Allergan settles Botox case for $600m

Allergan has agreed to pay $600 million to settle a federal probe of its marketing practices for the wrinkle smoother Botox.

Allergan has agreed to pay $600 million to settle a federal probe of its marketing practices for the wrinkle smoother Botox.

Allergan will record nonrecurring pre-tax charges of $610 million to $615 million in its third fiscal quarter related to the settlement with the US Department of Justice.

The settlement was announced by the company late yesterday. The Justice Department declined immediate comment.

The investigation centered on the company's marketing of Botox for certain therapeutic treatments, such as pain, that had not been approved by US health authorities.

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Allergan agreed to plead guilty to a misdemeanor "misbranding" charge covering the period 2000 through 2005 and pay $375 million.

Allergan also agreed to pay $225 million to resolve civil claims asserted by DOJ under the civil False Claims Act.

As part of its plea, Allergan agreed that between 2000 through 2005, its marketing of Botox resulted in uses for the therapeutic treatment of headache, pain, spasticity and juvenile cerebral palsy. These were considered "off-label" uses because Botox had not been approved for those uses during that time period, and the labeling for Botox did not contain directions for those uses.

In March 2010, the US Food and Drug Administration approved Botox for the treatment of increased muscle stiffness in the elbow, wrist and fingers in adults with upper limb spasticity. The label now includes directions for that use, the company said.

Based on positive Phase III trials announced in September 2008, Allergan has filed for FDA approval of Botox for the treatment of chronic migraine and expects a ruling before the end of 2010.

Allergan is also in Phase III clinical trials investigating the use of Botox to treat neurogenic and idiopathic overactive bladder.

While Botox is approved in 70 countries, including the UK and Canada, to treat symptoms associated with juvenile cerebral palsy, it does not have that approval in the United States, where it is currently used off-label. Allergan said it is in discussions with the FDA regarding additional clinical development for juvenile cerebral palsy in the United States.

Reuters