NEWS ANALYSIS K The shady world of pay-to-delay Patent World’s senior news reporter Khurram Aziz looks at the scrutiny pharmaceutical firms are coming under over settlements made with generic competitors I n 2003 Solvay Pharmaceuticals secured a patent for something that is a rare commodity in the pharmaceutical world – a blockbuster drug. Its Androgel testosterone cream has since amassed over US$400m in sales every year, and become a vital therapy for AIDS patients, cancer patients, elderly men and those suffering from low levels of testosterone. The USPTO gave the company 17-year patent protection for the product, which would see these sales continue until 2020. That is unless other companies successfully challenge the patent. Under the 1984 Hatch-Waxman Act, generic drug makers have been encouraged to challenge existing pharmaceutical patents in an effort to bring cheaper drugs to the market, quicker. This is exactly what Watson Pharmaceuticals, Par Pharmaceuticals and Paddock Laboratories did when they filed an application with the US Food and Drug Administration to make and sell generic versions of Solvay’s Androgel. In response Solvay made a deal that has become all too common in the pharmaceutical industry: it reached out to its competitors and offered a compromise under which the companies would agree not to market a generic version of Androgel for another nine years. The generic firms would, in return, take a share of Solvay’s monopoly profits. It seemed as though everyone was a winner. Except, of course, the consumer. By holding generics off the market until 2015, the deal has kept prices high. In January 2009, the US Federal Trade Commission responded by filing a suit against Solvay, calling the deal illegal and anti-competitive. It said the companies had chosen to “collude rather than compete”. Despite the FTC’s reaction, these socalled “pay-to-delay” deals have become standard practice in the industry. According to the FTC, nearly half of all agreements between generics and brandname manufacturers in 2006 and 2007 included payments in return for staying www.ipworld.com out of the market. Regulators in Europe and the US now believe these practices have gotten out of hand. In November 2008 the EU’s Competition Commission released the preliminary findings of its sectoral inquiry into the pharmaceuticals industry. It concluded that unfair practices in the sector have cost consumers more than €3bn since 2000. The report specifically pointed the finger at practices brand name pharma companies employed to delay competition, which included: initiating litigation to hold up competing products, filing multiple patent applications for the same medicine and concluding settlements with generics companies to limit their ability to enter the market. The Commission has not yet given its conclusions, but the tone of its preliminary report and statements given by the Commissioner Neelie Kroes spell out a clear message to pharmaceutical companies – current patent strategies are affecting competition and the Commission will take legal actions on grounds of anticompetitive behaviour. In the US too, legislation has been put before congress, supported by President Barack Obama, which seeks to end pay-todelay deals. Senators Herb Kohl and Chuck Grassley, who introduced a bill targeting pay-to-delay in February 2009, said: “It’s time to stop these drug company pay-for-delay deals that only serve the profits of the companies involved and deny consumers access to affordable generic drugs. “In a time when our federal health care programs such as Medicare and Medicaid are facing extraordinary fiscal strains, this wheeling and dealing only delays the entry of lower-priced medicines in the marketplace.” Regulators have so far found it difficult to mount successful anti-trust action against pharmaceutical firms who negotiate these deals. Indeed it was a case in 2005, in which a US court upheld the legality of agreements reached by Schering-Plough and AstraZeneca with generic companies, that opened the door to a fresh wave of pay-to-delay deals. Pharmaceutical firms have argued, so far successfully, that the deals they reach with generic companies are perfectly legitimate. “Plaintiffs assert that so-called reverse payments – payments flowing from the patent holder to the generic manufacturer – are nefarious and, therefore, are illegal,” says Patrick Birde, partner at law firm Kenyon & Kenyon. “But there is something unique about Hatch-Waxman settlements: they are a function of Hatch-Waxman’s impact on the parties’ relative risk. These settlements are a natural by-product of Hatch-Waxman’s shift of the litigation risk from the generic manufacturer to the patent holder.” Amendments in the Hatch-Waxman Act gave generic manufacturers a channel for challenging patents without incurring the cost of entry or risking enormous damages flowing from any possible infringement. The act essentially redistributes the relative risk assessments giving generics considerable leverage in patent litigation: their exposure to liability amounts to litigation costs, but pales in comparison to the volume of generic sales and profits should the challenge be successful. “Parties settle cases based on their perceived risk of prevailing in the litigation,” explains Birde. “In encouraging artificial acts of infringement, the Hatch-Waxman Act grants generic manufacturers standing to mount a validity challenge without incurring the cost of entry or risking enormous damages flowing from infringing commercial sales. This statutory scheme affects the parties’ relative risk assessments and explains the flow of settlements from patent holders to generic companies, and their magnitude.” Jonathan Radcliffe, IP partner at law firm Nabarro, argues that the practice is more widespread in the US and has only recently gained traction in the EU. April 2009 | Patent World Issue # 211 | 9 K NEWS ANALYSIS “In the US generic companies are given 180 day market exclusivity when they file a challenge to a patented drug,” explains Radcliffe. “This means that, effectively, the first to file generic company can get a higher price on a pay-to-delay deal. It is effectively a function of the relative economic balance of power conferred by this regime. “There is no real difference in the commercial objectives of originator companies between the EU and US markets. They want to protect their the volume and price of generic products, enabling the patentee to create a ‘false’ commercial environment in which generics are competing.” It is these practices that have caused regulators to accuse pharmaceutical firms of engaging in shady back-room deals. But as far as existing patent laws are concerned, there is a strong case for arguing these practices are legitimate. At a pharmaceutical patenting conference in Munich recently, lawyers representing pharmaceutical companies These settlements are a natural by-product of “ Hatch-Waxman's shift of the litigation risk from the generic manufacturer to the patent holder ” inventions for as long as they can do so. The differences lie in the nuances of the differing regulatory and legal regimes, and the subtleties of the different legal systems.” Nevertheless, as the EU Competition Commission pointed out, such practices are becoming increasingly prolific in Europe too In its sectoral enquiry, the commission highlighted a range of tactics that pharma companies employ to stifle generic competition – all of which it deems as anticompetitive. “There are many ways in which pharmaceutical firms can manipulate market prices for drugs,” says Radcliffe. “The Competition Commission’s evidence revealed that patentees commonly manufacture and distribute products to potential generic competitors. The patentee can do this by supplying the original product to a generic firm, for sale under a new name and repackaged in different livery. The generic purchaser sells the patentee’s product on the market under a different guise, and secures a proportion of the generic market for the patentee. The purchasers of products such as this from patentees are known as ‘authorised generics’. “Authorised generics allow the patentee to maintain its established branded product, often at a higher price than the generic alternative. This maintains the cache of its premium market. The sales of this branded product are supplemented by the patentee’s sale of products to the authorised generics. The patentee can therefore continue to exert an influence on 10 | Patent World Issue # 211 | April 2009 challenged the European Commission’s findings. “Most of the practices the commission report highlighted are perfectly normal and legitimate in the patenting industry,” said Allen Norris, vice president and head of group IP at UCB Pharma. “I am concerned that the report will be used to change wider patent laws. I urge solutions to the problems highlighted to be sought within the current patent system.” These practices are not unique to the pharma industry either. “These are no more than the standard toolkit of techniques that all patentees can utilise, equally pervasive in the technology and motor sectors,” says Jonathan Radcliffe. “The Commission got it largely right in their interim report; the thrust of their findings is that whilst the strategies are perfectly legitimate, on occasion their use in practice may cross the line into anticompetitive behaviour. And it is on the latter that they appear to be concentrating for their final report.” The overriding concern for legislators is the costs incurred to their health care systems. Generic drugs are widely seen as the answer to reducing state funded health care, and governments have actively introduced measures to promote their use. Anything that gets in the way of generics entering the market, is seen by policy makers as a threat to their health care plans. Barack Obama was elected after promising to bring down health care costs and specifically targeted anti-competitive behaviour of pharmaceutical firms in his campaign. The president’s first budget has set out plans to promote the availability of generic drugs, including bio-tech drugs, which he hopes will save the US more than US$9.2bn over 10 years. Together with the legislation before Congress, US law may soon outlaw any deals reached between pharma companies and generic drug makers which delay the release of generics. In the EU, however, the Commission is likely to bring judicial action against the firms, and rely on the courts to deter such deals. This will see the EU entering uncharted territory, as it attempts to argue against the pharmaceutical firms on grounds of anti-competitive behaviour. “Legislation at the EU level is so far off implementation that we can rule it out for many years,” says Radcliffe. “Even if it comes in, and do not forget that the Commission report upholds the critical importance of patent rights, there will always be ways for originators to tackle generics.” The Competition Commission will publish its final report in Spring 2009, after it has heard the opinions of pharmaceutical firms. The authors of the report have been careful to point out that it believes in the existing patent system, which is necessary in bringing new and important drugs to the market. Though there have been criticisms against practices such as “evergreening”, where companies file new patents for old products to extend their protection, pay-to-delay deals have caused far more concern as far as anticompetitive fears are concerned. There is, however, no evidence that targeting this practice could have a significant impact on bringing more generics to the market. Analysts have argued that “pay-to-delay” deals are normally a last ditch effort by originator companies to preserve the life of their patents. Other methods, rooted in the laboratory rather than the court-room, are seen as being far more effective. Most recently H Lundbeck won a patent case in the UK after it successfully argued that a new method for producing its drug Citalopram affords it extended patent protection. This is seen by many as a strategy more and more pharmaceutical firms will employ to protect their monopoly on drugs, if pay-to-delay deals become increasingly contentious. K www.ipworld.com