By Donald Zuhn --
Last week, Senator Amy Klobuchar (D-MN) (at right) convened a hearing of the Joint Economic Committee (JEC), a bicameral Congressional Committee composed of ten members from both the Senate and the House of Representatives, to examine rising pharmaceutical prices and the impact of such price increases on the pharmaceutical market and patient medical bills. During the hearing, entitled: "At What Cost?: Egregious Price Increases in the Pharmaceutical Drug Industry," the Committee heard statements from Senator Charles E. Schumer (D-NY), Chairman of the JEC, and Senator Klobuchar, as well as testimony from the parent of a young patient, the CEO of Minnesota Children's Hospital, and Madeline Carpinelli, a Research Fellow from the PRIME Institute at the University of Minnesota (which researches policy issues related to pharmaceutical economics). According to the JEC website, the hearing was convened for the purpose of exploring the causes of recent price increases for rare disease therapeutics and the negative impact on affected families' fiscal stability and access to care.
Senator Schumer (at left) opened the hearing by offering one example of what he believed was an egregious increase in price -- he noted that the drug Matulane, which is used for treating Hodgkins Lymphoma, cost less than $70 per dose in late 2004, and then just six months later, jumped to $5,568 (an 8000% increase). The JEC Chairman also noted that this astounding price increase was "not for a groundbreaking new drug [but rather was] for a drug that was put on the market in the 1960s." Concluding that the creation of a regulatory pathway for follow-on biologics was "an important development for American consumers," Senator Schumer stated that he believed the next Administration would make the establishment of such a system a priority, and asserted that "[g]enerics and market competition works."
Ms. Carpinelli provided some of the most interesting testimony. She noted that her analysis of drug prices between 1988 and 2008 showed "that certain drug products have experienced extraordinary price increases that are well beyond what would normally be expected in a competitive market" (see table entitled "Huge Drug Price Increases"), and further, that the number of branded drug products showing extraordinary price increases (i.e., a price change of more than 100% at a single point in time) had been rising sharply in recent years (see chart entitled "Extraordinary Price Increases are Becoming More Common"). Ms. Carpinelli explained that while brand name drug prices rose an average of 7.4% between 2006 and 2007 (as compared with a 2.9% rate of inflation over the same period), certain brand name drugs saw price increases that far exceeded the 7.4% average. She pointed out, for example, that the price of Ambien rose 27.7% in 2007. However, Ms. Carpinelli found that the increase in Ambien pricing paled in comparison with the 500% to 10,631% price increases observed for a handful of other branded drug products (interestingly, the 10,631% price increase was for a branded off-patent drug).
While noting that the "pharmaceutical market is extremely complex and vexing to most observers," Ms. Carpinelli suggested that extraordinary increases in drug pricing were likely the result of a drug company's "unique position in a market with respect to intellectual property, legal status, barriers to entry, [or] product features that offer a competitive advantage." She also informed the JEC that "[t]he number and magnitude of these extraordinary price increases also raises the possibility that antitrust issues may be present." Ms. Carpinelli, however, did not discount the possibility that the intellectual property and exclusivity status of these drug products may have facilitated the extraordinary price increases. For example, she noted that some of the large price increases were associated with old drugs for which a patent covering a new use or new dosage form had been issued, thereby providing a period of market exclusivity for the drug product.
In response to the JEC hearing, the Generic Pharmaceutical Association (GPhA), which represents manufacturers and distributors of finished generic pharmaceuticals and bulk active pharmaceutical chemicals, issued a press release stating that "the availability of a workable pathway that provides timely patient access to safe, affordable and life-saving biogeneric medicines would save consumers and the health care system billions of dollars." The GPhA noted that while generics represent 65% of the total prescriptions dispensed in the U.S., they only account for 20% of all dollars spent on prescription drugs. GPhA President and CEO Kathleen Jaeger asserted that "safe and affordable biogenerics would allow [patients] to improve their lives while reducing their health care costs." In support of her assertion, Ms. Jaeger cited a study commissioned by Insmed that estimates $67 billion to $108 billion in cost savings over 10 years, and $236 billion to $378 billion in cost savings over 20 years, for generic versions of the top twelve biologics covered by patents that have expired or will soon expire (see "Dr. Robert Shapiro Discusses Follow-on Biologics Report"). She also cited a Pharmaceutical Care Manufacturers Association (PCMA) study that estimated $14.9 billion in cost savings over a 10-year period for certain biopharmaceuticals in the top 200 Medicare Part B reimbursed categories, and an Express Scripts report estimating $71 billion in savings over 10 years for products in four therapeutic categories: interferons, erythropoietin, growth hormone, and insulin. Ms. Jaeger concluded that such cost savings could not be ignored, and necessitated the creation of a "workable approval pathway for biogenerics -- one without lengthy and overreaching market exclusivity provisions or patent extensions that simply result in an empty promise to patients."





In an article posted on the American.com website (the online version of The American magazine) on Tuesday, 
A post-grant opposition system would also "strike at the heart of what the patent system is designed to protect: the incentive to innovate and invest" by resulting in a higher probability of patent revocation. In her study, Dr. Mathur estimated that a post-grant opposition system, if implemented, would result in a 2.8% probability of patent revocation, whereas the current reexamination system only results in a 0.02% probability of patent revocation. Thus, Dr. Mathur concludes that "[a]n opposition regime could significantly reduce investment in R&D and slow the pace of innovation." More importantly, Dr. Mathur argues that a post-grant opposition system would not fix the "main problem" with U.S. patent system -- the issuance of low-quality patents. Dr. Mathur asserts that only the USPTO can fix that.
The Food and Drug Administration 
The new labeling recommends that treatment should not be initiated until a patient's hemoglobin level falls to 10 grams per deciliter, and clarifies language suggesting that treatment be continued until hemoglobin levels of 12 grams per deciliter are produced. The labels also recommend that the drugs not be used as "adjuvant" therapy, in combination with chemotherapy after surgical resection. The FDA also decided to disregard a recommendation from its Oncologic Advisory Committee that these drugs not be used for certain types of cancer.
In a July 29, 2008 presentation at the Alzheimer's Association International Conference on Alzheimer's Disease (ICAD 2008) in Chicago, scientists involved in a collaboration between the University of Aberdeen and TauRx Therapeutics discussed data demonstrating that their candidate drug, rember, appears to slow the progress of the Alzheimer's disease. According to a
Dr. Claude Wischik, TauRx's Executive Chairman, and a Professor at the University of Aberdeen, characterized the Phase 2 clinical results as representing the first real hope that it may be possible to arrest progression of Alzheimer's disease. Following up on this promising clinical data, TauRx is planning to begin a Phase 3 trial next year. If the Phase 3 trial confirms the Phase 2 findings, the drug could be available by 2012.
The U.S. Patent and Trademark Office
Deputy Director Peterlin (at left) has been a controversial figure in the Office, in part because she apparently lacked qualifications long thought to be required for senior Patent Office management positions, and for her association with several of the controversial "new rules" packages promulgated by the Dudas regime. She survived a court challenge to her appointment mounted by Greg Aharonian, noted intellectual property crusader; David Lentini and David Pressman, both patent attorneys and authors; and Steven Morsa, an inventor (see "
The Patent Office press release announcing her departure was predictably effusive in its praise of Deputy Director Peterlin, saying that she "strategically positioned the USPTO as a leader in such important policy debates as patent modernization legislation, in which the USPTO played a lead role in forming and communicating the Administration's position." Director Dudas (at right) called her "instrumental" to the Office's success during her tenure, pointing to her "insistence on data-driven decision-making" that "greatly improved the USPTO's business operations." Perhaps in answer to her critics, Director Dudas also said that she "has tremendous understanding of IP issues and helped the Administration promote smart IP policies both on Capitol Hill and with IP offices around the world."
3. Sherry Knowles, Worldwide head of IP, GlaxoSmithKline - spearheaded the lawsuit against the USPTO regarding the Office's new continuation and claims rules. The victory in Tafas/GSK v. Dudas could have an impact on other USPTO rules packages, such as the alternative claiming rules, which Knowles noted "change[s] the way chemical and pharmaceutical and biotech patent practice has taken place over the last 100 years and will make it impossible to prosecute a genus of chemical compounds."
4. Jon Dudas, Director, USPTO - labeling the Director as a "controversial reformer," Managing IP noted that "he has been the target of criticism from those in the patent community who feel his lack of IP background has resulted in policies that may be harmful to US innovation." In addition to the Office's new continuation and claims rules, currently on appeal before the Federal Circuit, the Director has also actively promoted the administration's applicant quality submissions (AQS) provision to the Senate patent reform bill.
9. Chief Judge Paul Michel, U.S. Court of Appeals for the Federal Circuit - while the percentage and complexity of patent cases heard by the CAFC increases, the Chief Judge "rejects the notion that the [Supreme] Court has increased its focus on patent cases in recent years," noting that the Court actually heard more patent cases in 2001 and 2002 than in recent years. The Chief Judge, however, concedes that recent Supreme Court cases have involved "fundamental issues."
11. Jon Ungphakorn, campaigner and AIDS activist - a former member of Thailand's senate, Ungphakorn began working on AIDS issues in Thailand in 1989, and is now executive secretary of the AIDS Access Foundation and a member of the board of the government's Universal Health Insurance Programme. He remains committed to compulsory licensing as the only means of access to drugs.
24. Dan Ravicher, Legal Director, Public Patent Foundation - has been leading a challenge of three Wisconsin Alumni Research Foundation (WARF) stem cell patents. Ravicher's group argued that "the three WARF patents were impeding scientific progress and driving vital stem cell research overseas." According to Managing IP, the PUBPAT Legal Director has also been "outspoken about his support for the USPTO's enjoined rules package on claims and continuations, which have been the subject of considerable controversy among the patent community." Speaking on the Tafas/GSK case, Ravicher told Managing IP that "[w]hile patent holders and patent attorneys may couch their arguments in terms of the public interest, in reality their interest is in their own profits and livelihoods, not in designing a patent system that fosters the overall rate of innovation."
25. Susan Schwab, U.S. Trade Representative - manages the USTR's Office of Intellectual Property and Innovation, which produces the Special 301 report, a comprehensive annual review of the global state of IP rights protection and enforcement. The 2008 report designated China and Russia as the main areas of concern, and included Venezuela, Argentina, Chile, India, Israel, Thailand, and Pakistan on the priority watch list.
29. Patrick Leahy, Chairman, U.S. Senate Judiciary Committee - the Vermont Senator spent the past year seeking a compromise between the IT and telecommunications industries and the pharmaceuticals and biotechnology industries with respect to the Senate patent reform bill (S. 1145), which he introduced. Senator Leahy characterized the removal of S. 1145 from the Senate calendar in April as "a missed opportunity."
33. Jim Malackowski, President and CEO, Ocean Tomo - launched Ocean Tomo, which has become known for its public auctions of intellectual property, in 2003. Sales at the spring 2008 auction totaled $19,629,500.
36. Margaret Chan, Director-General, World Health Organization - has sought a resolution to the controversy over Thailand's decision to issue compulsory licenses for a range of anti-AIDS and anti-cancer drugs.
42. Gary Griswold, President and CEO, 3M Innovative Properties - played a crucial role on U.S. patent reform discussions as chairman of the Coalition for 21st Century Patent Reform.
About
Court Report: Each week we will report briefly on recently filed
biotech and pharma cases, and a few interesting cases will be selected
for periodic monitoring.
August 11-12, 2008 -
The U.S. Patent and Trademark Office is conducting a customer satisfaction survey relating to the experiences that registered users have had with EFS-Web. The deadline for filling out the survey is 11:30 p.m. (EDT) on Sunday, July 27, 2008. The USPTO estimates that the survey takes approximately 10 minutes to complete. The survey can be
The USPTO
The conference is structured as an actual trial based on an ANDA filing involving a compound and a formulation patent, during which ACI's faculty will conduct live demonstrations of direct and cross examinations. ACI's faculty will also delve into the key issues at stake during trial, including:
The registration fee ranges from $2,195 (conference alone) to $2,795 (conference and master class). Those registering on or before September 12, 2008 will receive a $300 discount off the registration fee and those registering on or before October 24, 2008 will receive a $200 discount off the registration fee. Those interested in registering for the conference can do so
• Critical update on legislative and policy developments at the UK-IPO and EPO;
The registration fee for the conference is £1878.83 ($3,739.78), for the conference plus one workshop £2582.65 ($5,140.73), and for the conference plus both workshops £3286.48 ($6,541.69); attendees can also register for just one workshop for £703.83 ($1,400.96). For those registering on or before August 26, 2008, the registration fee for the conference is £1643.83 ($3,272.02), for the conference plus one workshop £2347.65 ($4,672.96), for the conference plus both workshops £3051.48 ($6,073.93), and for just one workshop £703.83 ($1,400.96). Those interested in registering for the conference can do so
The reason for genotype testing is simple: the Food and Drug Administration has determined that administering the drug to people having the 'wrong' genotype can be life-threatening. The problem is a severe allergic reaction in people with a particular variant gene in the human immunohistocompatibility complex. This variant, HLA-B*5701, is associated with more than a 15-fold increase in the incidence of a hypersensitivity reaction (from 4% to 61%) when these patients are administered the drug, and prescreening for the variant reduces the incidence of hypersensitivity reactions from 7.8% to 3.4%. Symptoms of the reaction range from the merely annoying (rash, nausea) to the severe (fever, breathing difficulties).
The FDA posted the following notice on its website earlier today:
The good news for GSK is that the percentage of the population bearing this variant is small -- about 5%. The company also benefits from having a way of preventing this small percentage of patients from being harmed by the drug. This may offset the negative consequences stemming from the FDA's intention to include the genotype advisory in a
The Intellectual Property Owners Association (IPO)
Ms. Kepplinger (at left) discussed her analysis on filing trends last month during a panel discussion at the Biotechnology Industry Organization (BIO) International Convention. For more information regarding Ms. Kepplinger's presentation, Patent Docs readers are encouraged to refer to our report on the presentation (see "
In a July 16, 2008
The Peer Review Pilot program is intended to encourage the public to review published patent applications and submit technical references and comments on what participants believe is the best prior art to consider during the examination of those applications. Since its inception in June 2007, the pilot has been limited to patent applications in the computer-related arts (Technology Center 2100). As of July 16th, the scope of the program is expanded to include applications in the automated business data processing technologies class 705 (business methods). Those having technical expertise in computer and business methods-related arts and who register with peertopatent.org at their
In a Notice published in the Federal Register (
Accordingly, Applicants who consider exporting subject matter abroad for the preparation of patent applications to be filed in the United States should contact the
Last Friday, the U.S. Patent and Trademark Office and USPTO Director Jon Dudas filed their opening brief in the Tafas v. Dudas appeal. As we
By now, many patent practitioners are probably quite familiar with the sequence of events that led to the Patent Office's appeal. Briefly, Dr. Tafas and GSK sought to enjoin the Patent Office from enforcing its new continuation and claims rules package, which was published last August. The day before the rules package was set to take effect (strangely enough, on Halloween), Judge James C. Cacheris of the Eastern District of Virginia granted Dr. Tafas' and GSK's motions for a temporary restraining order and preliminary injunction.
Last April (this time on April Fool's Day), Judge Cacheris made the injunction permanent, finding that "the [continuation and claims] Rules are substantive in nature and exceed the scope of the USPTO's rulemaking authority under 35 U.S.C. § 2(b)(2)," Judge Cacheris voided the new rules. Citing
In its opening brief, the Patent Office makes two main assertions: first, that the Office acted within its rulemaking authority, and second, that the continuation and claims rules do not violate the relevant statutory provisions. While the assertions themselves are unsurprising, the approach taken by the Patent Office represents an intriguing departure from the framework adopted by Judge Cacheris' opinion, and reveals at least a portion of the Office's appellate strategy. Where Judge Cacheris focused mainly on the substantive nature of the continuation and claims rules, and explicitly avoided a determination regarding whether the Patent Office was entitled to any deference, the Office relies heavily on its belief that Chevron deference places the continuation and claims rules beyond reproach (
Sanity may be returning to the Federal Circuit's treatment of two issues, obviousness and inequitable conduct. In Eisai Co. v. Dr. Reddy's Laboratories, Inc., the Court (in an opinion by Judge Rader joined by Judges Linn and Prost) affirmed the District Court's determination that the patent-in-suit, U.S. Patent No.
The '552 patent discloses and claims rabeprazole, a proton pump inhibitor that suppress gastric acid production by inhibiting action of the enzyme H+, K+ ATPase. Eisai sells the sodium salt of rabeprazole as Aciphex® for duodenal ulcers, heartburn, and related disorders. It has worldwide sales of more than $1 billion. Eisai filed suit pursuant to notification from Defendants Dr. Reddy's Laboratories and Teva Pharmaceuticals that each company had filed an Abbreviated New Drug Application (ANDA) containing a Paragraph IV certification that the '552 patent was invalid and/or unenforceable. (Mylan Laboratories, Inc. and Mylan Pharmaceuticals also filed ANDAs, but Eisai's lawsuit against those companies was stayed pending resolution of this action; Mylan agreed to be bound by the final judgments and any appeals in Eisai's lawsuit against Dr. Reddy's and Teva.)
Neither Defendant contested that filing an ANDA constituted infringement under the Hatch-Waxman Act, and both asserted the affirmative defense that the '552 patent was unenforceable for being obtained by Eisai through inequitable conduct. In addition, Teva asserted that the '552 patent claims were invalid as being obvious over three prior art references. The District Court granted summary judgment in Eisai's favor on infringement, invalidity, and inequitable conduct. Infringement was not appealed by either Defendant.


Yesterday,
Following yesterday's report, David Boundy (at left), the Vice President of
Intellectual Property for Cantor Fitzgerald L.P., wrote us to provide a
few additional details regarding the USPTO rulemaking process. With
respect to the differences between Executive Order 12866 and the
Paperwork Reduction Act (PRA), Mr. Boundy noted that the former
requires an agency to account for all of the economic effects resulting
from any rules changes, while the latter addresses only the costs
relating to the gathering, organizing, storing, and submitting of
information (i.e., the "paperwork" burden). Mr. Boundy noted that over
the past two years, the Patent Office has failed to recognize this
distinction, and as a result has frequently failed to account for all economic
burdens in its E.O. 12866 analyses.
Under E.O. 12866 (as well as a third agency rulemaking mandate, the
Regulatory Flexibility Act), the Patent Office must account for any
loss of, or reduction in, patent value or business investment that would
result from a particular rules change. In particular, the Office is
required to submit all rules changes that have a greater-than-zero
economic effect to the Office of Management and Budget (OMB) after
writing the first draft of a Notice of Final Rulemaking, and then give
the OMB a 90-day period in which to review the rules changes. Once the
90-day period has passed, E.O. 12866 has no further impact on a
particular rules package.
In a transaction merging two major players in the generic pharmaceutical arena,
Barr Pharmaceuticals, Inc., a holding company, operates through subsidiaries Barr Laboratories, Inc., Duramed Pharmaceuticals, Inc., and PLIVA d.d. and its subsidiaries.
The U.S. Patent and Trademark Office has attempted (with varying levels of success) to implement a number of new rules packages in the past two years, including new continuation and claims rules, alternative claiming rules, and IDS rules, but none of these rules packages has been implemented as yet. One new rules package that has been published as a Final Rule in the Federal Register concerns changes in how rejected patent claims are appealed to the Board of Patent Appeals and Interferences (see "
Despite publishing as a Final Rule, however, the Patent Office has yet to implement the new appeals rules, which is perhaps due to the Office's failure to follow proper procedures within the Executive Branch for this type of administrative agency rulemaking. In particular, the Office failed to timely comply with the requirements of the Paperwork Reduction Act (PRA), which mandates that the Office analyze paperwork burdens imposed on applicants by any Office rulemaking. The PRA directs the Office to submit its assessment of any added paperwork burdens to the White House Office of Management and Budget (OMB), and mandates that an agency proposing a new rule assess any additional burdens imposed by the rule "fairly, objectively, and accurately."