30/07/15 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n Generic manufacturers invest three to six years and an estimated four million dollars to bring a new generic drug to market. This booklet describes the process approving all prescription drugs sold in to bring a generic drug to market and Canada. A generic manufacturer must demonstrates the generic pharmaceutical also prove that the active pharmaceutical industry’s commitment to producing high ingredients in the medicine are as quality and effective drugs that benefit pure, dissolve at the same rate and are the Canadian health-care system, the absorbed in the same manner as the economy and the public at large. The original brand-name product. A generic development process consists of six drug works the same way as a brand- separate stages, which include a complex name drug. The key difference is the research and development process that lower price. requires sophisticated scientific and advanced manufacturing technologies. The generic pharmaceutical industry In addition, generic drugs must undergo employs more than 14,000 Canadians in rigorous government review and approval. high quality research and development and manufacturing operations. For Generic drugs offer the same quality, more than 50 years, Canada’s generic purity, effectiveness and safety as higher- pharmaceutical industry has played a priced brand-name drugs. The active critical role in the country’s health-care pharmaceutical ingredients in generic system and its economy by providing drugs must meet the same standards safe, effective, and proven alternatives to set by the federal Therapeutic Products more expensive brand-name prescription Directorate, which is responsible for medicines. generic prescription drug development -1 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n five key considerations when deciding to develop a new generic drug MARKET SIZE - The single most important consideration is SPECIALIZATION AND PRODUCT PORTFOLIO - A the size of the market and the number of competing manu- manufacturer will review their drug specialization and portfolio facturers. What percentage of the market is captured by the in order to identify any benefits from economies of scale in their brand-name drug? What growth opportunities are there in this production. If a manufacturer specializes in drugs of a certain category of drug? Will there be generic competitors marketing therapeutic class or dosage forms (e.g. injectables, ointments, the same drug? creams) the new drug might complement their production processes. Alternatively, a manufacturer might want to expand DEVELOPMENT & APPROVAL COSTS - An assessment their overall product portfolio to become a more attractive is made of the total cost associated with introducing a new single source supplier to their customers. generic drug. These costs include research and development resources, product testing, legal and litigation fees, and LEGAL CHALLENGES - Bringing a generic drug to market federal and provincial approval requirements. All of the costs typically includes litigation with respect to one or more patents are measured against the market size and opportunities for associated with the brand-name drug, which can be a costly growth. and time consuming process. Contrary to popular belief, not all patents have merit or value. Brand-name companies routinely TIMING - Time is a key consideration. How long will it take to use strategic patenting and litigation to prolong their market develop the drug? How long will it take to obtain Health Canada monopolies and delay generic market entry. approval? How long to obtain a provincial drug plan listing? These timing considerations are measured against market demand forecasts, changing demographics and the projected date that a generic product can legally enter the market. generic prescription drug development -2 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n securing active pharmaceutical ingredient(s)… RESEARCH & DEVELOPMENT securing active Securing pharmaceutical Active Formulation ingredient (s)… Pharmaceutical FEDERAL APPROVALS Testing, Manufacturing and Production Bioequivalency and Clinical Trials Legal Challenges and Costs PROVINCIAL LISTING Provincial Drug Plan Listing Ingredient(s) ●● The active pharmaceutical ingredient (API) is sourced from international suppliers or produced internally. ●● The manufacturer conducts an assessment of any legal issues affecting the availability and use of the API in the Canadian market. ●● The API must be tested for its quality and consistency prior to formulation. ●● The supplier’s production facilities need to be assessed for quality control and manufacturing practices. From 6 months to one year, with the estimated cost of $250,000. ●● The supplier’s ability to guarantee a stable supply of the API is critical to the success of developing a generic drug. generic prescription drug development -3 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n formulation… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) formulation... Formulation PROVINCIAL LISTING FEDERAL APPROVALS Testing, Manufacturing and Production Bioequivalency and Clinical Trials Legal Challenges and Costs Provincial Drug Plan Listing ●● The brand-name product is reverse engineered to determine the composition of its active pharmaceutical ingredients and non-active ingredients. ●● Data is collected and reviewed. The product monograph of the brand-name drug is analyzed. From 9 months to ●● Development of various formulations of the active and the non-active ingredients. one year, with ●● Various formulations are laboratory tested against the brand-name drug. the estimated ●● Development of a quality control matrix for formulation to be integrated into the manufacturing process. cost of $1,000,000. generic prescription drug development -4 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n testing, manufacturing and production… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation PROVINCIAL LISTING FEDERAL APPROVALS testing, Testing, manufacturing Manufacturing and … andproduction Production Bioequivalency and Clinical Trials Legal Challenges and Costs Provincial Drug Plan Listing ●● The generic drug formulations are further tested in the manufacturing setting. ●● Complexity of drug manufacturing process determined. ●● Manufacturing equipment designed and/or purchased for a dedicated production line. ●● Production quality control matrix developed and tested in full manufacturing setting prior to federal approval. one year, with ●● Packaging production is designed and quality control matrix developed to ensure consistency in product output. cost of $250,000. From 6 months to the estimated generic prescription drug development -5 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n bioequivalency and clinical trials… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation Testing, Manufacturing and Production bioequivalency Bioequivalency and Clinical trials... Trials and clinical ●● Standard bioequivalency studies undertaken to measure the rate and extent of absorption of the generic drug. The results of the studies are compared to the same characteristics in the brand-name drug. ●● The manufacturer files a submission with Health Canada, which contains data that compares the generic drug to the brand-name product. ●● Submissions must contain sufficient data for Health Canada to assess the effectiveness of the generic drug to the brand-name drug. The submissions include the evidence of tests conducted to measure the potency, purity and stability of the new drug. ●● PROVINCIAL LISTING FEDERAL APPROVALS Legal Challenges and Costs Provincial Drug Plan Listing From 3 to 6 months, with the estimated cost of $1,000,000. Health Canada cannot approve a generic drug until any relevant legal issues are addressed. generic prescription drug development -6 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n legal challenges and costs… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation Testing, Manufacturing and Production Bioequivalency and Clinical Trials ●● Generic manufacturers are required, under the Patented Medicines (Notice of Compliance) Regulations, to serve a Notice of Allegation on the brand-name manufacturer that claims the generic product will not infringe any relevant patents. ●● The brand-name manufacturer may apply to the court for an order prohibiting Health Canada from approving the generic drug. Using this “automatic stay” the brand-name manufacturer can prevent a generic product from entering the market for up to 24 months simply by alleging patent infringement. ●● PROVINCIAL LISTING FEDERAL APPROVALS This “automatic stay” is unique to the pharmaceutical industry in Canada, and has been called “draconian” by the Supreme Court of Canada. legal challenges Legal and costs... Challenges and Costs Provincial Drug Plan Listing Up to two years, with the estimated cost of $2,000,000. generic prescription drug development -7 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n legal challenges and costs… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation Testing, Manufacturing and Production Bioequivalency and Clinical Trials ●● Health Canada cannot issue its approval to the generic - a “Notice of Compliance” (NOC) - until two years have elapsed or the court application has been dismissed. ●● Being granted market authorization by Health Canada is not the end of potential legal issues for the generic manufacturer. Generic products are launched at considerable risk in Canada. ●● PROVINCIAL LISTING FEDERAL APPROVALS The brand-name manufacturer has the ability to initiate a separate lawsuit on the same patents under the Patent Act. The generic might succeed in litigation under the Regulations, market the drug, and then be sued by the brand-name company for patent infringement. This significantly increases legal costs and uncertainty for generic manufacturers. legal challenges Legal and costs... Challenges and Costs Provincial Drug Plan Listing Unknown. Potential risk exposure linked to market value of brand-name drug. generic prescription drug development -8 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n provincial drug plan listing… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation Testing, Manufacturing and Production Bioequivalency and Clinical Trials ●● Once the generic drug has received Health Canada approval, it can be sold anywhere in Canada. ●● To be reimbursed under the provincial drug programs and obtain significant sales volumes, the generic drug must be listed on provincial drug benefit plans. ●● PROVINCIAL LISTING FEDERAL APPROVALS The generic drug manufacturer must submit a separate application to each province and await response. It can take up to one full year to have the new generic drug listed in all the provinces. Legal Challenges and Costs provincial Provincial Drug Plan listing... Listing drug plan From 3 months to one year, with the estimated cost of $250,000 - $500,000. generic prescription drug development -9 c a n a d i a n g e n e r i c p h a r m a c e u t i c a l a s s o c i at i o n summary of total cost of time and money… RESEARCH & DEVELOPMENT Securing Active Pharmaceutical Ingredient(s) Formulation PROVINCIAL LISTING FEDERAL APPROVALS Testing, Manufacturing and Production Bioequivalency Studies ●● When a generic manufacturer decides to produce and market a new generic drug, it typically requires up to six years to bring the new product to market. ●● At each stage of the development the generic manufacturer invests heavily in research, development and human resources. ●● It can take up to six years on the market before a generic manufacturer is able to recover any of its R&D and capital investments, let alone earn a return on the investment. ●● Generic manufacturers currently face a great deal of uncertainty, which poses a significant challenge in making sound business decisions. This uncertainty could also impact the timely availability of cost-saving generic drugs for taxpayers, employers and patients in the future. Legal Challenges and Costs Provincial Drug Plan Listing Generic manufacturers invest three to six years and an estimated four million dollars to bring a new generic drug to market. generic prescription drug development - 10