5 COMMON QUESTIONS ABOUT GENERIC DRUGS
What
are Generic Drugs?
•
A
generic drug is a copy of a brand name drug. To be sold, a generic drug must be
‘bioidentical’ to the brand name drug.
•
This
means that the generic drug must be proven to be the same as the original brand
name drug in the following ways:
•
dosage
form (tablet, capsule, liquid, etc.)
•
strength
(same amount of drug in both)
•
Safety
•
how
it is taken (by mouth, injection, etc.)
•
quality
•
how
the medicine gets into the bloodstream and works in the body
•
The
manufacturer must prove that their generic drug meets these requirements before
the Food and Drug Administration (FDA) will approve it and allow it to be sold
to the public.
Why
are Generic Drugs Cheaper Than Brand Name Drugs?
•
A
brand name drug has to go through 10-15 years of research and testing in
animals and people before it can be sold to the public. During this testing,
the company making the drug must prove that it is safe and effective for people
to use. All of this testing can cost over $1 billion. Once the new drug is
approved, the company that made and tested it receives a patent. This means
that no other company can make the drug until the end of the patent, which is
usually 10-15 years after the drug is released.
•
When
a patent for a brand name drug expires, any other company can copy the drug and
sell a generic version. These other companies must only prove that their
product is the same as the brand name drug. This means that generic drug
companies do not have to spend as much time and money because they do not have
to invent or test the drug for safety and get FDA-approval. This is why generic
drugs cost less.
•
When
a patent for a brand name drug expires, there are usually a number of companies
that begin to make a generic version of the drug. Since there is more than one
company making the drug, the price is lowered even farther due to competition
between all of the different generic drug makers.
Are
Generic Drugs as Safe and Effective as Brand Name Drugs?
•
The
short answer to this question is “usually yes”. A company must prove that its
generic version of a drug is both safe and effective before it can be sold to
the public. The company that made the original brand name drug proved during
years of testing that the drug is both safe and effective.
•
A
company that makes a generic drug must show that its version of the drug is
80%-125% ‘bioequivalent’ to the original brand name drug. For example: a
brand name drug is taken and it is found that 100mg of medicine reaches the
person’s bloodstream. For a generic version of the drug to be considered safe
and effective, the active drug in the tablet or capsule must release between
80mg and 125mg to reach the bloodstream (80-125%). This means that some
companies might make generic versions that have 80mg reach the bloodstream and
other companies might make generic versions that have 125mg reach the
bloodstream. This difference isn’t a problem in most drugs.
If
This Generic Drug is the Same as the Brand Name Drug, Why Do They Look
Different?
•
Just
because two versions of the drug do not look the same does not mean they act
differently in the body.
•
There
are laws in the United States that say that a generic version of a drug cannot
look the same as a brand name version. The company that makes the generic version
of the drug can make it whatever colour, shape, or flavour they want as long as
the amount of active drug remains the same as the brand name drug.
How
Do I Know if There is a Generic Version of the Drug that I Take?
•
There
are a few different ways to find out if there is a generic version of the drugs
you take.
•
The
easiest way is to ask your pharmacist. They will be able to tell you if there
is a generic version of a drug available or when a generic version will most
likely become available.
CIPLA Vs ROCHE (Generic Industry Rejoices)
BACKGROUND
•
Delhi High Court has been the battleground
for a pharmaceutical war between Roche
and Cipla, over Roche’s patent for anticancer drug ‘Erlotinib’, sold by Roche
as TARCEVA.
•
On 24 April 2009, the Division bench of the
Delhi High Court dismissed Roche's appeal against the refusal of a single judge
to grant an injunction restraining Cipla from manufacturing, offering for sale,
selling and exporting its generic version of ‘erlotinib’. Both Roche and Cipla drugs
are based on a compound that goes by the name of ’Erlotinib Hydrochloride.’
•
This case is regarded as a
very important case in a series of high profile patent battles between
multinational pharmaceutical companies and Indian generic drug companies.
FACTS OF THE CASE
•
In
February 2007,Roche along with Pfizer (as a joint applicant), claimed that it
had been granted a patent for
‘erlotinib’
•
The patented product, which Roche introduced
onto the Indian market was marketed
under the brand name TARCEVA.
•
In December 2007 and January 2008, Indian
newspapers reported Cipla’s plan to launch a generic version of ‘erlotinib’
•
Soon after that, Roche commenced patent
infringement proceedings.
CIPLA’S DEFENCE
AND COUNTERCLAIM
- It had been selling its drug
under the brand name ERLOCIP since December 2007.
- Roche’s patent was invalid
because ‘erlotinib’ was a derivative of Quinazolin, which had been used in
cancer treatment. Pursuant to s.3(d) of the Indian Patents Act, a
derivative of a known compound is not patentable.
- Roche’s invention, as disclosed in the complete specification and claims was obvious or did not involve any inventive step, having regard to what was publicly known or publicly used in India, or what had been published in India or elsewhere before the priority date.
- The complete specification did not sufficiently and fairly describe the invention or the method by which it was to be performed.
- The huge difference in price between Roche’s drug (Rs.4,800 tablet (approx. US$ 100) and Cipla’s drug (Rs.1,600 (approx US$ 33) should be taken into account when deciding whether or not to grant an interim injunction.
ΓΌ Cipla strongly argued that because the drug in question was a life saving drug, the public interest issue was an important factor to be taken into account .
ROCHE’S SUBMISSION
- Section 3 (d) of the Patents
Act is not applicable as it prohibits only derivatives of ‘a known
substance’. ‘Erlotinib’ is not ‘salts, esters, polymorphs, particle size,
mixture of isomers, etc.’ of a ‘known substance’. It is a novel compound.
- The prior art argument was
adequately dealt by the Patent Office during opposition proceedings. In
any case, ‘erlotinib’ is a different compound; its properties differ from
those of Astra Zeneca’s Gefatinib, which was cited as prior art.
- When determining where the balance of convenience lies, it is
appropriate to consider the issue of ‘accessibility’ to, and use of, the
invention in the territory. It is not, however, necessary that the drug
should be manufactured in India.
SINGLE JUDGE
RULING
While
hearing the case, the judge noted the following points:
•
Public interest: The generic drug version of ‘erlotinib’ manufactured and marketed by
Cipla is available at one-third the price of Roche’s drug, Tarceva.
•
Further,
the Court noted that Tarceva is not manufactured in India, it is imported. The
Court noted that the right to access to life-saving drugs, and the need for
secure long term supplies, is a serious issue in India.
•
In
such case, the injury that would be caused to the general public if the generic
version of the drug were not available is a strong point in favour of a refusal
to grant an injunction.
THIS POINT
COMPLETELY FAVOURED CIPLA’s DEFENCE
•
Validity of the patent: The doubts about the validity of the patent raised by Cipla on the ground
of obviousness, and ‘erlotinib’ being a derivative of a known compound
which did not meet the ‘increased efficacy’ requirement provided for in s.(d)
of the Patents Act, were dismissed by the judge as having been adequately
dealt by the Patent Office at the opposition stage.
•
The Court reviewed the observations that had been made by the Controller
while granting the patent, and concluded that Cipla had not substantiated this
objection.
THIS POINT
STIFLED CIPLA’s DEFENCE
Overall, the judge was of the view that while Roche had established a
strong case in support of its patent infringement claim, the 'public interest'
and lower pricing of Cipla's drug tilted the balance in favour of Cipla.
DIVISION BENCH
RULING
•
Roche
filed an appeal against the Order of the single judge, arguing that a failure
to protect the rights of the patentee, is contrary to the public interest of
encouraging further research in the pharmaceutical field.
•
The division bench in its ruling
observed:
•
Non infringement: The bench was of the view that the patent in question related to a
mixture of Polymorphs A and B, whereas Roche’s Tarceva drug consisted of only
Polymorph B, for which a patent had not yet been granted. The division bench
considered that this fact ought to have been disclosed by Roche both at the
time of examination, and during the proceedings before the single judge. The
bench gave weight to the fact that Polymorph B of ‘erlotinib hydrochloride’ was
the subject of a later patent application, and that this had not been
considered by the single judge.
The bench criticised Roche for:
1. Its failure to provide a sufficient
and fair description of the invention; and
2. For not having filed X-ray
diffraction data for Tarceva and Erlocip that would have shown whether or not
the crystalline structure of Cipla’s Erlocip tablets corresponded to Roche’s
patented invention.
The
Court dismissed Roche’s appeal, and upheld the order of the single judge. It
did not fully elaborate the public interest point relating to the pricing of
the drugs, basing its judgment instead on the ground that Cipla had raised a
credible challenge to the validity of the patent.
WHY WAS NOVARTIS
DENIED A PATENT FOR GLIVEC IN INDIA?
'Novartis AG v. Union of India (UOI) and Ors.;
Natco Pharma Ltd. v. UoI & Ors.; M/S Cancer Patients Aid Association v. UoI
& Ors. Decided on 1.4.2013
•
From
1972 to 2003, India only allowed process patents, which meant that even a
patented product could be produced by someone other than the patent-holder if
they could find a different method to manufacturing it. However, in 2005 the
law was amended retrospectively to allow for product patents so that India
could be compliant with the World Trade Organisation's Agreement on
Trade-Related Aspects of Intellectual Property Rights (TRIPS).
•
But
even before the law was amended, India agreed to invite applications for
product patents under the TRIPS agreement. These "mailbox"
applications were opened in 2005 when the law was finally enacted. Novartis
filed an application for patent for Glivec, the blood cancer drug, under the
mailbox provision.
•
The
key issue revolved around whether Glivec was a "new product" under
the terms of the law. In January 2006, the Indian patent office ruled that the
drug was not substantially different from one for which patents had already
been given in the US and Europe. Thus, it did not pass the novelty test. While
moving to the new patent regime, Indian lawmakers had inserted a provision —
section 3(d) in the Patents Act — to check against 'evergreening'.
•
(This
is the term used to describe a practice under which firms slightly tweak an
existing process or product to seek a fresh patent once the original protection
expires. This helps them retain monopoly rights for a longer period. The patent
office's ruling was upheld by the Intellectual Property Appellate Board (IPAB)
and now by the Supreme Court.)
•
If
Novartis had won the case, it would have been granted a monopoly on Glivec, and
denied Indian companies the right to make the drug. This would obviously have
allowed Novartis to sell the medicine at a much higher price. Already, there is
a huge differential with generic versions by Indian companies costing Rs
5,000-9,000 for a month's treatment, compared to Glivec's cost of around Rs 1.2
lakh a month.
•
The
order is also likely to encourage existing Indian manufacturers to step up
production and perhaps new players to enter the market. This should lead to a
further fall in prices.
•
What will be the impact on the drug industry?
•
The
multinational drug companies are worried that this could be a trendsetter and
are even threatening to block supplies of new patented medicines to India. But
this is unlikely to deter Indian industry from developing "copycat"
versions that would sell at a lower price.
•
In
short, while this is bad news for Big Pharma, it is as much good news for
domestic manufacturers as it is for consumers. Big Pharma could also be worried
that the Indian example may be emulated by others.
MERCK VS. GLENMARK OVER “SITAGLIPTIN”
•
Anti-diabetes
drugs are the top-selling therapy area in India, where about 65 million people
live with the disease and that number is expected to reach 100 million by 2030.
•
Merck
sued Glenmark in 2013 for infringing a patent it has on sitagliptin, the
chemical compound in Januvia and Janumet, both of which the company has been
selling in India since 2008.
•
A
month's dose of Merck's drugs costs about 1,300 Indian rupees ($20) and 1,900
Indian rupees ($30), respectively. Merck has licensed the drugs to Sun
Pharmaceutical Industries Ltd (SUN.NS) for sale in India.
•
Glenmark
sells the medicines under the brand names Zita and Zita-met at a nearly 30
percent discount to Merck's price.
•
The
Supreme Court of India on Special Leave Petition filed by Glenmark stayed the
Delhi High Court order which passed injunction against Glenmark for the generic
drug* Sitagliptin till 28th April 2015.
•
Merck
Sharp & Dohme filed an application for an ad interim injunction restraining
the respondent/defendant Glenmark Pharmaceuticals from using its patented
product Sitagliptin (Indian Patent No. 209816) at Delhi High Court.
•
The
Delhi High Court conclusively held that all the three ingredients (Prima facie,
Irreparable injury and balance of convenience) for passing the order of
injunction were established by MSD and hence injuncted Glenmark from
manufacturing and selling of Zita and Zitamet.
•
On
15th May 2015 India's Supreme Court has blocked Glenmark
Pharmaceuticals Ltd from selling copies of U.S. drugmaker Merck & Co Inc's
diabetes drugs Januvia and Janumet, sources with knowledge of the matter said
after a court hearing.
•
The
court has, however, allowed Glenmark to continue to sell existing inventory,
the sources said.
ERICSSON VS. XIAOMI
What
is the fuss about?
•
According
to Ericsson, Xiaomi needed a licence from Ericsson for selling and marketing
the phones imported to India and using Ericsson’s patents.
•
Ericsson
alleged standard essential patents (SEPs) used in AMR, 2G, 3G and Edge
technologies for mobile phones were being infringed upon by Xiaomi.
•
An
SEP is the patent for the core technology essential to create something of a particular
technical standard. In this case, mobile phones cannot be made without the GSM,
GPRS, EDGE and WCDMA technology, which are patented by Ericsson.
•
Xiaomi
apparently uses 3G- and EDGE-compliant technologies on its smartphones in
India. Ericsson said it had several patents on these connectivity standards,
and that the Chinese manufacturer was required to acquire licences for those or
pay royalties.
•
The
Delhi High Court was satisfied that Ericsson had made out a prima facie case
for grant of ad interim injunction in its favour, and directed Xiaomi to stop
sale of all its handsets/devices in India.
•
Xiaomi
in its appeal against the injunction alleged that Ericsson, while obtaining the
ex parte injunction order, did not inform the court that Xiaomi also made,
imported and sold handsets having Qualcomm chipsets. It contended that it did
not infringe Ericsson’s patents, as Qualcomm had obtained a licence from the
Swedish company for this patented technology.
•
This
implied that Xiaomi would be unable to sell 3G-variant of the Redmi Note (which
features a MediaTek chipset) in India, while the Redmi Note 4G and all other
sets running on Qualcomm-based chips would still be sold.
•
Eventually,
the court on December 16th
2014 permitted Xiaomi to sell its Qualcomm chipset-based devices as a
‘pro tem’ (temporary) measure till the issue of patent infringement was heard
and decided by a single-judge Bench of the high court.
•
Xiaomi
can now sell other devices in India apart from the ones that feature Media Tek
chipsets. Thus, from now, Xiaomi phones working on Qualcomm chipsets will be
available for customers in India.
•
Redmi
1S, Mi 3, Mi 4 and Mi 4i, fitted with Qualcomm chips, are very popular Xiaomi
handsets.
•
After
landing in 2014 over patent infringement, Chinese handset maker Xiaomi, which
was asked to stop the sale of some of its handsets by the Delhi High Court, has
been allowed to send back its Redmi Note 3G handsets to Hong Kong.
•
A
vacation Bench of high court judge Mukta Gupta permitted Xiaomi to return over
100,000 handsets to their point of origin, Hong Kong, after Swedish telecom
firm Telefonaktiebolaget LM Ericsson agreed to the arrangement.
•
In
December 2014, the court had barred Xiaomi from selling or importing phones
into India, after a complaint from Ericsson alleging patent infringement. The
move was seen as having dealt a severe blow to Xiaomi’s prospects in what was
considered its most important international growth market.
•
Xiaomi,
though, got a reprieve in a second ruling, which stated the company was
forbidden only from importing and selling phones containing components linked
to the Ericsson dispute. This referred specifically to parts made by MediaTek,
a Taiwanese chipmaker.
•
The
court had directed Xiaomi to maintain an inventory of handsets, currently lying
unused with e-commerce site Flipkart, through which the Chinese company sells
its phones under an exclusive arrangement.
NOVARTIS VS. CIPLA
•
Delhi
High court barred Indian generic drugmaker Cipla from making or selling generic
copy of Novartis’s “Onbrez” (for chronic obstructive pulmonary
disease) by giving
temporary injunction to Novartis. Citing famous Roche vs Cipla case, the court
observed that Novartis has a strong prima facia case and as the validity of the
patent is not seriously questioned, there is a clear way out to grant
injunction. Further, the court observed that Cipla did not provide any figures
about the “inadequacy or shortfall in the supply of the drug.”
•
Earlier
Cipla launched its generic version of Indacarterol in October 2014 claiming
“urgent unmet need” for the drug in india.
•
Without
going conventional way, Cipla, also approached the Department of Industrial
Policy and Promotion (DIPP) to exercise its statutory powers under Section 66
and Section 92 (3) to revoke Indian Patents IN222346, IN230049, IN210047,
IN230312 and IN214320 granted to Novartis AG for the drug Indacaterol. Cipla
argued on the basis of 3 main points i.e. “epidemic” or a “public health
crisis” of COPD, unable to manufacture the same in India by Patentee and high
cost of patented drug.