Transcript Indo German Investment Summit 2011
The Enduring Enigma of section 3(d): Will the Supreme Court Prune the Evergreen Tree?
Adarsh Ramanujan, Associate MHRD-IP Chair Symposium on IP and Pharmaceutical Policy, NLU- Jodhpur 17 th and 18 th March, 2012 © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
“These are only my personal and academic views”
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Coverage
•
Current status before the Supreme Court of India
•
Important Issues to be settled
•
Recollecting the IPAB and the Madras High Court
•
Law and Policy
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Coverage
…Contd.
“
The mere discovery of a new form of a known substance which does not result in the enhancement of the known efficacy of that substance
or … the mere discovery of any new property or
for a known substance
or ….
new use
the mere use of a known process, machine or apparatus unless such known process results in a new product or employs at least one new reactant.
” Explanation to Section 3(d).
—For the purposes of this clause, salts, esters, ethers, polymorphs, metabolites, pure form, particle size, isomers, mixtures of isomers, complexes, combinations and other derivatives of known substance shall be considered to be the same substance, unless they differ significantly in properties with regard to efficacy.
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Coverage
…Contd.
•
Imatinib (free base)
•
Imatinib mesylate salt
•
Patent relating to Beta crystalline form of Imatinib mesylate salt
•
IPAB rejected patent application under Section 3(d) [Held to be Novel and Inventive]
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1
Novartis before Supreme Court
Novartis AG v. UOI & Ors.
August 2009 Appeal filed against order of the IPAB August 2009 Recusal of Hon’ble Mr. Justice Katju August 2011 Part-heard by the Supreme Court © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Novartis AG v. UOI & Ors.
September 2011 Recusal of Hon’ble Mr. Justice Dalveer Bhandari …Contd.
September – October 2011 Preliminary Issue – maintainability of the appeal February –March 2012 Expected to be decided shortly © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
2
Important Issues to be Settled
Important Issues to be Settled
Defining and Proving ‘efficacy’ Bio-availability and Efficacy.
Clarify on evidence issues Relationship with “Inventive Step” Defining ‘known substance’ Defining ‘Derivatives’ in the Explanation to Section 3(d)?
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3
Recollecting the Madras High Court
Constitutionality of Section 3(d)
Novartis v. UOI & Ors.
Section 3(d) held constitutional Question relating to alleged non-compliance with TRIPs held not maintainable Concept from Pvt. Int’l. Law applied.
No comments on merits of the patent But dealing with Article 14 issue necessitated the High Court to interpret Section 3(d) Four important take-aways © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Novartis v. UOI & Ors.
High Court recognizes limited scope of applicability of first part of Section 3(d) …Contd.
“…we are clear in our mind the portions of the amended section and Explanation under attack is definitely referable only to the pharmacology field, namely, drugs”
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Novartis v. UOI & Ors.
…Contd.
High Court recognizes that Explanation applies only to first part of Section 3(d)
“…therefore, we have no doubt at all that the Explanation would operate only when discovery is made in the pharmacology field”
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Novartis v. UOI & Ors.
…Contd.
High Court recognizes alleged mischief to be remedied from Parliamentary debates prevent “evergreening” and enable access to life saving drugs © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Novartis v. UOI & Ors.
…Contd.
Ordinary meaning of ‘efficacy’
“…ability therapeutic to produce the effect ……healing desired of a disease ….having a good effect on the body”
Court holds that it is possible to provide comparative details to prove enhancement © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
2
Recollecting the IPAB
The Gleevec Patent
Novartis - IPAB
Appeal from Controller’s decision rejecting Novartis’ patent for beta crystalline form of imatinib mesylate Four important take-aways © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Novartis – IPAB
…Contd.
Test for novelty, inventive step, Section 3(d) are distinct Novartis’ patent held to be novel and inventive, but rejected under Section 3(d).
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Novartis – IPAB
IPAB follows Madras High Court on ‘efficacy’ …Contd.
Better thermodynamic stability (facilitating storage), lower hygroscopicity (increased shelf life), better flow properties (more processable) held irrelevant to Section 3(d).
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Novartis – IPAB
…Contd.
Increased ‘bioavailability’ of 30% also held insufficient to overcome Section 3(d)
in the fact of this case
“…Binding is the crucial step that determines effect …Therefore, binding and not absorption is the key to healing the disease …Bio-availability is related to availability and not binding …Appellant
has neither responded to this argument nor contradicted
…….Thus, we are convinced that
bioavailability and efficacy are generally not one and the same
”
(Emphasis Supplied) © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Novartis – IPAB
…Contd.
Factual inquiry as to “enhanced efficacy” to be decided
based on original disclosure in the specification
“…Appellant is not entitled to make out a case for [a] patent in its favour by importing a new matter in the specification[,] which discovered / established” was later
But IPAB seems to have allowed new evidence?!
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4
Law and Policy
What the Supreme Court may have to handle
Law and Policy
Ipso facto
implications (“the incentive to innovate” conundrum) Defining and proving increased ‘efficacy’ Relationship between inventive step and Section 3(d) © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Law and Policy
…Contd.
8-11 Years Basic Research Prototype Design Preclinical IND 4-6 Years Clinical Development Phase 1 Phase 2 Phase 3 Launch
CRITICAL PATH Patent Filing (Case-law relating to evidence for utility)
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Ipso facto
implications
General logic - no R&D in pharma w/o patent Innovation Cost : Imitation Cost is very high One estimate suggests (approx. USD 800 mil.), with almost 60% towards regulatory approval.
“Shot-gun approach” –
5000 : 1
success rate “Blockbuster drug” business model – recover costs of failure as well © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Ipso facto
implications
…Contd.
But this is normally assessed w.r.t New Chemical Entities (NCEs) Section 3(d) is concerned with type of IMPs (Incrementally modified products) and not NCEs Unclear whether the cost analysis applies equally well here –
same regulatory approval process may not apply.
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Ipso facto
implications
…Contd.
Contd. (US FDA example) E.g., if new form is bio-equivalent (similar bio availability), then only ANDA and no significant costs (what generics normally do w.r.t NCEs) E.g., if new form has different bio- availability, trials may be required by the US FDA - fact specific (includes a 505(b)(2) application or a paper ‘NDA’)
.
Section 3(d) reducing incentive to innovate? – not too clear © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Ipso facto
implications
…Contd.
Novartis case – not an ideal test case for innovator companies?
US 5521184 disclosed imatinib mesylate salt US FDA approval for Gleevec imatinib mesylate salt (not crystalline form) – only mentions limited to any Orange book listing for Gleevec – lists both 5521184 and 6894051 ( ᵝ crystalline form) 31 CFR 314.53
– cannot list polymorph patent unless bio-equivalent!
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‘Efficacy’ and Evidence
Bio-availability (BA) and efficacy General definition of ‘efficacy’?
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BA and Efficacy
Increased BA ≠ increased efficacy may not always be incorrect E.g.
Omeprazole increase in BA, v/s S-Omeprazole – 80% but inconsistent results viz. increase in healing ability on a milligram-to-milligram comparison (data submitted with FDA) © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
BA and Efficacy
Drug action is a complex science – mechanism is not clearly understood …Contd.
E.g. noradrenaline – difference between in-vitro and in-vivo effect Generally accepted that the effect” graph is a hyperbolic curve “concentration “Signal Transduction” at a cellular level is not very clearly understood © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
BA and Efficacy
…Contd.
Having a
per se
rule makes little sense – PHOSITA’s perspective for each therapeutic class / disease concerned But without a clear
per se
rule, ex ante planning seems impossible Implications in terms of temporal effect (next slides) © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
Efficacy and Evidence
…Contd.
What about reduced side effects?
Ind Swift
v.
Cadila
(Review Petition – August 2010) – factor that polymorph may have been less cardiotoxic seems to have played a significant role.
Same efficacy – but contributes to a class of patients not covered under earlier form?
Quicker responses?
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‘Efficacy’ and Evidence
…Contd.
Existing definition [“having a good effect on the body”] seems broad enough to cover all the above possibilities Reduce length of treatment?
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‘Efficacy’ and Evidence
…Contd.
IPAB’s ruling as to evidence – significant policy lever in determining the timing of application Broadly, data relating to drugs are of two kinds Pharmacokinetics (PK) – ADME (Absorption, Distribution, Metabolism, Excretion) Pharmacodynamic (PD) – “concentration– effect” studies © COPYRIGHT 2012, LAKSHMI KUMARAN & SRIDHARAN
‘Efficacy’ and Evidence
…Contd.
Basic Research Prototype Design Preclinical IND Clinical Development Phase 1 Phase 2 Phase 3 Launch
PK / PD Studies in vitro / animal; Sometimes, scaled models for humans PK in humans / sometimes PD PD Studies PD Studies
What data will be sufficient in the original specification?
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‘Efficacy’ and Evidence
No
per se
rule …Contd.
Question to be viewed from perspective of PHOSITA What Evidence?
May vary from case-to-case (class of drugs, other scientific parameters) What about subsequent evidence?
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‘Efficacy’ and Evidence
Contd.
…Contd.
Analogy from case-law relating to “new subject matter” and case-law on selection invention What Evidence?
Whether the information presented in the original specification was “beyond speculation”?
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‘Inventive step’ and Section 3(d)
T 777/08 – May 24, 2011
Novartis
case [Polymorph patent] – crystalline form claimed (drug) Inventive step / technical feature argued to be based on improved filtration and drying properties Held not to be inventive since improved filtration and drying properties – expected properties for crystalline forms [Polymorph patent] – crystalline form claimed (drug) Arguments against Section 3(d) – better stability, flow properties, processability and increased bio-availability (due to better increased dissolution properties) - Are these expected properties for crystalline forms?
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Discussion
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