Blog Post

Common FDA Warning Letters in 2025: The "Enforcement Wave" is Here

December 20, 2025
5 min read

For the first half of the decade, the industry whispered that the FDA’s Office of Prescription Drug Promotion (OPDP) had gone quiet. "Untitled Letters" were rare; Warning Letters were scarce.

That silence ended abruptly in late 2025.

In what industry experts are calling the "September Surge," the FDA issued over 100 enforcement letters in a matter of weeks, signaling a return to the aggressive oversight of the 2010s. The message is clear: the era of "light-touch" regulation is over.

If you are a Medical or Marketing Director, you need to know exactly what triggered these letters so you don't become the next case study.

Trend #1: The "CEO Influencer" Trap

One of the most high-profile Warning Letters of 2025 wasn't for a TV spot or a brochure—it was for a LinkedIn post by a CEO.

The FDA cited a pharmaceutical executive for posting about their drug's benefits on a personal account without including the necessary risk information. The defense that "it was a personal opinion" did not hold up.

The Lesson: If it talks like a promo and walks like a promo, it’s a promo. * The Risk: The FDA now monitors executive social media accounts as extensions of corporate labeling. * The Fix: Every piece of text—even a LinkedIn caption—needs the same rigor as a Detail Aid. You need a tool that treats social media drafts with the same seriousness as clinical documents, ensuring risk information is never an afterthought.

Trend #2: The "Clinically Proven" Mirage

Multiple 2025 letters targeted the phrase "Clinically Proven."

Marketing teams love this phrase. Regulatory teams dread it. The FDA’s recent crackdown reinforced that you cannot say "Clinically Proven" if your evidence is based on: * Open-label studies * Post-hoc analyses * Data that lacks statistical significance

Several companies were cited for using this phrase when their data only showed "promising results" or "numerical improvement" without a rigorous P-value.

The Fix: Precision Traceability. You need to link claims not just to a study, but to the specific P-value and confidence interval in that study. If the data doesn't support "proven," the AI shouldn't write "proven."

Trend #3: The "Omission of Risk" (Still #1)

It’s the oldest citation in the book, yet it accounted for nearly 40% of the 2025 enforcement actions.

The pattern is always the same: The promotional material (often a digital banner or email) devotes 90% of its real estate to efficacy claims ("Works in 5 minutes!", "98% clearance!") and buries the risk information in a tiny footer or a link that doesn't work.

The FDA’s new stance is strict: Risk information must be as "prominent and readable" as the benefit claims.

How to Avoid the "Enforcement List"

The common thread across all these letters is a disconnect between the Source of Truth (the Clinical Study Report or PI) and the Final Creative.

Somewhere in the drafting process, the nuance gets lost. A "statistically significant improvement" becomes "clinically proven." A "personal post" drops the ISI.

This is where PharmaText.ai protects you.

We don't just generate text; we enforce the guardrails of your reference documents.

  1. Linked Evidence: Our AI refuses to hallucinate "Clinically Proven" if the anchored PDF data doesn't explicitly support it.
  2. Safety First: Because we anchor generation to your source documents, you can seamlessly integrate risk information from your Prescribing Information (PI) directly into your drafts, ensuring the "fair balance" the FDA demands is present from the first draft.
  3. Audit Trail: If the FDA ever knocks, you can show the exact lineage of every claim, linked directly to the source file.

The 2025 enforcement wave is real. Don't rely on "we've always done it this way." Build compliance into your drafting process today.

PT

Build Compliant Content Faster

PharmaText.ai helps teams reduce MLR cycles by 40% using precision traceability.

Book a demo →