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NMR News: Volume 2, Issue 7, October 2009


                             MARKETING OPINION BLOG

   FTC AND ITS REVISED GUIDES GOVERNING ENDORSEMENTS &
                        TESTIMONIALS:

                MORE REASONS TO DO CLINICAL RESEARCH
                                By: Latesha Richards, Marketing Coordinator

                                             October 12, 2009




       No one disagrees with the industry-wide practice of using a well-known face, personality

or a positive experience to market your brands, not even the Federal Trade Commission (FTC).

But some companies have gone too far in deceiving consumers with false or misleading claims.

In our most recently published article posted on Nutraceuticals World titled “Proprietary

Research – Bringing Nutraceuticals to the Next Level: Conducting product- or ingredient-

specific research is crucial to the long term success of this market, we discuss that too many

companies resort to the sole use of third party data to make claims for their proprietary products

or ingredients, and that this data, most of the time does not specifically address the product. In

clarifying and finalizing some previously open-ended and vague advertising guidelines regarding

expert and consumer endorsements, the FTC took a huge step on October 6, 2009, toward

cracking down on bad industry habits when using third party material.




                                                    1
NMR News: Volume 2, Issue 7, October 2009


       Under the new FTC guidelines, well-known practices of recruiting celebrities, expert

doctors and consumers to endorse brands will receive much more scrutiny than ever before.

Many well known brands that have used to these advertising techniques seen routinely in TV and

magazine ads will continue to be governed by these new amendments, but ANY brand that uses

these practices in any form of advertisement whether it be internet, print, TV and other newer

forms of media including consumer blogs, word-of-mouth or network marketing, social media,

etc are now subject to governance. Dietary supplements are not omitted from these new

guidelines as they are in fact marketed through some of these non-traditional channels and often

utilize medical experts or consumer endorsements/testimonials. In this article, we will discuss

FTC’s revisions made to using consumer endorsements as it pertains to dietary supplements.


Consumer Endorsements/Testimonials


       A major change in the FTC guides has to do with the use of consumer endorsements.

Let’s take a look at Section 255.2 in the 1980 version of the Guide:


       [Guide 1]
       [45 FR 3872, Jan. 18, 1980]

           §255.2 Consumer endorsements.

               (a) An advertisement employing an endorsement reflecting the experience of an
                   individual or a group of consumers on a central or key attribute of the product
                   or service will be interpreted as representing that the endorser's experience is
                   representative of what consumers will generally achieve with the advertised

                                                2
NMR News: Volume 2, Issue 7, October 2009


                   product in actual, albeit variable, conditions of use. Therefore, unless the
                   advertiser possesses and relies upon adequate substantiation for this
                   representation, the advertisement should either clearly and conspicuously
                   disclose what the generally expected performance would be in the depicted
                   circumstances or clearly and conspicuously disclose the limited applicability
                   of the endorser's experience to what consumers may generally expect to
                   achieve.1

Let’s now look at the revised 2009 Guides (key changes are bolded and emphasized).


               §255.2 Consumer endorsements.

               (a) An advertisement containing an endorsement relating the experience of one
                   or more consumers on a central or key attribute of the product or service also
                   will likely be interpreted as representing that the endorser’s experience is
                   representative of what consumers will generally achieve with the advertised
                   product or service in actual, albeit variable, conditions of use. Therefore, an
                   advertiser SHOULD possess and rely upon adequate substantiation for
                   this representation. IF the advertiser DOES NOT have substantiation
                   that the endorser’s experience is representative of what consumers will
                   generally achieve, the advertisement should clearly and conspicuously
                   disclose the generally expected performance in the depicted
                   circumstances, AND the advertiser MUST possess and rely on adequate
                   substantiation for that representation.2




       As you may have noticed, the FTC has now put a huge emphasis on substantiation in the

revised guidelines. While the phrase “an advertiser should possess and rely upon” doesn’t imply

a necessity, it doesn’t do away with the significance of basing a testimonial on a substantiated

claim. The FTC has essentially made it clear that having competent and reliable substantiation

for ANY representation of a key product attribute endorsed by a consumer is highly expected,

                                                 3
NMR News: Volume 2, Issue 7, October 2009


despite whether the endorsement represents a “generally achieved” outcome or a “generally

expected” one. The phrase “generally achieved” can be interpreted to mean the outcome that is

conveyed by the testimonial to be representative of what the general population will experience;

and “generally expected” is the outcome that has been tested and proven in research to be the

expected outcome after taking the product. According to the revised language, if no

substantiation can be provided for a “generally achieved” outcome, advertisers must satisfy both

requirements of using a disclaimer and providing substantiation to support the “generally

expected” outcome claim.


       The sole use of “Results not Typical” disclaimer to justify any atypical product results

has been taken away. The FTC essentially believes that using anecdotal evidence based on a

testimonial or endorsement that conveys a particular consumer’s experience after taking a

product that does not represent what the generally achieved outcome would be insufficient to

substantiate a claim and would be deceptive. The new guides seem to suggest that what the

consumer says about the product is given as much weight as the integrity of the claim made

without an endorser.


       Some argue, rightfully so, that a “generally achieved” or “generally expected” outcome is

inapplicable for dietary supplements, specifically weight loss supplements because there are

differences in physiology and compliance to a regimen among individuals, and so it would be


                                                4
NMR News: Volume 2, Issue 7, October 2009


difficult to ascertain what “generally achieved” or “generally expected” would look like.3

Therefore a “generally expected” disclosure and substantiation would always be necessary. The

FTC makes clear that from “valid, well-controlled clinical studies of patients matching the

profile of the persons in the ad…” generally expected performances of the product could either

be statistically averaged or extrapolated from the data, “even though consumers’ real world

results are not likely to match exactly the results in the clinical study.”4 Advertisers must

therefore engage in clinical research and analyze the data before crafting a disclosure statement,

or not use the testimonial at all.


        There are some cases where false and misleading statements by consumers can be

detrimental for companies. For example, in April 2009, the defendants (the owners of RTC

Research & Development) in the case involving Xenadrine EFX, a weight loss dietary

supplement, had to pay $8M in compensatory damages to consumers who were deceived from

statements made by consumer testimonials. The product was “marketed as being clinically

proven to cause rapid and substantial weight loss and was said to be more effective than

ephedrine-based supplements…” The defendants were guilty of “false and unsubstantiated

advertising.”5 The ruling does not specifically mention what the consumer testimonials said, but

we can make an educated assumption that because the claims were unsubstantiated, the

testimonials were also unsubstantiated and there was no disclosure. Under these new guidelines,



                                                  5
NMR News: Volume 2, Issue 7, October 2009


companies must make sure that they can provide substantiation for ANY testimonial that is

made.


        In early 2007, the marketers of TrimSpa were also ordered to pay a $1.5 million

settlement fine for unsubstantiated claims of rapid weight loss, particularly from false

consumer/celebrity testimonials (from Anna Nicole Smith) which claimed weight loss of 69 lbs

in less than nine months. FTC found that the company had inadequate scientific evidence to

support their claims that TrimSpa caused rapid and substantial weight loss via its active

ingredient, Hoodia gordonii, which is an appetite suppressant.6




Conclusion


        Tighter measures to FTC guidelines have indeed made it increasingly risky for companies

in any industry to make unsubstantiated statements about a product through consumer or expert

endorsements. Dietary supplements are by no means omitted from these measures.


        As of December 1, 2009 when the FTCs new guides on endorsement and testimonial

substantiation go into effect, we can move forward with the process of re-establishing credibility

in our advertising. What does this mean for the natural products industry going forward? This

means two things: 1. we as industry professionals are now challenged to be more proactive in

                                                 6
NMR News: Volume 2, Issue 7, October 2009


providing “competent and reliable substantiation” at the start of the process than reactive when

things seemingly go wrong. We owe presenting factual information on product labels to

consumers, not to the FTC or the FDA; and, 2. Natural product consumers can look to trust the

statements and claims they hear and see. This is something we can all look forward to.


        The FTC has made it crystal clear that it is in the business of enforcing truth-in-

advertising and protecting consumers. So, there’s an even greater burden for supplement

companies to provide proof for their products. Now is the time to form a long-term partnership

with a competent contract research organization that can help your company substantiate claims

and craft your marketing messages and claims to meet the new FTC and FDA’s guidelines. We

recommend randomized, double-blind placebo-controlled studies for a novel, combination or

single ingredient, as the gold standard, but we endorse an appropriate in vivo model that can

sufficiently test your product attributes, if the former model is not desired.


        Before attempting to use a medical expert or consumer endorsement in your advertising,

be sure to have the most appropriate scientific and clinical evidence to substantiate the

endorsement. This will certainly save your company from headaches and worse, potentially

costly liabilities in the long haul.




                                                  7
NMR News: Volume 2, Issue 7, October 2009


About NMR: Nutraceutical Medical Research, LLC is a premier contract research organization
dedicated to substantiating your product’s claims with clinical research. Our medical writing
services include journal publication, brochures and review papers. Our goal is to partner with
companies to help them establish the efficacy and safety of their products using an evidence-
based approach.

To access the revised guides, go to
http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf



REFERENCES

   1.   The FTC Guides Concerning Use of Endorsements and Testimonials in Advertising. Accessed on October
        8, 2009 at: http://www.ftc.gov/bcp/guides/endorse.htm
   2.   Federal Trade Commission – 16 CFR Part 255 – Guides Concerning the Use of Endorsements and
        Testimonials in Advertising. Accessed on October 8, 2009 at:
        http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf
   3.   Federal Trade Commission – 16 CFR Part 255 – Guides Concerning the Use of Endorsements and
        Testimonials in Advertising. Accessed on October 8, 2009 at:
        http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf
   4.   The FTC Guides Concerning Use of Endorsements and Testimonials in Advertising. Accessed on October
        8, 2009 at: http://www.ftc.gov/bcp/guides/endorse.htm
   5.   FTC Concludes Case Against Marketers of Xenadrine EFX; Court Ruling Requires Final Defendant to
        Accept Settlement Terms. Accessed on October 8, 2009 at:
        http://www.ftc.gov/opa/2009/04/xenadrine.shtm
   6.   Federal Trade Commission Reaches “New Year’s” Resolutions with Four Major Weight-Control Pill
        Marketers. Accessed on October 13, 2009 at http://www.ftc.gov/opa/2007/01/weightloss.shtm




                                                    8

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Marketing Opinion Blog Ftc Guides On Endorsements & Testimonials Oct 2009

  • 1. NMR News: Volume 2, Issue 7, October 2009 MARKETING OPINION BLOG FTC AND ITS REVISED GUIDES GOVERNING ENDORSEMENTS & TESTIMONIALS: MORE REASONS TO DO CLINICAL RESEARCH By: Latesha Richards, Marketing Coordinator October 12, 2009 No one disagrees with the industry-wide practice of using a well-known face, personality or a positive experience to market your brands, not even the Federal Trade Commission (FTC). But some companies have gone too far in deceiving consumers with false or misleading claims. In our most recently published article posted on Nutraceuticals World titled “Proprietary Research – Bringing Nutraceuticals to the Next Level: Conducting product- or ingredient- specific research is crucial to the long term success of this market, we discuss that too many companies resort to the sole use of third party data to make claims for their proprietary products or ingredients, and that this data, most of the time does not specifically address the product. In clarifying and finalizing some previously open-ended and vague advertising guidelines regarding expert and consumer endorsements, the FTC took a huge step on October 6, 2009, toward cracking down on bad industry habits when using third party material. 1
  • 2. NMR News: Volume 2, Issue 7, October 2009 Under the new FTC guidelines, well-known practices of recruiting celebrities, expert doctors and consumers to endorse brands will receive much more scrutiny than ever before. Many well known brands that have used to these advertising techniques seen routinely in TV and magazine ads will continue to be governed by these new amendments, but ANY brand that uses these practices in any form of advertisement whether it be internet, print, TV and other newer forms of media including consumer blogs, word-of-mouth or network marketing, social media, etc are now subject to governance. Dietary supplements are not omitted from these new guidelines as they are in fact marketed through some of these non-traditional channels and often utilize medical experts or consumer endorsements/testimonials. In this article, we will discuss FTC’s revisions made to using consumer endorsements as it pertains to dietary supplements. Consumer Endorsements/Testimonials A major change in the FTC guides has to do with the use of consumer endorsements. Let’s take a look at Section 255.2 in the 1980 version of the Guide: [Guide 1] [45 FR 3872, Jan. 18, 1980] §255.2 Consumer endorsements. (a) An advertisement employing an endorsement reflecting the experience of an individual or a group of consumers on a central or key attribute of the product or service will be interpreted as representing that the endorser's experience is representative of what consumers will generally achieve with the advertised 2
  • 3. NMR News: Volume 2, Issue 7, October 2009 product in actual, albeit variable, conditions of use. Therefore, unless the advertiser possesses and relies upon adequate substantiation for this representation, the advertisement should either clearly and conspicuously disclose what the generally expected performance would be in the depicted circumstances or clearly and conspicuously disclose the limited applicability of the endorser's experience to what consumers may generally expect to achieve.1 Let’s now look at the revised 2009 Guides (key changes are bolded and emphasized). §255.2 Consumer endorsements. (a) An advertisement containing an endorsement relating the experience of one or more consumers on a central or key attribute of the product or service also will likely be interpreted as representing that the endorser’s experience is representative of what consumers will generally achieve with the advertised product or service in actual, albeit variable, conditions of use. Therefore, an advertiser SHOULD possess and rely upon adequate substantiation for this representation. IF the advertiser DOES NOT have substantiation that the endorser’s experience is representative of what consumers will generally achieve, the advertisement should clearly and conspicuously disclose the generally expected performance in the depicted circumstances, AND the advertiser MUST possess and rely on adequate substantiation for that representation.2 As you may have noticed, the FTC has now put a huge emphasis on substantiation in the revised guidelines. While the phrase “an advertiser should possess and rely upon” doesn’t imply a necessity, it doesn’t do away with the significance of basing a testimonial on a substantiated claim. The FTC has essentially made it clear that having competent and reliable substantiation for ANY representation of a key product attribute endorsed by a consumer is highly expected, 3
  • 4. NMR News: Volume 2, Issue 7, October 2009 despite whether the endorsement represents a “generally achieved” outcome or a “generally expected” one. The phrase “generally achieved” can be interpreted to mean the outcome that is conveyed by the testimonial to be representative of what the general population will experience; and “generally expected” is the outcome that has been tested and proven in research to be the expected outcome after taking the product. According to the revised language, if no substantiation can be provided for a “generally achieved” outcome, advertisers must satisfy both requirements of using a disclaimer and providing substantiation to support the “generally expected” outcome claim. The sole use of “Results not Typical” disclaimer to justify any atypical product results has been taken away. The FTC essentially believes that using anecdotal evidence based on a testimonial or endorsement that conveys a particular consumer’s experience after taking a product that does not represent what the generally achieved outcome would be insufficient to substantiate a claim and would be deceptive. The new guides seem to suggest that what the consumer says about the product is given as much weight as the integrity of the claim made without an endorser. Some argue, rightfully so, that a “generally achieved” or “generally expected” outcome is inapplicable for dietary supplements, specifically weight loss supplements because there are differences in physiology and compliance to a regimen among individuals, and so it would be 4
  • 5. NMR News: Volume 2, Issue 7, October 2009 difficult to ascertain what “generally achieved” or “generally expected” would look like.3 Therefore a “generally expected” disclosure and substantiation would always be necessary. The FTC makes clear that from “valid, well-controlled clinical studies of patients matching the profile of the persons in the ad…” generally expected performances of the product could either be statistically averaged or extrapolated from the data, “even though consumers’ real world results are not likely to match exactly the results in the clinical study.”4 Advertisers must therefore engage in clinical research and analyze the data before crafting a disclosure statement, or not use the testimonial at all. There are some cases where false and misleading statements by consumers can be detrimental for companies. For example, in April 2009, the defendants (the owners of RTC Research & Development) in the case involving Xenadrine EFX, a weight loss dietary supplement, had to pay $8M in compensatory damages to consumers who were deceived from statements made by consumer testimonials. The product was “marketed as being clinically proven to cause rapid and substantial weight loss and was said to be more effective than ephedrine-based supplements…” The defendants were guilty of “false and unsubstantiated advertising.”5 The ruling does not specifically mention what the consumer testimonials said, but we can make an educated assumption that because the claims were unsubstantiated, the testimonials were also unsubstantiated and there was no disclosure. Under these new guidelines, 5
  • 6. NMR News: Volume 2, Issue 7, October 2009 companies must make sure that they can provide substantiation for ANY testimonial that is made. In early 2007, the marketers of TrimSpa were also ordered to pay a $1.5 million settlement fine for unsubstantiated claims of rapid weight loss, particularly from false consumer/celebrity testimonials (from Anna Nicole Smith) which claimed weight loss of 69 lbs in less than nine months. FTC found that the company had inadequate scientific evidence to support their claims that TrimSpa caused rapid and substantial weight loss via its active ingredient, Hoodia gordonii, which is an appetite suppressant.6 Conclusion Tighter measures to FTC guidelines have indeed made it increasingly risky for companies in any industry to make unsubstantiated statements about a product through consumer or expert endorsements. Dietary supplements are by no means omitted from these measures. As of December 1, 2009 when the FTCs new guides on endorsement and testimonial substantiation go into effect, we can move forward with the process of re-establishing credibility in our advertising. What does this mean for the natural products industry going forward? This means two things: 1. we as industry professionals are now challenged to be more proactive in 6
  • 7. NMR News: Volume 2, Issue 7, October 2009 providing “competent and reliable substantiation” at the start of the process than reactive when things seemingly go wrong. We owe presenting factual information on product labels to consumers, not to the FTC or the FDA; and, 2. Natural product consumers can look to trust the statements and claims they hear and see. This is something we can all look forward to. The FTC has made it crystal clear that it is in the business of enforcing truth-in- advertising and protecting consumers. So, there’s an even greater burden for supplement companies to provide proof for their products. Now is the time to form a long-term partnership with a competent contract research organization that can help your company substantiate claims and craft your marketing messages and claims to meet the new FTC and FDA’s guidelines. We recommend randomized, double-blind placebo-controlled studies for a novel, combination or single ingredient, as the gold standard, but we endorse an appropriate in vivo model that can sufficiently test your product attributes, if the former model is not desired. Before attempting to use a medical expert or consumer endorsement in your advertising, be sure to have the most appropriate scientific and clinical evidence to substantiate the endorsement. This will certainly save your company from headaches and worse, potentially costly liabilities in the long haul. 7
  • 8. NMR News: Volume 2, Issue 7, October 2009 About NMR: Nutraceutical Medical Research, LLC is a premier contract research organization dedicated to substantiating your product’s claims with clinical research. Our medical writing services include journal publication, brochures and review papers. Our goal is to partner with companies to help them establish the efficacy and safety of their products using an evidence- based approach. To access the revised guides, go to http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf REFERENCES 1. The FTC Guides Concerning Use of Endorsements and Testimonials in Advertising. Accessed on October 8, 2009 at: http://www.ftc.gov/bcp/guides/endorse.htm 2. Federal Trade Commission – 16 CFR Part 255 – Guides Concerning the Use of Endorsements and Testimonials in Advertising. Accessed on October 8, 2009 at: http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf 3. Federal Trade Commission – 16 CFR Part 255 – Guides Concerning the Use of Endorsements and Testimonials in Advertising. Accessed on October 8, 2009 at: http://www.ftc.gov/os/2009/10/091005endorsementguidesfnnotice.pdf 4. The FTC Guides Concerning Use of Endorsements and Testimonials in Advertising. Accessed on October 8, 2009 at: http://www.ftc.gov/bcp/guides/endorse.htm 5. FTC Concludes Case Against Marketers of Xenadrine EFX; Court Ruling Requires Final Defendant to Accept Settlement Terms. Accessed on October 8, 2009 at: http://www.ftc.gov/opa/2009/04/xenadrine.shtm 6. Federal Trade Commission Reaches “New Year’s” Resolutions with Four Major Weight-Control Pill Marketers. Accessed on October 13, 2009 at http://www.ftc.gov/opa/2007/01/weightloss.shtm 8