Patent Criteria Presentation Draft 1 March 23 2012

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    Standardsofpatentability:

    TheIndianandSouthAfrican

    examples

    MaraKardas-Nelson

    MSF,AccessandInnovaonOfficerTAC&MSFMediaTraining,IntellectualProperty

    andAccesstoMedicines

    Johannesburg,March282012

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    Weakversusstrong:Whatisbestfor

    A2M?

    Weakpatentlaw=easytoobtainpatents;nopreorpostgrantopposion

    Strongpatentlaw=moredifficulttoobtainpatents;preandpostgrantopposion

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    SouthAfrica

    India

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    Thebasics:Isthereapatentreview

    system?SouthAfrica:

    Nopatentreviewsystemyoufileforapatent,yougetapatent.Withoutanyreviewsystem,patentapplicaonsarenotevencomparedwith

    countriesweakstandardsofpatentability

    Leadstoexcessivepatenng:Inoneyear(2008),SouthAfricagranted2,442pharmaceucalpatents,whilebetween2003and2008Brazilonly

    granted278pharmaceucalpatents.

    Why?Brazilhasapatentreviewsystem,andincludesitsDepartmentofHealthinthisreviewtoensurethatpatentswouldntunderminehealth

    Argumentthatitstooexpensivetoimplement(buttheIndianreviewsystem,forexample,paysforitselfbyrequiringfilingfees)

    FilingapatentinSA20to30xcheaperthanotherpatentregimes,openingusuptofrivolousapplicaons(studyesmates80%ofpatents

    wouldnothavebeengrantedifSAexamined).

    Whatsourcall?Atleastreviewpharmaceucalpatents/thoseaffecngtheConstuonalobligaonforthestatetofulfiltherighttohealth

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    Whatnecessitatesapatent?

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    TRIPSArcle27.1

    1.Subjecttotheprovisionsofparagraphs2and3,patentsshallbeavailableforanyinvenons,whetherproductsorprocesses,inallfieldsoftechnology,providedthattheyarenew,involveaninven1vestepandarecapableofindustrialapplica1on.5Subjecttoparagraph4ofArcle65,paragraph8ofArcle70andparagraph3ofthisArcle,patentsshallbeavailableandpatentrightsenjoyablewithoutdiscriminaonastotheplaceofinvenon,thefieldoftechnologyandwhetherproductsareimportedorlocallyproduced.

    5.ForthepurposesofthisAr.cle,thetermsinven.vestepandcapableofindustrialapplica.onmaybedeemedbyaMembertobesynonymouswiththetermsnon-obviousandusefulrespec.vely

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    TRIPSArcle1.1

    Membersshallbefreetodeterminethe

    appropriatemethodofimplemen.ngthe

    provisionsofthisAgreementwithintheirown

    legalsystems.

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    Paragraph4,DohaDeclaraon

    Accordingly,whilereiterangourcommitment

    totheTRIPSAgreement,weaffirmthatthe

    Agreementcanandshouldbeinterpreted

    andimplementedinamannersuppor1veof

    WTOMembers'righttoprotectpublichealth

    and,inpar1cular,topromoteaccessto

    medicinesforall.

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    IndianPatentAct:Secon3d

    ThefollowingarenotinvenonswithinthemeaningoftheActThemerediscoveryofanewformofaknownsubstancewhichdoesnotresultintheenhancementof

    theknownefficacyofthatsubstanceorthemerediscoveryofanynewpropertyornewuseforaknowsubstance...Explanaon.Forthepurposesofthisclause,salts,esters,ethers,polymorphs,metabolites,pureform,parclesize,isomers,mixturesofisomers,complexes,combinaonsandotherderivavesof[a]knownsubstanceshallbeconsideredtobethesamesubstance,unlesstheydiffersignificantlyinproper.eswithregardtoefficacy;

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    MYIDEAOFABETTERORDERED

    WORLDISONEINWHICHMEDICAL

    DISCOVERIESWOULDBEFREEOF

    PATENTSANDTHEREWOULDBENO

    PROFITEERINGFROMLIFEOR

    DEATH.

    -IndiraGandhi,PrimeMinisterofIndiaattheWorldHealthAssembly,Geneva,

    1984

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    3dcont

    Nonewuse,newformulaonpatents Ifisanewversionofexisngmedicine,mustshowenhancedtherapeucefficacyinorder

    toreceiveapatent(i.e.ifitsnotnew,isitat

    leastbeer?)

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    Indiasays:Noevergreening

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    ThecaseofSouthAfrica

    25.Patentableinven8ons.

    (1)Apatentmay,subjecttotheprovisionsofthissecon,begrantedfor

    anynewinven1onwhichinvolvesaninven1vestepandwhichis capableofbeingusedorappliedintradeorindustryoragriculture.25(5)

    Aninvenonshallbedeemedtobenewifitdoesnotformpartofthestateoftheartimmediatelybeforetheprioritydateofthatinvenon.

    [Sub-s.(5)substutedbys.31(a)ofActNo.38of1997.]

    25(10)

    Subjecttotheprovisionsofsecon39(6),aninvenonshallbedeemedtoinvolveaninven1vestepifitisnotobvioustoapersonskilledintheart,havingregardtoanymaerwhichforms,immediatelybeforetheprioritydateoftheinvenon,partofthestateoftheartbyvirtueonlyofsubsecon(6)(anddisregardingsubsecons(7)and(8)).

    [Sub-s.(10)substutedbys.31(d)ofActNo.38of1997.]

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    Ingeneral,theposi8onSouthAfricancourtshaveadoptedisthatonceasubstanceformspartofthestateoftheart,aneworsecondusethereofwillnotmakeiteligibleforanewpatent(Burrell,1999)

    However,asSouthAfricadoesnothaveanexamina.onsystemforpatentapplica.ons,theappropriatestandardisnotlikelytobeobserved,unlesssubjectedtoalegalchallengethroughrevoca.onorinfringement

    proceedings

    FromVawday,Yousuf,DoctoralThesis,UKZN:AccesstoLife-SavingMedicaoninSouthAfrica:TheCaseforLegislaveReform.

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    Becauseofnopatentreviewsystem,

    SouthAfricasays:Evergreeningisfine

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    Whydoesthismaer?

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    FirstlineAIDSdrugs:Weretheytruly

    new?ThestoryofAZT Ideainthemid20thcenturythatcancerscamefromenvironmental

    retroviruses.Ifcantreataretrovirus,cancurecancer(nownewerevidenceshowsthatretrovirusesonlyresponsibleforasmallpercentageofcancers)

    AZTfirstsynthesizedin1964withmoneyfromaNIHgrant;droppedbecausedidntshowsuccessinmicewithtumors

    1967:Germaninstutefoundthatwasacveinaleukemiaretrovirusinmousecultures

    1984:scienstsattheBurroughs-WellcomeCompany(nowGSK)beganlookingforatreatmentforAIDS.Foundtobeeffecvetreatment;filedforpatentin1985approvedbyFDAin1987fortreatmentofHIV(subsequentmanylegalbales,butpatentheldunl2005)

    AZTformedbackbonefor1stlinetreatment/HAART(sllusedinmanycountries).AZTusedforPEPandforPMTCT.

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    WouldAZThavebeengivenapatent

    inIndia?

    AndwhataboutSouthAfrica?

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    ThebasicpatentsonNevirapine(NVP)wereappliedforbyBoehringerIngelheiminNovember1990,andare

    duetoexpireinNovember2010(notpatentedinIndiabecausethecountrydidntrecognizepharmaceu.calpatentsatthe.me)

    BIalsoappliedforapatentonthehemihydrateformofNVP,usedinthesuspensionin1998,whichisduetoexpire2018(rejectedbypatentofficebecausenewformula.onpatent)

    Addionally,BIappliedforapatentontheextendedreleaseformulaon

    ofnevirapinein2008,whichisduetoexpirein2028(patentopposi.oncurrentlyfiled)

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    NevirapineinSA

    PaediatricHIVandPMTCTEXTENDEDRELEASEFORMULATIONOFNEVIRAPINE(applicaondate2009,BoehringerInglehim)

    PHARMACEUTICALCOMBINATIONSCONTAININGLAMIVUDINE,STAVUDINEANDNEVIRAPINE(applicaondate2008,Cipla)

    IMPROVEDMETHODOFMAKINGNEVIRAPINE

    (applicaondate2004,alsobyBI)PHARMACEUTICALSUSPENSIONCOMPRISINGNEVIRAPINEHEMIHYDRATE(applicaondate1998,alsobyBI)

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    Some examples

    Efavirenz 600 mg

    Used in the treatment

    of HIV/AIDS, first line

    & second line therapy,prescribed by WHO

    Merck lowest quoted

    price is $237/ per patientper year

    Not patented in India (under opposition on

    grounds of new form of old

    drug)

    More than four producers.Lowest price $ 165/ppyPatented -

    Thailand $420/ppy(Merck)(After CL - 216/ppy)

    China - $ 900/ppy (Merck)

    S th Af i I di

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    SouthAfricavs.India:Abbo:Lopinavir/Ritonavir(Alluvia)

    Consideredessen.almedicinebyWHO

    RSA:Patent?Yes

    Price?

    Alluvia200mg/50mgtablet:R2.57

    Alluvia100mg/25mgtablet:R1.28

    India:

    Patent?NocompoundpatentOn30December2010,

    theIndianPatentOfficerejectedpatentforLopinavir/ritonavirasit

    didnotinvolvean'inven.vestep'

    Price?

    Matrix200mg/50mgtablet:R2.18

    Matrix100mg/25mgtablet:R1.19

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    LPV/rcont

    ThailandandEcuadorhaveissuedCLs(notpossibleinSA) Pre-grantopposionfiledbyI-MAK(notpossibleinSA) PriceofGenericLopinavir/Ritonavir200mg/50mghas

    decreasedby61%since2007

    SAbenefitsfromrelavelylowAbbopricesduetoAbbosHIVaccessprogramme(MICsincreasinglygengcutoutofsuchAccessprogrammes;fornow,SAstaysbecauseofhighburdenofdisease)

    Since1992,whenAbbowasawardeditsfirstpatentrelatedtoRitonavirintheU.S.,thecompanyhassoughtatleast75newpatentsonessenallythesamesetofdrugs(I-MAK)

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    Pushingbackagainst3d:Thecaseof

    Novars

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    2006:Indianpatentofficerejectedapatentforleukemiadrugimanibmesylate(Gleevec)

    becausebasedonexisngcompound(i.e.not

    trulyinvenve,noenhancedtherapeucbenefit)

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    Whattheheck

    ismesylate?

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    GleevecinSouthAfrica?

    IsthereapatentinSouthAfrica?

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    YES

    Forbothcancerandarthri.s

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    Andtheprice?

    SouthAfrica

    R862.5per400mgtab(private

    sector;notincludedin

    publicsectortender)

    India

    R86per400mgtab(Cipla)

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    NovarstooktheIndiangovernmenttocourtoverthedecisionandindoingsotook3dwith

    it.ItsnotjusttheGleevecpatentthatsontheline,but3dasawhole

    Novarshasbeenatthissixyears!!!FinaljudgmentfromIndianSupremeCourt(read:final

    decision)tobeheardthisyear(wenttotheMadrasHighCourtrejected;wenttotheIntellectualPropertyAppellateBoardrejected)

    TheIndianHighCourtbeginshearingthecaseonJuly0(wasmeanttobeMarch28,butitsbeendelayedagain)

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    Challengingoneofthestrongesttools

    wehave Specificallytakeson3dandthenoonoftherapeuc

    efficiencywhich,accordingtoMadrasHighCourt,meanstherapeuceffectinhealingadisease.

    3dasawholehasbeenessenalinblockingtheextensionofseveralimportantmedicines

    AackscountriesrightstointerpretTRIPSlanguageintheirowncountrycontext(especiallythenoonofinvenveness)

    NotonlycouldchallengeIndiasabilitytorejectnewuse/newformulaonpatents;butsetsnegaveprecedentforotherdevelopingcountriesinterpretaonofTRIPS/useofTRIPSflexibilies