Meds and you

28 February 2008

Patents under fire in India

In a move which SA health authorities have been shying away from, India will consider this week whether to override patents on expensive cancer drugs.

In a move which might give South African health authorities pause for thought, India’s patent office will consider this week whether to override patents on expensive drugs – something the SA government has refused to do regarding expensive Aids medicines.

The Indian patent office will consider whether to override patents on cancer drugs made by the pharmaceutical companies Pfizer and Roche and allow a generics firm to export copycat versions to Nepal in the first case of its kind in the country.

The case, brought by Hyderabad-based Pharma, is the first time India's patent office has considered granting so-called compulsory licences since the law was updated in 2005 in keeping with World Trade Organization (WTO) rules.

Making drugs more affordable
"It will be a moral victory, making drugs more affordable to developing countries," said Adi Narayana, Natco's corporate affairs manager, when asked about the significance of the case.

It would also be a business victory for India's massive generic pharmaceutical sector, he said. India is the main supplier of essential medicines to poor countries, according to aid group Medecins Sans Frontieres (MSF).

The patent office will begin hearing the case on Thursday and Friday and rule at a later date.

Overriding patents allowed
The WTO's Trade-Related Aspects of Intellectual Property Rights agreement (TRIPS) lets governments override drug patents and allow the production of generic copies of drugs deemed critical to public health in poor countries.

Since the agreement, several countries have used TRIPS to produce generic Aids therapy drugs for their domestic markets. Despite the massive costs of these medicines and the acuteness of the Aids crisis in South Africa, the government here has not enforced any such licences.

In October, Canada became the first to allow one of its companies to export a generic copy of a patented drug, sending Aids therapy drugs to Rwanda.

Last year Thailand was the first to override patents for drugs to treat diseases other than Aids, issuing licences for patented cancer drugs despite intense industry resistance and criticism from the United States for disrespecting patents.


Natco has a licence from Nepal to import Erlotinib, patented in India by Swiss firm Roche under the brand name Tarceva, and Sunitinib, patented by US firm Pfizer Inc under the name Sutent.

It says it can make generic versions at about a fifth of the cost to sell through a private distributor in Nepal.

Drug research companies and public health activists argue over how much patents hinder poor countries from getting hold of new and improved drugs for AIDS and other public health issues. Click here to read our recent feature article on the effectiveness of the patent system.

Pfizer said in an e-mail that it supplies discounted Sutent to some patients in India, and is extending that programme to Nepal, although it did not say how many patients are eligible.

Natco has offered 5 percent royalties on sales it makes to Roche and Pfizer, in keeping with TRIPS guidelines.

Asked to comment on Natco's offer, a Roche spokesman said: "Tarceva is already available in India through Roche and therefore patients in Nepal have access to Tarceva."

Both Pfizer and Roche said they could not comment further on the case while it was still being decided.

Forced to look at pricing
Shamnad Basheer, an associate at the Oxford Intellectual Property Research Centre, says the India case will force big drugmakers to look at their pricing.

"If there's one thing they've got wrong all these years it's pricing evenly across the world," he said. "Pfizer's easiest option would be to drop the prices in Nepal - then Natco doesn't have a case."

In the last big test of drug patents in India, Swiss firm Novartis lost its challenge in a Chennai court in August to a law blocking patents for minor improvements to existing drugs. – (Reuters Health)

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February 2008


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