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It’s Impact on Third World Countries.
An analysis of the legal and moral aspect of product and process patenting




                                                              Group 3 | Section C




                                              Presented By:
                                                              U111125   Shreshtha Rath
                                                              U111134   Budhadev Nayak
                                                              U111159   Pratibha Chaudhry
                                                              U111160   Rohit Basuri
                                                              U111162   Sampat Patnaik
Pharmaceutical Industry : Evolution

dyestuffs were found to                  significant new
    have antiseptic                      discoveries with
                                                                               TRIPS agreement
      properties                        permanent patent
                                                                                   enforced
                                            protection




 Late 19th Century     1940-50s               1960s                1970s              1995             2012


                Establishment of firm                      tighter regulatory                   Present Day
                  R&D units in the                          controls on clinical
                  pharmaceuticals                           trials, greatly
                       industry                             increasing
                                                            development costs
                                                           appearance of
                                                            "generic"
                                                            medicines
Key Trends

• Companies that invested a good amount of money in R&D spending and
  productivity gradually became industry leaders.

• The holy grail of pharmaceutical R&D is the "blockbuster". Like "killer
  applications" in the software market, blockbuster drugs are genuine advances
  that achieve rapid, deep market penetration

• A blockbuster drug is typically a long-term therapy for a common disease that
  offers a substantial perceived improvement in efficacy or tolerability and is
  marketed globally. Annual sales must normally exceed $1 billion for a drug to
  earn this accolade.

• Glaxo went from being a small player at the beginning of the 1980's to the world
  number one, with a presence in 50 countries, on the strength of a single drug -
  Zantac for stomach ulcers.
Manufact
                Marketing    uring
                & Admin       20%
Why Patents ?     32%



                                 R&D
                   Sales         32%
                   16%
Need for patents
   Generic drugs are exactly same as their branded counterparts in terms of
    dosage form, safety, strength, route of administration, quality, performance
    characteristics and intended use and the only differentiating factor in between
    them is price. As they do not have to go through product discovery and
    trials, cost incurred by generic drug manufacturers is notably less and hence
    high profitability.

   This caused an uproar among the pharmaceutical
    companies as they have lowered profits. In order
    to counter this, pharmaceutical companies have
    been granted “patent” which essentially means
    that they own the exclusive right to
    make, sell, use, import and also offer to sell their
    product while disbarring others from doing so.
PROBLEM OF MONOPOLIES
    DUE TO PATENTS
Why MNCs ignore IIIrd World Countries

   Multinational pharmaceutical companies neglect the diseases of the tropics, not
    because the science is impossible but because there is, in the cold economics of
    the drugs companies, no market.

   There is a market in the sense that there is a need: millions of people die from
    preventable or curable diseases every week. But there is no market in the sense
    that medicines for leishmaniasis are needed by poor people in poor countries.

    Pharmaceutical companies judge that they would not get sufficient return on
    research investment, so why, they ask, should we bother? Their obligation to
    shareholders, they say, demands that they put the effort into trying to find cures
    for the diseases of affluence and longevity—heart disease, cancer, Alzheimer’s.

   Of the thousands of new compounds drug companies have brought to the
    market in recent years, fewer than 1% are for tropical diseases.
Pharmaceutical
         Industry




                 Improving
Profit ?
                  Health?
Ethics in Pharmaceuticals ???

      Pharmaceuticals, they are a commodity. But they are not just a
      commodity. There is an ethical side to this because they’re a commodity
      that you may be forced to take to save your life. And that gives them
      altogether a deeper significance. But they [big pharmaceutical
      companies] have to realize that they’re not just pushing pills, they’re
      pushing life or death. And I believe that they don’t always remember
      that. Indeed, I believe that they often forget it completely.

              — Dr. Drummond Rennie, transcribed from Dying for Drugs, Channel 4, UK
TRIPS Agreement

                  • TRIPS was introduced with the purpose
                    of universalising the standards of
                    Intellectual Property Rights and frame
                    the rules of the game of the developing
                    countries on par with the developed
                    countries

                  • The Paris convention of 1883 was one
                    of the oldest treaties under which,
                    member countries were free to
                    determine the standards of protection,
                    the subject matter of protection and
                    the period of protection and thus
                    maximum divergence was observed.
TRIPS : Product & Process Patents

• While many of the industrially developed countries adopted product patents to
  promote further innovations, some of the developing countries realised the
  potential of the process patents in developing the domestic industry and
  adopted the same. This helped them to take advantage of the innovations made
  by early innovators

• With the implementation of TRIPS agreement, a stronger patent regime or
  product patents has been uniformly applicable on the pharmaceutical
  innovations among the member countries of the World Trade Organisation

• The Doha Declaration held on November 2001, brought a new dimension to the
  TRIPS. It allowed a waiver of the patent law to face a national emergency and it
  was easy for the developing countries to set aside the patent laws (if incase
  they were facing epidemics)
Impact of TRIPS on Innovation

   Companies have increased their R&D
    expenditure to a great extent

   Overall IOP patent applications increased by
    more than 10 times compared with less
    than three times for the FOP increase in the
    same period

   Innovative activities of focused on
     • pharmaceutical,
     • chemical and
     • biotechnology sectors
Impact of TRIPS on Exports

   An increase in a pharmaceutical firm's
    innovative activities enhances its export
    competitiveness

   The exports data from the Office of the
    Directorate       General      Commercial
    Intelligence and Statistics (DGCIS) shows
    that India exported 249 drugs grouped into
    309 items under the category of drugs and
    pharmaceuticals
An Example Of Disparity

 In 1996, HAART - an effective combination therapy became in rich countries.

 Within four years, death rates for people with HIV/AIDS in developed countries
  had dropped by 84 %.

 At a cost of US$10,000-15,000 per person per year, these antiretroviral drugs were
  far too expensive for the majority of people infected with HIV in the developing
  countries.

 Five years after HAART was introduced in the West, only 2 % of people in
  developing countries were receiving the life-saving drugs.

 In order for treatment to reach people living with HIV in the developing world, the
  price of the drugs clearly needed to come down to an affordable level.
War between Branded & Generic Drugs

 At the beginning of the new millennium there was a
  breakthrough in treatment provision for resource
  poor areas when an Indian pharmaceutical
  company started to produce generic anti-retrovirals
  that were exactly the same as those made by large
  pharmaceutical companies, but significantly
  cheaper.

 This sparked a price war between branded and generic drug makers, which
  forced the large pharmaceutical companies to lower the price of their AIDS
  drugs. This competition, coupled with pressure from activists, organisations -
  such as the Clinton Foundation - and governments of poor countries with severe
  AIDS epidemics, dramatically reduced the price of ARVs for developing countries.
  By the middle of 2001, triple combination therapy was available from Indian
  generic manufacturers for as little as $295 per person per year.
Differential Pricing

   Drug companies adopt a policy of price
    differentiation,  setting   price   levels
    "according to what the market can bear".

   In a country where alternative or generic
    medicines are available, a company's
    branded product is usually priced lower
    due to the competition it faces from lower-
    priced alternatives. The same brand may
    sell at higher prices in other countries
    where there is no competition from
    generic producers.
**Surveys show that 100 tablets (150mg) of Zantac were sold for US$2 in India, $3 in
Nepal, $9 in Bangladesh, $30 in Vietnam, $37 in Thailand, $41 in Indonesia, $55 in
Malaysia, $61 in Sri Lanka, $63 in Philippines, $183 in Mongolia,$150 in South Africa and $97
in Tanzania.
COUNTER FIGHTING
     TRIPS
Compulsory Licensing

• Licenses granted without the consent of the patent
  holder either to remedy anti-competitive practices or
  in situations of national emergency. A compulsory
  license limits the enforcement of a patent vis-à-vis the
  person(s) being granted such a compulsory license.

•   It does not revoke or invalidate the patent concerned.

• Compulsory licenses are generally subject to time and
  geographical restrictions.

• In addition, the patent holder is also entitled to
  compensation taking into account the economic value
  of the compulsory license.
Parallel Imports

Parallel imports involve the import and resale
in a country, without the consent of the patent
holder, of a patented product that was put on
the market of the exporting country by the
patent holder.
THE WAY AHEAD: PATENT POOLS

•   In patent law, a patent pool is a consortium of at least two companies agreeing
    to cross-license patents relating to a particular technology. The creation of a
    patent pool can save patentees and licensees time and money, and, in case of
    blocking patents, it may also be the only reasonable method for making the
    invention available to the public.


    1856           • Sewing machine manufacturers - Grover,
                     Baker, Singer, and Wheeler & Wilson



    1917           • Airplane manufacturers - the Wright
                     Company and the Curtiss Company



    2005           • 20 companies active in the RFID domain
THE WAY AHEAD: PATENT POOLS (CONTD.)

   Countries like Thailand, Brazil and India have found innovative ways of securing cheaper
    second-line drugs but such options are constrained to countries having political clout and
    financial stability.

   A solution is “Patent Pool” which will hold licences on various patented medicines, that
    generic companies can then produce at a lower cost for poor countries. The production of
    generic versions can then be more easily negotiated and hence faster and more efficient.

   in July 2011, the pharmaceutical giant Gilead agreed to license four separate antiretroviral
    drugs and one combination drug to the pool which were pipeline products that is, they
    were undergoing clinical trials.

   In October 2011, Aurobindo Pharma and MedChem, became the first producers of generic
    antiretroviral drugs to join the Medicines Patent Pool. Under the new agreement, the
    pharmaceutical companies are licensed to produce a number of generic antiretroviral
    drugs, which should lead to these anti retrovirals becoming cheaper and easier to access

   Prices have thus been driven down substantially over the years.
Conclusion
   Developing countries have successfully stopped the US and the pharmaceutical
    lobby from excluding many important diseases of the third world from the
    deal, which is an important achievement.

   However no matter how desperate the health need, a poor country without the
    capacity to produce a needed drug—which is virtually all of them—will have to
    ask another government to suspend the relevant patent and license a local
    company to produce and export it.

   The bottom line is that many poor countries will still have to pay the high price
    for patented medicines or most probably, doing without.

   The World Trade Organization has failed to live up to the Doha pledge to put
    people’s health before profits.
Pharma Patenting

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Pharma Patenting

  • 1. It’s Impact on Third World Countries. An analysis of the legal and moral aspect of product and process patenting Group 3 | Section C Presented By: U111125 Shreshtha Rath U111134 Budhadev Nayak U111159 Pratibha Chaudhry U111160 Rohit Basuri U111162 Sampat Patnaik
  • 2. Pharmaceutical Industry : Evolution dyestuffs were found to significant new have antiseptic discoveries with TRIPS agreement properties permanent patent enforced protection Late 19th Century 1940-50s 1960s 1970s 1995 2012 Establishment of firm  tighter regulatory Present Day R&D units in the controls on clinical pharmaceuticals trials, greatly industry increasing development costs  appearance of "generic" medicines
  • 3. Key Trends • Companies that invested a good amount of money in R&D spending and productivity gradually became industry leaders. • The holy grail of pharmaceutical R&D is the "blockbuster". Like "killer applications" in the software market, blockbuster drugs are genuine advances that achieve rapid, deep market penetration • A blockbuster drug is typically a long-term therapy for a common disease that offers a substantial perceived improvement in efficacy or tolerability and is marketed globally. Annual sales must normally exceed $1 billion for a drug to earn this accolade. • Glaxo went from being a small player at the beginning of the 1980's to the world number one, with a presence in 50 countries, on the strength of a single drug - Zantac for stomach ulcers.
  • 4. Manufact Marketing uring & Admin 20% Why Patents ? 32% R&D Sales 32% 16%
  • 5.
  • 6. Need for patents  Generic drugs are exactly same as their branded counterparts in terms of dosage form, safety, strength, route of administration, quality, performance characteristics and intended use and the only differentiating factor in between them is price. As they do not have to go through product discovery and trials, cost incurred by generic drug manufacturers is notably less and hence high profitability.  This caused an uproar among the pharmaceutical companies as they have lowered profits. In order to counter this, pharmaceutical companies have been granted “patent” which essentially means that they own the exclusive right to make, sell, use, import and also offer to sell their product while disbarring others from doing so.
  • 7. PROBLEM OF MONOPOLIES DUE TO PATENTS
  • 8. Why MNCs ignore IIIrd World Countries  Multinational pharmaceutical companies neglect the diseases of the tropics, not because the science is impossible but because there is, in the cold economics of the drugs companies, no market.  There is a market in the sense that there is a need: millions of people die from preventable or curable diseases every week. But there is no market in the sense that medicines for leishmaniasis are needed by poor people in poor countries.  Pharmaceutical companies judge that they would not get sufficient return on research investment, so why, they ask, should we bother? Their obligation to shareholders, they say, demands that they put the effort into trying to find cures for the diseases of affluence and longevity—heart disease, cancer, Alzheimer’s.  Of the thousands of new compounds drug companies have brought to the market in recent years, fewer than 1% are for tropical diseases.
  • 9.
  • 10.
  • 11. Pharmaceutical Industry Improving Profit ? Health?
  • 12. Ethics in Pharmaceuticals ??? Pharmaceuticals, they are a commodity. But they are not just a commodity. There is an ethical side to this because they’re a commodity that you may be forced to take to save your life. And that gives them altogether a deeper significance. But they [big pharmaceutical companies] have to realize that they’re not just pushing pills, they’re pushing life or death. And I believe that they don’t always remember that. Indeed, I believe that they often forget it completely. — Dr. Drummond Rennie, transcribed from Dying for Drugs, Channel 4, UK
  • 13. TRIPS Agreement • TRIPS was introduced with the purpose of universalising the standards of Intellectual Property Rights and frame the rules of the game of the developing countries on par with the developed countries • The Paris convention of 1883 was one of the oldest treaties under which, member countries were free to determine the standards of protection, the subject matter of protection and the period of protection and thus maximum divergence was observed.
  • 14. TRIPS : Product & Process Patents • While many of the industrially developed countries adopted product patents to promote further innovations, some of the developing countries realised the potential of the process patents in developing the domestic industry and adopted the same. This helped them to take advantage of the innovations made by early innovators • With the implementation of TRIPS agreement, a stronger patent regime or product patents has been uniformly applicable on the pharmaceutical innovations among the member countries of the World Trade Organisation • The Doha Declaration held on November 2001, brought a new dimension to the TRIPS. It allowed a waiver of the patent law to face a national emergency and it was easy for the developing countries to set aside the patent laws (if incase they were facing epidemics)
  • 15. Impact of TRIPS on Innovation  Companies have increased their R&D expenditure to a great extent  Overall IOP patent applications increased by more than 10 times compared with less than three times for the FOP increase in the same period  Innovative activities of focused on • pharmaceutical, • chemical and • biotechnology sectors
  • 16. Impact of TRIPS on Exports  An increase in a pharmaceutical firm's innovative activities enhances its export competitiveness  The exports data from the Office of the Directorate General Commercial Intelligence and Statistics (DGCIS) shows that India exported 249 drugs grouped into 309 items under the category of drugs and pharmaceuticals
  • 17. An Example Of Disparity  In 1996, HAART - an effective combination therapy became in rich countries.  Within four years, death rates for people with HIV/AIDS in developed countries had dropped by 84 %.  At a cost of US$10,000-15,000 per person per year, these antiretroviral drugs were far too expensive for the majority of people infected with HIV in the developing countries.  Five years after HAART was introduced in the West, only 2 % of people in developing countries were receiving the life-saving drugs.  In order for treatment to reach people living with HIV in the developing world, the price of the drugs clearly needed to come down to an affordable level.
  • 18. War between Branded & Generic Drugs  At the beginning of the new millennium there was a breakthrough in treatment provision for resource poor areas when an Indian pharmaceutical company started to produce generic anti-retrovirals that were exactly the same as those made by large pharmaceutical companies, but significantly cheaper.  This sparked a price war between branded and generic drug makers, which forced the large pharmaceutical companies to lower the price of their AIDS drugs. This competition, coupled with pressure from activists, organisations - such as the Clinton Foundation - and governments of poor countries with severe AIDS epidemics, dramatically reduced the price of ARVs for developing countries. By the middle of 2001, triple combination therapy was available from Indian generic manufacturers for as little as $295 per person per year.
  • 19. Differential Pricing  Drug companies adopt a policy of price differentiation, setting price levels "according to what the market can bear".  In a country where alternative or generic medicines are available, a company's branded product is usually priced lower due to the competition it faces from lower- priced alternatives. The same brand may sell at higher prices in other countries where there is no competition from generic producers. **Surveys show that 100 tablets (150mg) of Zantac were sold for US$2 in India, $3 in Nepal, $9 in Bangladesh, $30 in Vietnam, $37 in Thailand, $41 in Indonesia, $55 in Malaysia, $61 in Sri Lanka, $63 in Philippines, $183 in Mongolia,$150 in South Africa and $97 in Tanzania.
  • 21. Compulsory Licensing • Licenses granted without the consent of the patent holder either to remedy anti-competitive practices or in situations of national emergency. A compulsory license limits the enforcement of a patent vis-à-vis the person(s) being granted such a compulsory license. • It does not revoke or invalidate the patent concerned. • Compulsory licenses are generally subject to time and geographical restrictions. • In addition, the patent holder is also entitled to compensation taking into account the economic value of the compulsory license.
  • 22. Parallel Imports Parallel imports involve the import and resale in a country, without the consent of the patent holder, of a patented product that was put on the market of the exporting country by the patent holder.
  • 23. THE WAY AHEAD: PATENT POOLS • In patent law, a patent pool is a consortium of at least two companies agreeing to cross-license patents relating to a particular technology. The creation of a patent pool can save patentees and licensees time and money, and, in case of blocking patents, it may also be the only reasonable method for making the invention available to the public. 1856 • Sewing machine manufacturers - Grover, Baker, Singer, and Wheeler & Wilson 1917 • Airplane manufacturers - the Wright Company and the Curtiss Company 2005 • 20 companies active in the RFID domain
  • 24. THE WAY AHEAD: PATENT POOLS (CONTD.)  Countries like Thailand, Brazil and India have found innovative ways of securing cheaper second-line drugs but such options are constrained to countries having political clout and financial stability.  A solution is “Patent Pool” which will hold licences on various patented medicines, that generic companies can then produce at a lower cost for poor countries. The production of generic versions can then be more easily negotiated and hence faster and more efficient.  in July 2011, the pharmaceutical giant Gilead agreed to license four separate antiretroviral drugs and one combination drug to the pool which were pipeline products that is, they were undergoing clinical trials.  In October 2011, Aurobindo Pharma and MedChem, became the first producers of generic antiretroviral drugs to join the Medicines Patent Pool. Under the new agreement, the pharmaceutical companies are licensed to produce a number of generic antiretroviral drugs, which should lead to these anti retrovirals becoming cheaper and easier to access  Prices have thus been driven down substantially over the years.
  • 25. Conclusion  Developing countries have successfully stopped the US and the pharmaceutical lobby from excluding many important diseases of the third world from the deal, which is an important achievement.  However no matter how desperate the health need, a poor country without the capacity to produce a needed drug—which is virtually all of them—will have to ask another government to suspend the relevant patent and license a local company to produce and export it.  The bottom line is that many poor countries will still have to pay the high price for patented medicines or most probably, doing without.  The World Trade Organization has failed to live up to the Doha pledge to put people’s health before profits.