Aids Drugs and Trips

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    GlaxoSmithkline

    British pharmaceutical, biological,

    and healthcare company.

    Formed by Merger between GlaxoWellcome

    PLC and SmithKline Beecham PLC in 2000.

    With a revenue of 24.352 billion (2008)

    operating income 8.259 billion (2008) , Net

    Income 4.712 billion (2008) and employee

    base of over 103,000 (2008) , it is Second

    Largest Pharamceutical company by netincome.

    Presence across 99 countries in 39 cities.

    Global Headquarters located at London , UK.

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    GlaxoSmithkline

    US Headquarters located at North

    Carolina.

    Major Contributor for HIV Treatment and

    Drug Research. Product Portfolio consist of : -

    - Pharamecutical Products.

    - Healthcare Products.

    Under the AAI (Accelerating AccessInitiative)the company took initiatives for

    treatment of HIV specially in Sub Saharan

    Africa.

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    AIDS- scene in the year 2000

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    The disease spreading like fire

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    Intellectual property rights

    The clauses of this rights are

    to promote the publication of ideas,

    inventions and creations, in order to make

    them available to others, who can thenfurther improve them; this will nurture

    scientific progress or artistic inspiration

    to provide an economic incentive for

    people to invent or to engage in creative

    efforts, by ensuring that the originator can

    reap financial rewards from his/her efforts

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    What is the WTO TRIPS

    Agreement?

    The WTOs Agreement on Trade-Related

    Aspects of Intellectual Property Rights

    (TRIPS), negotiated in the 1986-94 Uruguay

    Round, introduced intellectual property rulesinto the multilateral trading system for the

    first time.

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    What is the basic patent right?

    Patents provide the patent owner with the

    legal means to prevent others from making,

    using, or selling the new invention for a

    limited period of time, subject to a number of

    exceptions.

    Under the TRIPs Agreement, protection must

    last for at least 20 years from the date of

    filing of the patent application.

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    Why are patents important?

    The costs of pharmaceutical R&D are

    high. While the actual amount is being

    disputed, it is in any case significant

    There is a disclosure requirement, atregistration

    Imitation is relatively easy, therefore the

    patent is important to protect the invention

    the protection of trademarks helps to clean

    up counterfeit products from the

    marketplace

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    What is compulsory licensing?

    Compulsory licensing is when a

    government allows someone else to

    produce the patented product or process

    without the consent of the patent owner

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    What are parallel imports?

    Parallel or grey-market imports products

    marketed by the patent owner (or

    trademark- or copyright-owner, etc) or with

    the patent owners permission in one

    country and imported into another country

    without the approval of the patent owner.

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    What is the Bolar Provision

    Allows interested (generic) manufacturers

    to start producing test batches of a product

    before the patent expires

    Facilitates collection of necessary data forsubmission to the registration authorities

    Helps to reduce the delay for generic

    products to enter the market after the

    patent has expired, enhancing competition

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    What was the Patent Law

    prevailing in India at the time?

    Prior to 2005, Indian law provided process

    patent protection, so that patented drugs

    can be (re)manufactured in India so long

    as the production process used is different

    from the one that is patented

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    The price war

    1980 Glaxo introduced AZT

    1985 patent was offered to Glaxo

    Mid 1980s Glaxo developed lamivudine

    and abacavir

    2000 Prices lowered in Africa and other

    developing countries

    Feb 2001 Cipla Ltd of India announced to offer

    antiretroviral cocktail to sub Saharan countries

    2003 Hetero Drugs and Aurobindo came out with

    generic cocktail

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    What did Cipla do?

    Most of the people suffering from Aids

    cannot afford the exorbitant price offered

    by drug TNC

    Cipla Ltd of India announced to offergeneric antiretroviral cocktail to sub

    Saharan countries

    The price of this product was about 3% of

    that of Glaxo

    Was prepared to pay licensing fee of 5%

    of its royalties

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    GSKs main point of opposition

    Ciplas conduct violates the Trade-Related

    Aspects of Intellectual Property Rights

    (TRIPS) Agreement under the WTO.

    Article 31 of the TRIPS allows compulsorylicensing

    The only stipulation is that they try to

    negotiate acceptable commercial terms

    with the patent holder - if that fails, to

    adequately compensate the holder foruse of the invention.

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    Concerns of other pharma majors

    Sustainability and quality of low cost

    generics being supplied

    if AIDS is the issue today, tomorrow it may

    extend to heart disease, cancer or, for thatmatter, any other disease

    No incentive to invest the millions required

    to discover and develop new drugs, without

    intellectual-property protection.

    Lack of the political will to act was also one

    of the factors that were raised by Glaxo.

    Lack of health infrastructure in the

    developing countries

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    Ghana

    In 2000, CIPLA had made shipments of a

    combination drug Duovir (zidovudine plus

    lamivudine) to customers in Ghana .

    GSK claims four patents granted byAfrican Research Industrial Property

    Organisation (ARIPO) provides exclusive

    rights to its drug in Ghana

    Mr Kiige, ARIPOS chief patent examiner

    claim that three patents are not valid inGhana

    In November 2000, GSK sued in Ghanaian

    courts to prevent the sale of Duovir in

    Ghana.

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    At present, none of the generic

    drug manufacturers are allowed

    to export generic aids drugs to

    Ghana

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    South Africa

    South African Parliament passed the

    Medicines and Related Substances

    Control (Amendment) Act in 1997.

    To combat higher prices of drugs andmake them affordable , the Act was

    introduced.

    Provisions for compulsory licensing and

    parallel importing of AIDS Drugs and

    others.

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    Compulsory Licensing

    Compulsory Licensing

    - Section 15C of the Bill provides for

    compulsory licensing.

    - Allow South African Local DrugManufacturers to manufacture and

    distribute AIDS drugs within South Africa

    at affordable prices.

    - Reduce Price by 90 percent.

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    Parallel Import.

    Under Section 15(C)(b) the government

    could prescribe parallel imports on

    medicines already registered in South

    Africa.

    It allowed South Africa to import a drug

    manufactured and sold at a lower cost

    elsewhere.

    Government could fulfill the supply of

    drugs that could not be met otherwise,under the pricing schemes operating prior

    to the introduction of the Act.

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    Remuneration and Lawsuit

    Proposal for adequate remuneration

    A case had been filed by the

    Pharmaceutical Manufacturers

    Association of South Africa (PMASA), Four members - Merck, Glaxo-SmithKline,

    Bristol-Myers Squibb and Boehringer

    Ingelheim manufacture AIDS drugs

    Remaining 35 members also party in the

    lawsuit.

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    IFPMA's recommendations

    Encourage public-private partnerships for

    the development and distribution of

    medicines and vaccines where existing

    therapies are lacking or not getting

    adequately distributed

    Foster local industry investment in R&D

    and transfer of know-how into developing

    countries by accelerating the adoption ofTRIPs standards

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    Encourage local innovation by avoiding

    price controls, either directly or indirectly

    Stimulate the supply of affordable qualitygenerics in developing countries by

    working to inculcate the importance of

    quality manufacturing procedures locally

    Ensure the supply of needed drugs by

    working to prevent parallel trade

    IFPMA's recommendations

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    Consider creating publicly financed

    research centres in the region to foster

    medical research, pooling the scientific

    expertise and resources of several

    countries, to increase the capacity for

    research in diseases of regional interest

    Join with judicial authorities, the police and

    industry professionals to implement anti-counterfeiting legislation. Severe penalties

    should be imposed

    IFPMA's recommendations

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    Adopt global drug review standards to

    speed up the approval of new drugs

    Empower consumers to choose well

    IFPMA's recommendations

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