IPR ISSUES IN PHARMACEUTICAL MARKETS The land is only one its pockets filled with ocean You sit in the North I sit in the south But on the same land The same soil The same earth One day we will share the earth the soil, and the ocean and the world will be One And the world will be Won _ _ Dr Ratnesh Shrivastava Copyright© ARTICLE 7 TRIPS: OBJECTIVES THE PROTECTION AND ENFORCEMENT OF INTELLECTUAL PROPERTY RIGHTS SHOULD CONTRIBUTE TO THE PROMOTION OF TECHNOLOGICAL INNOVATION AND THE TRANSFER AND DISEMINATION OF TECHNOLOGY, TO THE MUTUAL ADVANTAGE OF PRODUCERS AND USERS OF TECHNOLOGICAL KNOWLEDGE AND IN A MANNER CONDUCIVE TO SOCIAL AND ECONOMIC WELFARE, AND TO A BALANCE OF RIGHTS AND OBLIGATIONS ARTICLE 8: PRINCIPLES MEMBERS MAY IN FORMULATING OR AMENDING THEIR LAWS AND REGULATIONS, ADOPT MEASURES NECESSARY TO PROTECT PUBLIC HEALTH AND NUTRITION AND TO PROMOTE THE PUBLIC INTEREST IN SECTORS OF VITAL IMPORTANCE TO THEIR SOCIOECONOMIC AND TECHNOLOGICAL DEVELOPMENT, PROVIDED THAT SUCH MEASURES ARE CONSISTENT WITH THE PROVISIONS OF THIS AGREEMENT APPROPRIATE MEASURES, PROVIDED THAT THEY ARE CONSISTENT WITH THE PROVISIONS OF THIS AGREEMENT MAY BE NEEDED TO PREVENT THE ABUSE OF INTELLECTUAL PROPERTY RIGHTS BY RIGHT HOLDERS OR THE RESORT TO PRACTICES WHICH UNREASONABLY RESTRAIN TRADE OR ADVERSELY AFFECT THE INTERNATIONAL TRANSFER OF TECHNOLOGY. GLOBAL MARKET ($825 billion BY REGION NORTH AMERICA 40% EUROPE 32% JAPAN 10% LATIN AMERICA 6% REST OF WORLD 12% IN BIG MARKETS GOVERNMENT/INSURANCE MEDICAL REIMBURSEMENT SCHEMES EXIST MARKETS STUDIED SIZE OF MARKETS “VERY LARGE MARKETS” IN RED “MODERATE TO SMALL” IN YELLOW “LARGE TO MODERATE” IN GREEN IF ONE EXCLUDES US, CA, EP, AND JP THE REST OF THE WORLD COMPRISING ABOUT 82.5% OF THE WORLD POPULATION CONSTITUTES LESS THAN 20% OF THE MARKET THE REASON IS LACK OF PURCHASING POWER MARKETS WITH PER CAPITA >$ 20,000 “A” INCOME MARKETS WITH PER CAPITA $ 5 -10,000 “B” INCOME MARKETS WITH PER CAPITA < $ 5,000 “C” INCOME 1. UNITED STATES* 1. CHILE* 1. CHINA* 2. EP* 2. MEXICO* 2. PHILLIPINES 3. JAPAN* 3. MALAYSIA 3. EGYPT* 4. CANADA* 4. RUSSIA 4. ECUADOR* 5. AUSTRALIA* 5. BRAZIL* 5. INDONESIA 6. SINGAPORE* 6. TURKEY* 6. INDIA *: Countries that provide for data exclusivity THEREFORE THE ISSUE IS THE CONTRADICTION OF THE PROPOSAL OF EXPANDING TRADE WITH THOSE IN THE WORLD WHO DO NOT HAVE SUFFICIENT PURCHASING POWER or THEIR GOVERNMENT HAS INSUFFICIENT ECONOMIC ABILITY TO SUPPORT MEDICAL REIMBURSEMENT MARKET “A” MARKET “B” MARKET “C” Imatinib Pre 1995 6/6 0 0 Nilotinib Post 1995 6/6 3/6 3/6 Antidiabetic (Novo Nordisk) Repaglinide Pre 1995 6/6 0/6 0/6 Liraglutide post 1995 5/6 3/6 2/6 Anti HIV (BMS) Entecavir Pre 1995 6/6 2/6 1/6 Atazanavir Post 1995 5/6 3/6 2/6 Antiinfective Clarithromycin Pre 1995 3/6 0 0 Cethromycin Post 1995 4/6 2/6 1/6 DRUG CATEGOR Y& COMPANY PRODUCTS Anticancer (Novartis) CONCLUSION : INVESTMENT OF RESOURCES IN PATENTING IN LOWER INCOME MARKETS IS ONLY INCREASED A LITTLE BIT BECAUSE THE RETURNS ARE SMALL AND IN MOST OF THE COUNTRIES SELECTED FOR THIS STUDY DATA EXCLUSIVITY IS AVAILABLE DATA EXCLUSIVITY- TRIPS ARTICLE 39.3 : MEMBERS, WHEN REQUIRING, AS A CONDITION OF APPROVING THE MARKETING OF PHARMACEUTICAL OR OF AGRICULTURAL CHEMICAL PRODUCTS WHICH “UTILIZE NEW CHEMICAL ENTITIES”, THE SUBMISSION OF UNDISCLOSED TEST OR OTHER DATA, THE ORIGINATION OF WHICH INVOLVES A CONSIDERABLE EFFORT, SHALL “PROTECT SUCH DATA AGAINST UNFAIR COMMERCIAL USE”. IN ADDITION, MEMBERS SHALL PROTECT SUCH DATA AGAINST DISCLOSURE, EXCEPT WHERE NECESSARY TO PROTECT THE PUBLIC, OR UNLESS STEPS ARE TAKEN TO ENSURE THAT THE DATA ARE PROTECTED AGAINST UNFAIR COMMERCIAL USE. DATA EXCLUSIVITY THREE VERY LARGE MARKETS THIRTEEN LARGE TO MODERATE MARKETS ELEVEN MODERATE TO SMALL MARKETS COUNTRY PERIOD COUNTRY PERIOD COUNTRY PERIOD US 5 YRS CHINA 6 YEARS INDIA NEGOTIATION (EU-IN) EUROPE* 6/ 10 YRS CANADA 8 YEARS PHILIPPINES NO JAPAN 6 YEARS MEXICO 5 YEARS EGYPT 5 YEARS BRAZIL 10 YEARS ISRAEL 5 YEARS S. KOREA 6 YEARS S. AFRICA NO POLAND 10 YRS OR 6 YRS* CHILE 5 YEARS TURKEY 6 YRS ECUADOR 5 YEARS TAIWAN 5 YEARS PERU 5 YEARS AUSTRALIA 5 YEARS KENYA NO RUSSIA NEGOTIATION IN FTA SINGAPORE 5 YEARS INDONESIA NO VIETNAM 5 YEARS ARGENTINA NO MALAYSIA NEGOTIATION (MY-US) COLOMBIA** 3, 4 OR 5 YEARS *10 yrs for products filed through EMEA, 6 yrs for products filed through Mutual Recognition Procedure after May 1, 2004 **3, 4 or 5 yrs based on filing during 1st, 2nd or 3rd year respectively of the decree (Data Protection Decree No. 2085, Sep 19, 2002) in force. 1. IF THERE IS INNOVATION IT IS AWARDED THROUGH PATENT GRANT. IF THERE IS NO INNOVATION THEN WHAT IS INVOLVED IS ROUTINE EXPERIMENTATION WHICH MAY HOWEVER REQUIRE LARGE INVESTMENT FOR POTENTIAL GAIN AT A BUSINES RISK 2. TRIPS FLEXIBILITY ALLOWS A MEMBER STATE TO DECIDE WHETHER TO AWARD FOR INVESTMENT WITH DATA EXCLUSIVITY. STATES WITH LOW PER CAPITA INCOME NEED TO WEIGH HEAVILY THE RESPONSIBILTY OF PROVIDING DRUGS AT AN AFFORDABLE PRICE BUT HAVE NO OBLIGATION TO SAFEGUARD BUSINESS RISKS. TRIPS ARTICLES 1: MEMBERS SHALL GIVE EFFECT TO THE PROVISIONS OF THIS AGREEMENT. MEMBERS MAY, BUT SHALL NOT BE OBLIGED TO, IMPLEMENT IN THEIR LAW MORE EXTENSIVE PROTECTION THAN IS REQUIRED BY THIS AGREEMENT, PROVIDED THAT SUCH PROTECTION DOES NOT CONTRAVENE THE PROVISIONS OF THIS AGREEMENT. TRIPS ARTICLE 8.1: MEMBERS MAY, IN FORMULATING OR AMENDING THEIR LAWS AND REGULATIONS, ADOPT MEASURES NECESSARY TO PROTECT PUBLIC HEALTH AND NUTRITION, AND TO PROMOTE THE PUBLIC INTEREST IN SECTORS OF VITAL IMPORTANCE TO THEIR SOCIO-ECONOMIC AND TECHNOLOGICAL DEVELOPMENT, PROVIDED THAT SUCH MEASURES ARE CONSISTENT WITH THE PROVISIONS OF THIS AGREEMENT 4. DATA EXCLUSIVITY IS IRREVOCABLE BUT PATENTS CAN BE REVOKED . EXAMPLES OF SOME DRUGS FOR WHICH PATENTS HAVE BEEN REVOKED OR ARE CHALLENGED • TENOFOVIR DISOPROXIL FUMARATE, VALGANCYCLOVIR, TEKTURNA (ALISKIREN), REYATAZ (ATAZANAVIR), VIBATIV (TELAVANCIN), ABACAVIR (WITHDRAWN), • COMBINATIONS: VALTURNA (ALISKIREN-VALSARTAN),; YAZ (DROSPIRENONE-ETHINYL ESTRADIOL), YASMIN (ETHINYLESTRADIOL-DROSPIRENONE. FORMOTEROL FUMARATE AND MOMETASONE FUROATE INHALATION AEROSOL COMBINATION, 5. ARE FTAs COMPLIANT WITH THE PRINCIPLE OF TRIPS ENSHRINED IN ARTICLE 8. OTHER TRIPS PLUS PROVISIONS Patent extensions allowed only in few countries Some Countries with High per capita income Some Countries with Moderate per capita income Some Countries with Low per capita income United States, Europe Japan, Australia Singapore, Israel, Chile, Taiwan Russia, Korea, Belarus, Kazakhstan, Panama Mexico (Term equal to that in origin country) Morocco, Some Countries with high per capita income and large market not having patent extension include: Canada, Latin America, China, Indonesia PATENT LINKAGE • UNITED STATES: PARA IV CHALLENGES, COSTLY • • • LITIGATION, 30 MONTH STAY OF GENERIC APPROVAL, 180 DAY EXCLUSIVITY AND ITS FORFEITURE CANADA: PATENT CHALLENGES, LITIGATION, 24 MONTH STAY, NEW CASE CAN AGAIN BE FILED ON MARKETING. NO EXCLUSIVITY AUSTRALIA: APPLICANT MUST DECLARE THAT PATENTS ARE NOT INFRINGED AND HEATH AUTHORITIES MAY NOT PROVIDE APPROVAL. APPLICANT MUST NOTIFY PATENTEE CHINA: SFDA MUST BE SATISFIED THAT PATENTS ARE NOT INFRINGED BEFORE ISSUING APPROVAL PATENT LINKAGE SINGAPORE: APPLICANT TO CERTIFY AS TO PATENTS, LICENSING AUTHORITY MAY REQUIRE THE APPLICANT TO NOTIFY THE PATENTEE AND THE PATENTEE MAY APPROACH THE COURT OR THE PATENT OFFICE TO BLOCK APPROVAL JORDAN AND UAE: APPROVAL NOT PERMITTED DURING PATENT TERM MEXICO: HEALTH AUTHORITY WILL CHECK WITH THE PATENT OFFICE THAT PATENT IS NOT INFRINGED. PATENT OFFICE MUST RESPOND IN 10 DAYS INDIA: BAYER VS UNION OF INDIA, High Court of Delhi at New Delhi, LPA 443/2009 (Sorafenib case) : The court affirmed that the attempt at bringing in patent linkage on the basis of existing provisions of the patents act and the DCA can not be countenanced