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    Parallel TradeUpdate-Pharmaceuticals

    November 2002

    INTRODUCTION

    In January of this year we published in PLC magazine

    an article which gave an overview of the then currentlaw as it related to parallel trade in the EU. In particular,

    we explored the overlap of intellectual property and

    competition law. In the intervening period there havebeen a number of decisions of the European Court of

    Justice (ECJ) of particular relevance to thepharmaceutical sector. This update is designed to be

    a companion to our original article, as well as an aid for

    use by our pharmaceutical clients.

    The four cases we cover in this update are: the keycase of Boehringer,which gave guidelines on when

    repackaging may be opposed and when repackaging

    is necessary; Aventis,which gave some guidanceon the subject of sufficiency, e.g., whilst a parallel

    traders repackaging may be found to be necessaryto allow it effective access to the relevant Member State,

    what happens if the repackaging is not sufficient, inthe sense that it does not conform with the brandowners existing marketing authorisation?; Ferring,

    which discussed the effect of withdrawing a marketingauthorisation; and an opinion of the Advocate-General

    in Stussy, a case which concerned clothing rather than

    pharmaceuticals, but which gave some guidance onthe question of burden of proof.

    Arnold &Porter

    How to Protect Your Brandthe ECJ did not answer the question: Was the

    repackaging necessary to allow the product access tothe market? It merely referred to earlier authorities

    (Boehringer) and as in earlier cases left the nationalcourts to decide.

    BOEHRINGER WHAT CAN BE OPPOSED?

    Facts. In April 2002, the ECJ gave its decision in a

    case referred to it by the English High Court. BoehringerIngelheim and others had sued two parallel importers

    into the UK, Swingward and Dowelhurst. Packagingand instruction leaflets had been altered, to varying

    degrees, by the parallel importers. The manufacturersobjected, stating that the changes were not necessary

    in order for the products to be marketed in the UK.

    Boehringeris the most significant of the latest cases

    which have sought to reconcile the tension between,on one hand, protecting a companys trade mark rights

    whilst, on the other, ensuring the free movement ofgoods throughout the EU. (The cases seek to reach abalance on the appropriate interpretation of Articles 7(1)

    and 7(2) of the Trade Marks Directive.) See alsoHoffmann-La Roche v.Centrafarm(Case 102/77 [1978]

    ECR 1139), Bristol-Myers Squibb and Others v.

    Paranova(Joined Cases C-427/93, C-429/93 and C-436/93 [1996] ECR I-3457), and Upjohnv. Paranova

    (Case C-379/97 [1999] ECR I-6927).

    As for the future, we can expect more case law. It is

    remarkable that an essentially simple question (i.e.,

    When can one oppose the importation of parallelgoods?) has taken so many years to resolve. But we

    have not yet reached finality. For example, inAventis

    Decision.The ECJ commented on the following three

    questions: (1) Can a proprietor of a trade mark opposerepackaging even if that repackaging does not

    constitute a real threat to its proprietary interests?;

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    (2) What does necessary mean?; and (3) What notice

    must be given by the parallel importer?

    (1) Opposing repackaging

    The repackaging of trade-marked pharmaceuticalproducts is, in itself, prejudicial to the specific subjectmatter of the trade mark as it creates the risk of

    interference with the original condition of the product.

    From that perspective, it is unnecessary to assess theactual effects of the repackaging in a particular case

    (Hoffmann-La Roche). The proprietor of a trade markis, therefore, entitled to use his trade mark rights to

    oppose repackaging to the extent necessary to enable

    [him] to safeguard rights which form part of the specificsubject-matter of the mark, as understood in the light

    of its essential function. However:

    It is unacceptable if a proprietors exercise of his

    rights amounts to a disguised restriction on trade(Article 30, EC Treaty). If a product is repackaged

    in a way that respects the legitimate interests ofthe proprietor (i.e., it does not adversely affect the

    original condition of the product, or harm the

    reputation of the mark), it will amount to a disguisedrestriction if the trade mark proprietors opposition

    to repackaging contributes to artificial partitioningof the markets between Member States.

    If repackaging is necessary to enable the marketingof parallel imports, opposition to that repackaging

    will be deemed to contribute to artificial partitioningof the markets between Member States.

    The test is objective; there is no need todemonstrate that the proprietor of the trade mark

    has deliberately sought to partition the markets.

    Protection of the trade mark proprietors rights

    effectively takes priority. The parallel importer bearsthe burden of demonstrating that repackaging is

    necessary in a particular case in order to avoidartificial partitioning of the market.

    (2) What does necessary mean?

    In answering this question, the ECJ said that one mustassess whether the circumstances prevailing at the

    time of marketing in the importing Member State made

    repackaging objectively necessary (see Upjohn).

    A trade mark proprietor would not be justified inobjecting to such repackaging if it hindered

    effective access of the imported product to the

    market of the Member State.

    By way of example, the ECJ accepted that there

    could be cases where there was such a strongresistance to relabelled products that repackaging

    would be required in order to achieve effective

    access to the market (i.e., it would be objectively

    necessary in practical terms, if not in legal terms).In such cases, it would be incorrect to characterisethe repackaging solely as an attempt to secure a

    commercial advantage.

    Replacement packaging was objectively

    necessary if, without such repackaging, effectiveaccess to the market concerned, or to a substantial

    part of that market, must be considered to be

    hindered as a result of strong resistance from asignificant proportion of consumers to relabelled

    pharmaceutical products.

    In each case, it would be for the national court to

    decide whether the particular repackaging was infact necessary.

    (3) What notice must be given by the parallel

    importer?

    A parallel importer who repackages a trade marked

    pharmaceutical product must give prior notice to thetrade mark proprietor that the repackaged product is

    being put on sale, and, if requested, supply a sample ofthe repackaged product before it goes on sale(Hoffmann-La Roche). From this starting point, the ECJ

    provided the following clarification:

    Failure to satisfy the advance notice requirements

    established in Hoffmann-La Rochewill give the trademark proprietor the right to oppose the marketing

    of the repackaged pharmaceutical product.

    The parallel importer must itself give notice to the

    trade mark proprietor. It is not sufficient that thetrade mark proprietor is notified by other sources.

    The trade mark proprietor should be allowed a

    reasonable time to react to the intended repackaging.

    However, that must be balanced against the parallelimporters interest of marketing the product as soon

    as possible after obtaining the necessary licence.

    The ECJ suggested that when the parallel importer

    provided a sample of the repackaged

    pharmaceutical product at the same time as it gavenotice, 15 working days notice might be reasonable.However, it stressed that this was purely indicative;

    cases should be assessed on their individual merits

    by the national courts.

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    Comment. Boehringer applies the principles

    established in previous ECJ cases, with someclarification. Unfortunately, the analysis, in each case,

    whether repackaging is necessary for effective

    access, or solely to secure a commercial advantage,

    remains a tricky one. By reserving to national courtsthe power to determine a number of key issues, theECJ has acknowledged the continuing diversity of the

    markets in individual Member States. However, the

    potential for very different approaches in the variousMember States will undoubtedly result in further

    references on these issues.

    Case C-143/00 Boehringer Ingelheim KG (23 April 2002)

    AVENTIS - WHERE FIVE PLUS FIVE DOES

    NOT EQUAL TEN

    Facts. In September 2002, the ECJ gave its decision

    in a case referred to it by the German Court and brought

    by Aventis (the manufacturer of Insuman Comb 25, 100Ul/ml, suspension injectable, a product for the treatment

    of diabetes) against two parallel importers, Kolpharmaand MTK Pharma Vertriebs.

    The case highlighted the importance of the very specificpackaging and labeling details required under the central

    marketing authorisation procedure provided for inRegulation 2309/93. These include:

    the requirement, under Article 6(1) of Regulation No.2309/93, for an application for authorisation to be

    accompanied by [a] summary, in accordance withArticle 4a [of Directive 65/65/EEC], of the product

    characteristics, one or more specimens or mock-

    ups of the sales presentation of the medicinalproduct, together with a package leaflet where one

    is to be enclosed. (point 9 of the second paragraphof Article 4 of Council Directive 65/65/EEC of 26

    January 1965 as amended);

    Directive 92/27/EEC of 31 March 1992 on the

    labeling of medicinal products for human use andon package leaflets.

    Aventis he ld two separate cent ral market ing

    authorisations for the Insuman Comb product: one forpacks containing ten cartridges and another for packscontaining five cartridges. The product was marketed

    differently in different Member States; for example, in

    Germany Aventis marketed it in packs of ten whilst inFrance it was marketed in packs of five. The parallel

    importers purchased the product in other MemberStates, including France, for import into Germany. To

    market the product in Germany, they had been

    repackaging two five-cartridge packs of the product intoone pack of ten.

    Aventis appeared to accept that the parallel importers

    needed to be able to market packs of ten cartridges in

    Germany; the issue turned on how the packs of tenwere created. Aventis argued that the importers should

    produce retail packs comprising of two five-packsbundled together with any necessary over-stickering;

    accordingly repackaging would not be necessary and

    the parallel importers would be infringing Aventis trademark rights. The European Agency for the Evaluation

    of Medicinal Products (EMEA) did not agree withAventis analysis, having written to one of the parallel

    importers stating its opinion that a multiple package oftwo sets of five cartridges would not be covered by thecentral marketing authorisation.

    Decision. The opinion of the EMEA was not legally

    binding, but perhaps not surprisingly in these

    circumstances, the ECJ held that every marketingauthorisation issued in accordance with Regulation No.

    2309/93 relates to thespecific presentation concerned,that is to say, to the size and form of the packaging

    prescribed for the medicinal product in the application

    for authorisation. (Emphasis added.)

    The authorisations granted were in respect of specifiedpackage sizes. Multiple packages were not provided

    for and thus were not authorised. In reaching this

    decision, the ECJ placed some importance on the factthat the detailed packaging requirements in respect of

    central marketing authorisations are intended toprevent consumers from being misled and thereby to

    protect public health.

    Comment. Although this decision strongly suggeststhat the parallel importers will be given the go-ahead tocontinue repackaging five cartridge packs into packs

    of ten for marketing in Germany, this is not quite the

    end of the story.

    the requirement for the draft text of the proposed

    labeling and package leaflet to be annexed to anyopinion in favour of granting an authorisation/draft

    decision by the Commission (Article 9(3)(c) and

    10(1) of Regulation 2309/93);

    the fact that the second paragraph of Article 11 ofRegulation 2309/93 provides that a central

    marketing authorisation will be refused if theparticulars and documents provided by the applicant

    in accordance with Article 6 are incorrect or if the

    labeling and package leaflets proposed by theapplicant are not in accordance with Council

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    As inBoehringer, the ECJ reserved to the national court

    the task of assessing whether the circumstancesprevailing at the time of marketing in the Member State

    of importation made the creation of new packagingobjectively necessary to allow access to the market.

    This step will require the national court to consider anumber of factors, notably whether the parallel importerswould face real obstacles to access the German

    market, either in law or fact, if they were only able tomarket five cartridge packs, for example, customer

    resistance to over-stickered boxes that might affect

    prescription or dispensing practice. As Aventis waswilling to accept bundled packs of ten cartridges, it

    will be difficult for it to argue that the importers do notneed to be able to market packs of ten cartridges in

    order to have effective access to the market in Germany.

    Note, however, that even if the national court finds that

    repackaging is necessary, the parallel importers willonly be entitled to repackage the product if they comply

    with the requirements established in previous cases,

    for example, the requirement that the repackaging doesnot adversely affect the original condition of the product.

    (See Boehringerabove for a summary of the points tobe considered by the national court.)

    Case C-433/00 Aventis Pharma Deutschland GmbH v.

    Kohlpharma GmbH, MTK Pharma Vertr iebs-GmbH (19

    September 2002)

    FERRING THE PERILS OF WAVERING

    Facts. In September 2002, the ECJ gave its decision

    in another case referred by the German courts. Ferringmarketed a product, known as Minirin Spray - an anti-

    diuretic, on the basis of an implied authorisationgranted pursuant to paragraph 105 of the Arzneimittel

    (Law on Medicinal Products) of 1976. From June 1996,

    Eurim-Pharm, a parallel importer, purchased Minirin in

    another Member State and marketed it in Germany.

    Subsequently, Ferring decided to market a new version

    of the spray, Minirin Nasenspray 5ml. This contained

    different excipients from the original spray, that improvedthe thermostability of the product so that, unlike the

    original version, it did not need to be kept in a cool place.Ferring obtained a marketing authorisation for the new

    product, and by letter dated 14 July 1999, informed the

    relevant national authority that it was waiving the impliedauthorisation that had been granted in respect of the

    original Minirin Spray.

    import licence automatically ceased to be valid. Ferring

    brought proceedings in Germany seeking an orderpreventing Eurim-Pharm from marketing the old

    version of Minirin Spray, arguing that, since it had waivedits implied authorisation for the original product, Eurim-

    Pharm was marketing the product withoutauthorisation.

    Decision.Articles 28 and 30 of the EC Treaty providedthe answer. Article 28 prohibits quantitative restrictions

    on imports and all measures having equivalent effect

    between Member States. However, Article 30 providesan exception; measures justified on the basis of,

    amongst other things, the protection of the health ofhumans are authorised provided that they are not a

    means of arbitrary discrimination or a disguised

    restriction on trade between Member States.

    The ECJ held that the cessation of the validity of aparallel import licence following the withdrawal of a

    marketing authorisation of reference would be contrary

    to Article 28 unless justified by the need to protect publichealth (or any of the other exceptions allowed by Article

    30).

    Whilst stating that it would be for the national court to

    ensure compliance with Directive 65/65, the ECJemphasised the requirement for proportionality as laid

    down in Article 30. The derogation in Article 30 will notapply if, in fact, the health and life of humans can be

    protected equally by measures less restrictive of intra-

    community trade.

    The ECJs view was that in cases where, at the requestof its holder, a marketing authorisation was withdrawn

    for reasons other than the protection of public health,

    there was no justification for the automatic cessationof the validity of the parallel import licence.

    Comment. The ECJ accepted that the position mightwell be different if there were public health concerns,

    either (i) giving rise to the waiving of the authorisationin the first place; or (ii) that would arise if the parallel

    import licences continued in place, for example, therisk of confusion to consumers if more than one version

    of the same product was marketed in a Member State.

    The ECJ made it plain that it would be for the competentauthorities of the Member State to assess whether there

    were real public health concerns, based on a carefulreview of the evidence. It was not enough simply to

    rely on the arguments put forward by the party waivingits original authorisation.

    Case C-172/00 Ferring Arzneimittel GmbH v. Eurim-Pharm

    Arzneimit tel GmbH (10 September 2002)

    The question in issue was whether the fact that Ferring

    had waived its implied authorisation in respect of the

    original Minirin meant that Eurim-Pharms parallel

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    STUSSY BURDEN OF PROOF

    Facts. In June 2002, Advocate-General Stix-Hackl

    delivered her opinion in another case referred by

    Germany, this time involving a clothes wholesaler and

    retailer. The wholesaler had exclusive distribution rightsin respect of Stussy Inc.s products in Germany, andhad been authorised by Stussy to bring proceedings in

    its own name for trade mark infringement against a rival

    wholesaler.

    Article 7(1) of the Trade Marks Directive (89/104/EEC)provides for the EEA-wide exhaustion of rights conferred

    by a trade mark. This prevents the trade mark owner

    from opposing the further marketing of trade-markedgoods when they have been put on the market by him,

    or with his consent. Germany sought guidanceregarding the burden of proof, i.e., which party needed

    to show that goods had been put on the market in the

    EEA, either by the trade mark owner or with his consent.In particular, it asked whether Articles 28 and 30 of the

    EC Treaty would be contravened by placing the burdenof proof on the defendant.

    Decision. Whilst accepting that Article 7(1) itself doesnot impose any particular approach regarding the burden

    of proof, referring to the decision in Davidoff, theAdvocate-General noted the unmistakable close

    connection between national courts principles regardingthe burden of proof and the substantive law of theMember States. The Advocate-General concluded that

    principles of procedural law must be examined byreference to primary law, in this case Articles 28 and

    30 of the EC Treaty.

    The Advocate-Generals opinion was that, in principle,

    Articles 28 and 30 of the EC Treaty, and Article 7(1) ofthe Trade Marks Directive do not preclude the application

    of national rules on the burden of proving exhaustion

    under the Trade Marks Directive.

    However, due in large part to concerns about thepractical implications, including the fact that the dealer

    will usually have no means of making his suppliers

    reveal the previous supplier/other links in the distributionchain, she added the following caveat. Where a

    defendant to a trade mark infringement claim seeks toargue that the trade mark right has been exhausted,

    and has to prove that the goods marketed by him have

    been put on the market for the first time by the trade

    mark owner himself, or with his consent, it is necessaryto ensure that the national rules:

    do not enable the trade-mark owner to partition

    separate markets and thus promote the retention

    of price differences between Member States; and

    do not make it impossible for the defendant trader

    to prove exhaustion, or so difficult that he can onlyprove exhaustion in unreasonable circumstances,

    for example, by having to reveal his own supplysources with the risk of having them cut off.

    Comment. Whilst the case was concerned with theprocedural rules in Germany, it does illustrate the

    circumstances in which inroads can be made into the

    principle of procedural autonomy. The ECJ is due togive its judgment in late 2002/early 2003.

    Case C-244/00 van Doren & Q.GmbHv. Lifestyle & Sportswear

    Handelgesellschaft GmbH, Opinion of Advocate-General Stix-

    Hackl (18 June 2002)

    ADDENDUM PHARMACEUTICAL PRICE

    REGULATION SCHEME

    You may have noticed that Dowelhurst (one of the twoparallel importers in theBoehringercase) has taken an

    active part in recent parallel import litigation.

    Having failed in the English High Court and Court of

    Appeal, the BAEPD and Dowelhurst petitioned for leaveto appeal to the House of Lords. We acted for the

    Association of the British Pharmaceutical Industry (ABPI),a party directly affected in the proceedings, and lodged

    objections to the grant of leave, as did the Department

    of Health. On 22 April 2002, having considered theobjections, the Appeal Committee of the House of Lords

    decided that leave to appeal should be refused. Thechallenge to the validity of the 1999 PPRS modulation

    provisions therefore failed and they remain in full force.

    Regina v.Secretary of State for Health (Respondent) ex parte (1)

    British Association of European Pharmaceutical Distributors(formerly Association of Pharmaceutical Importers) (2) Dowelhurst

    Limited, and Others (22 April 2002)

    Together with the British Association of European

    Pharmaceutical Distributors (BAEPD), it institutedjudicial review proceedings against the UK Department

    of Health in respect of the 1999 Pharmaceutical PriceRegulation Scheme (PPRS). The PPRS is a voluntary

    scheme regulating the price of branded prescription

    medicines supplied to the National Health Service.BAEPD and Dowelhurst challenged the legality of the

    modulation provisions in the scheme. They soughtto argue that the modulation provisions had the object/

    effect of restricting parallel imports from other EU states

    into the UK and were, therefore, contrary to Article 28EC and/or Article 81 EC.

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    CAN YOU OPPOSE REPACKAGING?

    The manufacturer is entitled to oppose

    the marketing of the repackaged

    pharmaceutical product.

    Has the parallel importer itself given the trade mark proprietor

    reasonable prior notice* that the repackaged pharmaceutical

    product is being put on sale and, if requested, supplied a sample?(Hoffmann-La Roche)

    Is the product repackaged in a way that respects the legitimate

    interests of the trade mark proprietor?

    Is the repackaging such that it does not adversely affect

    the original condition of the product?

    Is the repackaging such that it does not harm the reputation

    of the mark (e.g., the packaging must not be defective, of

    poor quality or untidy)?

    Does the new packaging clearly state who repackaged the

    product and the name of the manufacturer (i.e., in such a way

    as to be understood by a person with normal eyesight, exercising

    a normal degree of attentiveness)?

    Would the trade markproprietors exercise of his

    rights amount to a

    disguised restriction on

    trade (i.e., would it

    contribute to the artificial

    partitioning of the markets

    between Member States)?

    Would repackaging beobjectively necessary in

    order for the parallel

    importer to obtain effective

    access to the market of

    the importing state, or to

    a significant part of it?**

    The manufacturer is not entitled to oppose the marketing of therepackaged pharmaceutical product (subject to the above criteria

    being met).

    * It is for the national court to assess whether thenotice has been reasonable. As a guide, the ECJ

    has suggested 15 days (in cases where a sample

    is provided at the time notice is given) ( Boehringer).

    ** Boehringerrecognised that there may be cases

    where there is such strong resistance to re-labelled

    products that repackaging is objectively necessaryin order for the parallel importer to have effective

    access to the market concerned (i.e., the obstacles

    to effective access will not always be obstacles inlaw but sometimes obstacles in fact).

    YES

    YES

    YES YES

    YES YES

    NO

    NO

    NO

    NO

    For further information please contact these people at our London Office:

    The manufacturer is entitled to oppose

    the marketing of the repackaged

    pharmaceutical product.

    The manufacturer is entitled to oppose

    the marketing of the repackaged

    pharmaceutical product.

    The manufacturer is entitled to opposethe marketing of the repackaged

    pharmaceutical product.

    The information in this newsletter is for informational purposes only and is not for the purpose of providing legal

    advice. Your use of this newsletter does not create an attorney-client relationship between Arnold & Porter and you.

    Ian Kirby

    (+44) (0)20 7786 [email protected]

    Tim Frazer

    (+44) (0)20 7786 [email protected]

    Beverley Barton

    (+44) (0)20 7786 6211

    [email protected]

    Arnold & Porter

    (+44) (0)20 7786 6100(+44) (0)20 7786 6299 Fax

    Tower 42

    25 Old Broad Street

    London EC2N 1CQ

    Alison Brown

    (+44) (0)20 7786 6207

    [email protected]