                                                                                                           issue, but hasn’t reached a conclu-
        On the other hand, com-                                                                                               For years, pharmas have been          product, and party X says that       sion. Not surprisingly, drugmakers
      ments by the public are                                                                                                struggling to use promotional           someone was killed by that prod-     addressing a recent FDA meeting
      another matter entirely.                                                                                               advertising on the web effectively,     uct,” Kupchyk said. “The question    on social media promotion emphati-
      “Generally, user-generated                                                                                             as the medium is far more elastic       is whether pharmas should monitor    cally denied that they should be
      content should not be con-                                                                                             than traditional product packag-        [all comments to screen for this     required to do such research.
      sidered promotional labeling                                                                                           ing or even television advertising.     type]. And if they’re not monitor-      With the stakes so high, should
      or advertising,” the J&J                                                                                               While most have managed to              ing comments, do they need to        pharmas avoid social media until
      reps argued.                                                                                                           adapt, a few have received FDA          respond to them at all? Do they      the FDA offers ironclad guidance
        Another concern for                                                                                                  warnings over content that the          need to have a disclaimer on a       on the adverse event issue? Not
      the FDA is how to make                                                                                                 agency perceived as lacking risk-       page offering consumers a phone      necessarily, as long as they do it
      sure pharmas provide fair,                                                                                             benefit balance.                        number to call if they’ve experi-    carefully, argues Kalah Auchincloss,
      balanced and accurate                                                                                                     The game has gotten more             enced adverse events?”               an associate with the D.C. office of
      information in new media                                                                                               complex with the emergence of             Then there’s the question of       law firm Foley Hoag LLP.
      channels (such as Twitter)                                                                                             social media. Not only do pharmas                                               “I’d advise any company to turn
      that don’t allow for deeper                                                                                            have to meet FDA promotional                                                 off the comment feature of inter-
      messages. While websites                                                                                               guidelines, they also have to figure    While most [pharmas]                 active websites, but I don’t think
      may offer plenty of space                                                                                              out how to deal with adverse event      have managed to adapt,               pharmas should be afraid to use
      to present complete drug                                                                                               reports. What’s more, the problem       a few have received fda              social media, if they use it in a way
      information, a Facebook fan                                                                                            is likely to grow more complex as       warnings over content that           that complies with the law,” she
      page may not.                                                                                                          social media networks emerge,           the agency perceived as              said. “Just be smart about it. Use
        Yet another question the agency      label uses of those drugs.            there will be serious consequences        merge and add new features.             lacking risk-benefit balance.        your intuition, and if something feels
      is examining is the use of links in       Some observers consider the        if FDA allows them to use the full           At the moment, drugmakers                                                 like it’s wrong, check it out.” l
      pharma social media marketing.         FDA’s battery of questions to be      array of social media.”                   still aren’t sure how to cope with
      While drugmakers are not allowed       thorough, but some critics still         What’s more, the FDA has               adverse events reported on the
      to promote drugs for unapproved        think the agency hasn’t covered       bypassed an issue Chester sees            web, much less on Facebook,
      purposes, the Internet and social      all of its bases. “There’s more       as critical. “Drugmakers never talk       within tweets, in articles targeted
                                                                                   about the social media monitoring         by social bookmarking sites, or
                                                                                   they may be deploying,” he notes.         content on blogs.
                                                                                   “I think pharmas thought they                The FDA’s current position is
      While drugmakers are not allowed to promote drugs for                        could pull the wool over the Com-         that pharmaceutical companies
      unapproved purposes, the internet and social media seem                      mission’s eyes.”                          should simply follow existing guide-
      to be providing them with a loophole.                                           Chester, who expects to meet           lines for other media when they go
                                                                                   with top FDA officials soon, will         online. However, that leaves ques-
                                                                                   urge them to focus more on                tions unanswered, said Areta L.
      media seem to be providing them        than meets the eye here,” said        consumer data collection through          Kupchyk, a DC-based partner in the
      with a loophole. At present, some      Jeff Chester, executive director of   social media. “The agency didn’t          life science health industry group of
      pharmas provide links from brand-      the Center for Digital Democracy.     get into privacy concerns this            law firm ReedSmith.
      ed sites to other information sites    “Pharmas have presented social        time,” Chester said. “I think it failed      “Let’s say there’s a website
      that may contain information on off-   media as mom and apple pie, but       to do due diligence.” l                   talking about the use of a specific

13 | June 2010                                                                                                                                                                                                                         June 2010 | 14

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Sermo21final0 100629101553 Phpapp01[1]

  • 1. fiercepharma.com Social Media for PharMa Brand  The emergence of social media With that safety net in place, has posed some difficult problems brand managers can tap into the for marketers, in some ways more experiences of colleagues who complex than the emergence of have already taken the plunge. ManagerS Internet marketing channels in the After all, while the industry 1990s. may not have a best-practices Drugmakers, for their part, manual to work from yet, early must address even more difficult adopters in the pharma world challenges than other industries. have begun to figure out which Pharma managers face painful social techniques (such as edu- consequences if their social cational forums, support groups media promotions don’t meet and branded social media appli- FDA requirements—and ignoring cations) can produce results. adverse reaction reports on forums In the following pages, we’ve like Facebook or Twitter could lead set out a guide to help prepare to big problems as well. you for the next wave in pharma Fortunately, the next several social media use—including months should do much to clear a look at the important legal, up confusion and help pharmas regulatory and strategic problems move ahead with their social you’ll encounter. Since issues are media plans. still in flux, we haven’t got hard- By the end of this year, and-fast answers to offer, but we drugmakers should be in a better hope to give you plenty of food position to move ahead with social for thought. media, as the FDA is due to issue Thank you in advance for guidelines for the industry during reading this eBook. We hope it 2010. While the issues will remain helps you move forward in your complex, such guidance should social media efforts! l reduce the risk of mounting social media campaigns. – Editors of FiercePharma  Thank you To our sPonsor: 3 Meeting 5 Pharma Social 7 Sermo: Engaging 8 What Works: 9 The Future of 12 FDA Social 14 Adverse Reaction Consumers Media Marketing Physicians Pharma’s Social Pharma Advertising: Media Proposals Reporting Where they Live Blunders On-Demand Through Media Success DTC Goes Social Put Pharmas Challenging in Social Media Stories on Notice Social Media 1 | June 2010 *Sponsored Content* June 2010 | 2
  • 2. fiercepharma.com Meeting of consumers is the foundational information—they want to under- the site’s tools. But 56 percent of caregivers also visit such sites. consumers stand their condition, learn about Pharma marketers should also con- Where the symptoms and treatment options and understand key terms,” sider how consumers at different stages of treatment and awareness they live the Epsilon report found. Address- differ. For example, sophisticated By Anne Zieger ing those content interests should patients may go directly to branded be front and center for pharma drug sites, while newly diagnosed marketers, researchers concluded. patients or caregivers may visit  Pharma brand managers spend Then there’s the question of social sites or channels to commu- a lot of time wondering how to who’s actually using social media nicate and share experiences. reach consumers through social channels and visiting health sites. Perhaps most importantly, it’s media. This is a risky proposition, According to comScore, 78 percent important to consider what behavior given that the FDA is still weighing of people with an identified con- consumers engage in when they what kind of social media market- dition visit health sites and use continued on page 5 ing it will permit. As a result, some pharma marketers have stayed away from social media entirely, Measuring social Media roi and others have cut off many com- expertise, the social web becomes WebMD, YahooHealth and Google- very effective. Forty percent of munity-building features, including a rich source of consumer insight.” Health to be credible, according respondents that use web tools It can be slippery to measure ROI when you’re working in a new medi- consumer comment functions. To date, critics argue, drugmakers to research by marketing services engage with social media tools on um. (Remember when it seemed almost impossible to measure returns But pharma marketers don’t need have been far more prone to trans- firm Epsilon. What’s more, visitors health sites, the firm’s researchers for Internet campaigns?) But according to researcher Kevin Kruse (@ to sit on their hands when it comes fer their existing sales pitch to, say, spend an average of 91 percent found; in fact, almost 20 percent kevinkruse), there’s a well-defined set of steps that provides reasonable to social media, or mount crippled Facebook or YouTube rather than more time on health content sites of respondents do so every week. ROI numbers for your social media campaign. These include: campaigns. One way to keep mak- than they do on branded pharma Getting involved in these discus- • Bear in mind that while social media use may be free, creating cam- ing progress, researchers say, is sites, according to a recent study sions is more effective than offering paigns isn’t. To estimate social media expenses, pharmas should to spend time digging into where one way to keep making by digital marketing research firm solely branded drug content. look at factors such as staff time to be invested, agency fees, video consumers are already getting their progress, researchers say, comScore. The most popular social Another key issue is understand- production and editing for YouTube campaigns, and the budget for drug-related information online, is to spend time digging media sites used for finding health ing what consumers are looking making the video’s sponsored content. both inside and outside of social into where consumers are information are Facebook and Wiki- for when they stumble across • Create a list of click-throughs that foster the goals of your marketing media channels. Studies increas- already getting their drug- pedia, comScore researchers found. pharmaceutical advertising on the effort. For example, pharma marketers might track click-throughs ingly suggest that if pharmas meet related information online, While websites are still pivotal web. Epsilon found that about 50 from social media content to their branded sites, disease-related consumers where they live, social both inside and outside of channels, social media channels percent of consumers are looking sites they’ve sponsored, free trials, doctor discussion guides or media-wise, their campaigns will social media channels. are becoming an important part of for disease-related information, and ordering brochures. be far more effective. the mix, with 53 percent of Inter- about 30 percent are looking to • Establish which benefits you’d like to realize as a result of your cam- “Pharma marketers shouldn’t net users reporting that they’ve check out what symptoms mean. paign. For drugmakers, Kruse suggests new patient prescription be seduced by the bright, shiny find out how to find and connect used social media tools to discuss Meanwhile, just over 10 percent of starts and increased refills of existing scrips. object of ‘running a social media with their audience. But if they find health topics. Thirty-one percent of consumers reported that they were • Leverage your social media presence by driving patients into campaign’ when there’s so much out which sources consumers trust, those respondents are looking for scouting for drug information. Still, customer relationship management programs, and measure the that they can do with social media and what types of drug informa- prescribed or available medication, 46.7 percent of comScore respon- results. For example, Kruse notes, if patients in CRM programs stay behind the scenes,” argues Aaron tion they share, this gives pharma comScore found. dents reported that social media on a drug four months longer than those who aren’t in the program, Gerrick, senior director of the marketers a significant leg up. Not surprisingly, Epsilon’s sites help them make better medi- that could be a $4,000 gain in revenue. In that case, pharmas could Strategic & Analytic Consulting One data point worth considering research found that pharma cam- cal decisions, a stat that pharma assign a $4,000 value to patients who sign up after clicking on a Group with marketing services firm is that consumers find high-profile paigns that reach out through these brand marketers can leverage. social media link. Epsilon. “With the right tools and medical Web properties like sites’ social media tools can be “It’s clear that the main interest 3 | June 2010 June 2010 | 4
  • 3. fiercepharma.com continued from page 4 Yaz brand gets trashed the site. Those links are chosen to bY Youtube videos hold health-related conversa- tions on social media sites. Pharma Social In theory, the brand managers be relevant to the video users are watching at that moment. According to comScore, Media Marketing behind Bayer contraceptive YAZ 51 percent of respondents said that information found Blunders were working from the right playbook. With pharma market- Bayer lost control of on social media sites had By Anne Zieger ers being encouraged to push its message, which prompted them to speak their content onto social media is just about any with their doctor about a par- sites, a YouTube channel could marketer’s nightmare. ticular drug, and 62 percent  While pharma social media be a great idea. planned to speak with their marketing is just beginning to Unfortunately, being one of the doctor about a disease or hit its stride, the issues it raises first pharmas to create a YouTube In this case, the videos were condition. have been percolating beneath channel didn’t work out the way largely placed by law firms suing the surface for quite some time. that the company had hoped. Bayer, alongside of parodies of Below, take a look at some Instead, Bayer lost control of its YAZ television commercials, Mack examples of how unskilled use of message, which is just about any notes. Bayer turned off comments social media tools can come back marketer’s nightmare. when it realized its image was to bite brand managers. As Pharma Marketing Blog editor being compromised, but it still can’t John Mack notes, the YAZ Birth prevent viewers from seeing these J&J stunned bY Motrin Control Channel looks fine when inappropriate videos. MoMs backlash viewed in its original form. But if Mack concludes, “My advice Back in September 2009, Johnson users click on “view comments, to pharma marketers: Unless you & Johnson’s McNeil Consumer related videos and more,” the intend to promote a real discus- Healthcare brand began running trouble begins. They’re presented sion or upload a series of videos television ads promoting OTC pain with the “generic” YouTube format, that will enhance the value of your reliever Motrin. The ad suggested Twitter and used it to post com- tainly did not mean to offend which includes a sliding right-hand YouTube channel, stay away from that mothers who “wear” babies ments critical of the ad. moms through our advertising,” panel of video links presented by YouTube!” l Ultimately, even with in slings develop backaches and, From that point, J&J’s problem said Kathy Widmer, vice president extensive consumer data in moreover, that mothers wear baby escalated into a crisis. Influential of marketing. “As a mom of three hand, social media mar- slings to be fashionable and trendy. “mommy bloggers” posted items girls, I understand many of the keting is still in transition, The response was immediate critical of the ad, other moms comments made and agree that and drugmakers will need and angry. Not long after the ads posted videos critical of the spot we know what’s best for our kids to experiment and learn, aired, offended mothers began on YouTube, and more than 1,300 and for ourselves.” observers argue. The key While the statement was a good is to simply jump in and get idea, most critics suggested that engaged in the social media J&J did too little, too late. For one if Johnson & Johnson had tested the social media conversation, suggests thing, in simply apologizing and waters and taken the pulse of real moms, it might pharmaceutical industry moving on, the pharma blew an never have had this problem in the first place. blogger Steve Woodruff. important opportunity to engage in “Measure what and when a conversation with its customers, you can,” Woodruff says.” according to Advertising Age’s Tom But don’t sit at the starting venting their feelings on Twitter. members of Facebook joined a Martin. Perhaps more importantly, line when being involved in The topic became so popular that it group boycotting Motrin. if J&J had tested the social media social networking can bring acquired its own hashtag, #Motrin- Eventually, a senior member of waters and taken the pulse of real about so much potential Moms. Meanwhile, an aggrieved McNeil’s executive team posted moms, it might never have had this good over time.” l critic seized the @motrin identity on an apology for the ad. “We cer- problem in the first place. 5 | June 2010 June 2010 | 6
  • 4. fiercepharma.com Sermo: engaging Physicians sPonsored content by McNeil. However, it doesn’t enhance, not substitute for, real on-demand Through Social Media can survey physicians, conduct What Works: pitch any form of medications. conversation-building. By greg Shenk online focus groups, spark Pharma’s Social discussions, and monitor • Johnson & Johnson Acuvue’s • AstraZeneca maintains a organic physician dialog across Media Success Acuminder application on YouTube channel offering the serMo coMMunitY: collaborating online, Sermo can the entire community. Stories Facebook offers the ability to updates on charitable activities As the largest online community for provide fast, candid exchanges not remind consumers of any “little such as its support for Boston’s By Anne Zieger physicians, Sermo has become a possible through other channels. awareness & ProMotion details” that their life involves— Hope Lodge Center. It also valuable resource for MDs to share Engagements that used to take Sermo does not offer traditional including, of course, reminders of presents a large number of advice and educate each other. To months can now happen in as little advertising. Instead, it allows for  Given the regulatory issues when to change contact lenses, videos featuring AZ’s CEO David date, more than 115,000 physicians as a few days. educational exchanges with practic- pharma companies face when buy new ones or schedule an eye Brennan. As with many other have joined Sermo to discuss a Sermo’s business model is ing MDs about topics of interest experimenting with social media, exam. With 567 fans, it’s only a pharmaceutical companies, AZ wide range of issues ranging from often described as a “two- such as clinical trial data, new stud- it’s hardly surprising that many minor success from a Facebook has turned off the comment clinical cases to advice about drugs sided” marketplace. On one ies, products, or events. brand managers decide to take a standpoint—some retailers have function that accompanies the and practice management. Sermo side, physicians benefit by In order to achieve the best pass. But that doesn’t mean phar- hundreds of thousands—and videos. Much of the material is only for physicians and every teaching and learning from each possible outcome, Sermo ma has stayed away from it entirely. seems to have gone non- seems to involve official member must be verified and cre- other in a private, peer-to-peer works with every client to The following case studies were functional in the roughly 15 statements more typically aimed dentialed before they can join. setting. On the other side, Life pinpoint key messages and selected by Jay Krall of Cision, months since it was created. Still, at members of the media or at Unlike a standard discussion Sciences Companies benefit by create a productive dialog. a public relations shop based in for a while it did a good job of Wall Street. board, Sermo conversations engaging physicians in the Sermo This can be done in the form Chicago. Some are fairly dated, tying together real conversations happen in the form of a post and community for market research, of a Sermo Survey or Sermo but as Krall notes, the pickings are with promotions, Krall reports. Many pharma marketing experts are not edited or moderated. awareness, and promotion. Panel, which allow clients slim, since many drugmakers put predict that as DTC ads migrate Each post includes an insight or to inform their message(s) a freeze on social media marketing • GlaxoSmithKline’s MyAlli offers online, and the FDA offers more question, a poll, and a comment engaging PhYsicians: before launching a campaign. once the FDA began to focus on a community function it calls guidance for drugmakers on social section. This allows physicians Proven social Media After determining the right the issue. “allicircles.” While the approach media marketing, pharmaceutical to gather both qualitative and message set, Sermo works with Having said that, there are still harkens back to computing days companies will launch far more interactions quantitative feedback from its clients to create awareness some good ideas being tested. of old—it’s a modern version of robust social media offerings. But colleagues both within and Market research about the topic through variety Here are Krall’s top choices for a basic threaded discussion—it until then, success stories may be outside their specialty. This Because physicians on Sermo of promotional channels, pharma social media campaigns: still gets the job done, fostering hard to come by.l model has driven nearly 50,000 are already collaborating online, including email, special highlight supportive posts, 1 million comments and Sermo can provide fast, quality, areas within its community, • McNeil Pediatrics chose conversations 3.5 million votes. It also allows and cost-effective interactions sponsorships, and pages Facebook for its ADHD Moms and information for “crowdsourcing” about with any group of physicians. You dedicated to a therapeutic area, site, which fosters both medical sharing among the most talked about drugs, can target physicians by demo- topic, or drug (sponsorships/ and social discussion among users in a way disease states, and therapies graphic criteria or match them pages coming soon!) participants. The page offers which also – even new innovations. against a target list. Perhaps the To learn more about engaging educational information, advice, promotes trust in biggest differentiator for Sermo physicians on Sermo visit guided community discussion, a the product. Not the business Model: is that its physicians are already www.sermo.com/client. non-employee “Mom-bassador” surprisingly, the how does it work? sharing honest and candid feed- tasked with writing up her site also offers Sermo’s social media platform back with each other– and they experiences as a caregiver, and links to its page allows Life Sciences Companies bring that same thoughtfulness to podcasts. When checked in on Facebook, its (pharma, med device, biotech) their interactions with clients. mid-2010 the page had more Twitter account to interact directly with its physi- Sermo’s market research than 11,000 fans.The site, which and YouTube, cian community. Because there’s includes both quantitative and seems to be active, states in a but these seem already an active group of MDs qualitative services. Clients few locations that it’s sponsored to be there to 7 | June 2010 June 2010 | 8
  • 5. fiercepharma.com The future of Pharma advertising: dTc goes Social pating in a conversation whether Another reason why pharma com- created a community of parents them that will have a trickle-down it’s specific to a disease state or panies are going this way is because who really do share information. effect to that pharmaceutical Q& A with DJ eDgerton, co-founDer of phArmA DigitAl mArke ting Agency, pixelS & pillS treatment in general. I think it’s the they see the potential in what we The trend is that patients are company and brand associated responsibility of the pharmas to call “enlightened moderation.” You with that support mechanism. You going to the Internet for third-party participate in the conversation. can empower patients, caregivers endorsements in circles of influ- don’t necessarily have to pitch a Also, when pharma companies and physicians with the platforms particular drug; all you  FiercePharma: Why are are looking to put their finger on that they need to have real, mean- have to do is empower pharmas using social media at the pulse of what’s going on out ingful dialogue and sharing. people to talk amongst “When pharma companies are all, given the regulatory risks there, there’s no better format themselves as a service looking to put their finger on the involved? than social media to reach people FiercePharma: What social to them because you pulse of what’s going on out there, suffering from diseases or health media techniques have you really care. there’s no better format than social DJE: Obviously, the regulations in conditions. You can’t go the bus seen that have proven to be The pharmaceutical media to reach people suffering place never have considered social stop and talk to another mom successful for pharma brand companies that people from diseases or health conditions.” media as a type of communication whose child suffers from MS. managers? believe actually care are that would ever exist. Those people don’t exist in the the ones that will be I think the knee-jerk reaction localized circle of influence, so it’s DJE: Sites that I think have successful. And social is that if pharma companies and very hard to share some of the provided value include (Facebook- ence that they trust. If you can media’s not the be all and end all, brands don’t participate, others will challenges involved. Social media based) ADHD Moms, which was create a community of like-minded but it is a wonderfully effective tool participate on their behalf. The con- allows for some very strong bonds launched with the intent to provide individuals facing the same health- to give people the impression that versation is happening regardless. to occur, and often they go offline real information to moms whose care challenges, you are inherently you actually care. Consumers can Consumers in general are partici- as bonds mature. children have the disorder. This has going to create a bond among continued on page 11  Should [pharmas] actively avoid participation—even to the degree of  To date, Lilly has avoided significant interaction  Many non profit “disease advo- monitoring—lest they uncover an adverse experience? Shouldn’t companies with healthcare professionals and patients about our cacy” groups which are primarily embrace social media so that adverse experiences can be found with greater products in social media forums—largely because of or substantially funded by indus- alacrity? Shouldn’t companies be rewarded for such behavior? If regulated a lack of clarity in understanding FDA’s expectations try have expanded the scope and industry wants the FDA to be both regulator and colleague, then it’s not a leap as to how we could participate and comply with range of material and interactive of faith to imagine that the FDA would like industry to be proactive in its search FDA requirements. media tools they have on the Web. for new ways to surface adverse events. We did recently launch a blog on Medscape, writ- This is of great concern to us. I know of one large pharmaceutical company whose policy is not to moni- ten by our U.S. medical team, to share information We have reached the conclusion More tor social media sites because they don’t want to unearth adverse events. Is with physicians. Participants are allowed to post com- that FDA should consider regulat- Views on this responsible? Is it even supportable? If this company received a call from a reporter and was asked if they purposely avoid social media so as not to find ments, either about our blog post or about each other’s comments. That’s the essence of social media, after ing portions of the content of the Web sites of groups that get a Pharma adverse experiences, would the truth set them free? Legally they may be in all—the ability to share information, experiences and substantial portion or majority of Social compliance, but it wouldn’t look good on Page One or sound very good in front of a congressional subcommittee. “In compliance” and “in the best interest of opinions with others in the community. We are pre- screening all comments, however, and declining to post their funding from drug or device companies. Media the public health” must not be mutually exclusive propositions. any that mention a product. Use — Peter J. Pitts, President, Center for Medicine in the Public Interest — Eli Lilly and Company — steven Findlay, senior health Policy analyst, Consumers union 9 | June 2010 June 2010 | 10
  • 6. fiercepharma.com continued from page 10 family with high choles- communicating with terol will socialize. each other is chang- see right through the sales pitch, but they’ll embrace the community Besides, tech- nology is now ing, and if you don’t adopt your guide- fda Social Media Proposals whether existing rules can be aspect if you support it in an hon- available—through lines correctly and Put Pharmas on notice stretched to cover regulation of est and effective way. semantic filtration empower your social media, and if not, what regu- By Anne Zieger as well as building employees to do lations would best extend existing FiercePharma: What pharma applications within the right thing, you drug and device standards to these social media strategies have Facebook—to allow for run the risk of some new tools. been less successful? the dialogue to happen unfortunate situations. Perhaps the most basic issue but also weed out and flag the FDA faces is determining DJE: One of the things to keep conversations that might be risky. FiercePharma: Finally, how is tra- which online communications in mind is that the most effective One of the things pharmaceuti- ditional DTC advertising going from manufacturers, packers or component of social media on, cal companies forget is that if you to be affected by social media? distributors should be regulated in say, Facebook is the Wall post. provide real value exchange, con- Will it change? the first place. It’s an immediate opportunity to sumers will agree to terms and For one thing, the agency is have conversations on particular conditions that are often far more DJE: DTC advertising is going trying to figure out how much subject matters. restrictive than what the common to change with regulation to the control such entities should exert The problem is that under FDA consumer would agree to. If you point where it’s almost undoable. guidelines the need to report back up those terms and condi- Nobody’s going to pay for three adverse events creates such a tions with technology that monitors minutes to offer the necessary fair no regulation prohibits level of risk that most pharma- posts, you can provide an environ- balance that will be required. And the use of certain types of ceutical companies shut off that ment which allows people to have who wants to pay for five ads in a media to promote drugs functionality. healthy and compliant communica- magazine when one is brand-relat- and medical devices. tion without creating ed and the rest is only information an enormous amount that goes behind it? of risk. One of the big things that’s going “Before moving in any direction at all, And the upside to happen in the next 12 to 24 over their own content. Officials you need to have in your corporate potential is huge. months, if not sooner, is that digital are also trying to sort out whether dna the willingness to change the way With just some intel- will be driving DTC. As [a speaker drug- and devicemakers should you talk to your consumers. Because ligent tweaks to the at a conference] said, the only screen and respond to comments the way people are communicating consumer model, you place that real DTC belongs is on by the public, and if so, under with each other is changing...” can leverage social the Internet. Instead of it just being what circumstances. Not only media so that you branded messaging to inform peo- that, the agency is mulling how create a groundswell ple about a brand and what disease much companies involved with the But in my opinion, that robs the of patient support and insight it treats, it’s going to be more along manufacturers of pharma products audience of the entire reason that that goes a long way in develop- the lines of informing and educat-  Last November, the FDA let the The agency is starting pretty should control content, and even they want to participate in the com- ing a relationship. The consumer ing people to a whole suite of other public—and more notably, drug- much from ground zero in its disclose their involvement. munity. It’s kind of like throwing is going to know who was there things related to that drug. makers—know that it planned to efforts. Officials concede that Where do drugmakers stand on a party and putting duct tape on when they needed them. My suggestion would be the issue regulations on how pharmas there’s no regulation specifically this issue? According to Johnson everyone’s mouth. No one’s going On the other hand, not having most successful strategies for DTC could use social media. While the addressing Internet promotion & Johnson, pharmas should be to go to that party. guidelines is a big mistake. Before will be the ones that are driven new regs should hit the street by separately from other types of pro- held responsible for content they The reality is, nobody wants to moving in any direction at all, you by digital, not where digital is an the end of this year, that’s still a motion. What’s more, no regulation post on their own site or third-party “friend” Lipitor, but people will join need to have in your corporate adjunct. Because the place where long time for pharma marketers prohibits the use of certain types sites, according to J&J presenters a community that provides infor- DNA the willingness to change patients will be truly educated is not who are struggling to make their of media to promote drugs and Elizabeth Forminard and Philomena mation and support so that people the way you talk to your consum- going to be a TV commercial or a campaigns meet existing offline medical devices. with high cholesterol and who have ers. Because the way people are print ad, it’s going to be the web. l guidelines. The question for the FDA is continued on page 13 11 | June 2010 June 2010 | 12
  • 7. fiercepharma.com continued from page 12 McArthur, who spoke at the November hearing. A drug- adverse reaction reporting whether pharmas have an affirma- maker should also disclose challenging in Social Media tive obligation to mine the web and any material connection By Anne Zieger social media for adverse reaction between itself and a con- reports. The FDA is mulling over this tent provider, they said. issue, but hasn’t reached a conclu- On the other hand, com-  For years, pharmas have been product, and party X says that sion. Not surprisingly, drugmakers ments by the public are struggling to use promotional someone was killed by that prod- addressing a recent FDA meeting another matter entirely. advertising on the web effectively, uct,” Kupchyk said. “The question on social media promotion emphati- “Generally, user-generated as the medium is far more elastic is whether pharmas should monitor cally denied that they should be content should not be con- than traditional product packag- [all comments to screen for this required to do such research. sidered promotional labeling ing or even television advertising. type]. And if they’re not monitor- With the stakes so high, should or advertising,” the J&J While most have managed to ing comments, do they need to pharmas avoid social media until reps argued. adapt, a few have received FDA respond to them at all? Do they the FDA offers ironclad guidance Another concern for warnings over content that the need to have a disclaimer on a on the adverse event issue? Not the FDA is how to make agency perceived as lacking risk- page offering consumers a phone necessarily, as long as they do it sure pharmas provide fair, benefit balance. number to call if they’ve experi- carefully, argues Kalah Auchincloss, balanced and accurate The game has gotten more enced adverse events?” an associate with the D.C. office of information in new media complex with the emergence of Then there’s the question of law firm Foley Hoag LLP. channels (such as Twitter) social media. Not only do pharmas “I’d advise any company to turn that don’t allow for deeper have to meet FDA promotional off the comment feature of inter- messages. While websites guidelines, they also have to figure While most [pharmas] active websites, but I don’t think may offer plenty of space out how to deal with adverse event have managed to adapt, pharmas should be afraid to use to present complete drug reports. What’s more, the problem a few have received fda social media, if they use it in a way information, a Facebook fan is likely to grow more complex as warnings over content that that complies with the law,” she page may not. social media networks emerge, the agency perceived as said. “Just be smart about it. Use Yet another question the agency label uses of those drugs. there will be serious consequences merge and add new features. lacking risk-benefit balance. your intuition, and if something feels is examining is the use of links in Some observers consider the if FDA allows them to use the full At the moment, drugmakers like it’s wrong, check it out.” l pharma social media marketing. FDA’s battery of questions to be array of social media.” still aren’t sure how to cope with While drugmakers are not allowed thorough, but some critics still What’s more, the FDA has adverse events reported on the to promote drugs for unapproved think the agency hasn’t covered bypassed an issue Chester sees web, much less on Facebook, purposes, the Internet and social all of its bases. “There’s more as critical. “Drugmakers never talk within tweets, in articles targeted about the social media monitoring by social bookmarking sites, or they may be deploying,” he notes. content on blogs. “I think pharmas thought they The FDA’s current position is While drugmakers are not allowed to promote drugs for could pull the wool over the Com- that pharmaceutical companies unapproved purposes, the internet and social media seem mission’s eyes.” should simply follow existing guide- to be providing them with a loophole. Chester, who expects to meet lines for other media when they go with top FDA officials soon, will online. However, that leaves ques- urge them to focus more on tions unanswered, said Areta L. media seem to be providing them than meets the eye here,” said consumer data collection through Kupchyk, a DC-based partner in the with a loophole. At present, some Jeff Chester, executive director of social media. “The agency didn’t life science health industry group of pharmas provide links from brand- the Center for Digital Democracy. get into privacy concerns this law firm ReedSmith. ed sites to other information sites “Pharmas have presented social time,” Chester said. “I think it failed “Let’s say there’s a website that may contain information on off- media as mom and apple pie, but to do due diligence.” l talking about the use of a specific 13 | June 2010 June 2010 | 14